Table 1.
Characteristics of the pilot projects
| Practice A | Practice B | Practice C | Practice D | |
|---|---|---|---|---|
| Location | Municipality of a small or suburban agglomeration in central Switzerlanda | Municipality of a small or suburban agglomeration in central Switzerlanda | Rural peripheral municipality in central Switzerlanda | Rural, centrally located municipalitya |
| Practice setting | Traditional family practice with two GPs | Group practice with five GPs | Single practice | Interprofessional practice with six GPs and five other health professionals |
| APN | ||||
| TEP | 50%, declining to 20% (as of January 1, 2019) | 40% | 30% | 50% |
| Education | MSc in Nursing, DAS Complex Care | MSc in Nursing, DAS Complex Care | MSc in Nursing | MSc in Nursing, DAS ANP-plus |
| Project | ||||
| Launch | August 2017 | January 2019 | August 2018 | April 2016 |
| Initiator | Cantonal health department | Practice team | Cantonal health department & cantonal hospital | Practice team |
| Implementation strategy | Top-down | Extension of project in practice A | Top-down | Bottom-up |
| Rationales | Shortages of GPs | Interprofessional task-sharing | Shortages of GPs | Interprofessional task-sharing |
GP General practitioner, APN Advanced Practice Nurse, Other health professionals = psychologists, physiotherapists, nutritionist, occupational therapist; TEP Total employment percentage, MSc Master of Science, DAS Diploma of Advanced Studies, ANP Advanced Nursing Practice
a Municipality typology 2012: https://www.atlas.bfs.admin.ch/maps/13/de/12360_12482_3191_227/20593.html