Résumé
Les soins aigus et de transition (SAT) ont été introduits en 2011 par un article de loi dans la Loi fédérale sur l’assurance-maladie (LAMal). Il stipule que l’assurance obligatoire des soins rému¬nère ces soins nécessaires à la suite d’un séjour hospitalier pour une période de 14 jours. Dans un contexte de vieillissement de la population et de surcharge des hôpitaux, cette prestation semble indispensable. Cependant, en pratique, le recours aux SAT reste faible et parfois même inexistant dans certains cantons. Cet article compare la mise en oeuvre des SAT dans cinq cantons suisses afin de comprendre les raisons de cette faible utilisation, ainsi que les divergences liées aux marges de manoeuvre canto¬nales. Il examine les régulations cantonales, le recours à ce type de soin et les institutions proposant cette prestation.
Acute and transitional care was introduced in 2011 by an article in the Federal Health Insurance Act. This provision of the law stipulates that mandatory health insurance covers these necessary post-hospitalization care services for a period of 14 days. In the context of an aging population and hospital overload, these care services seem essential to maintain the health of the population. However, in practice, the use of acute and transitional care remains low and sometimes even absent in certain cantons. This article compares the implementation of acute and transitional care in five Swiss cantons to understand the reasons for this low utilization, as well as the differences related to cantonal leeway. It examines cantonal regulations, the use of this type of care, and the institutions offering this service.
Acute and transitional care was introduced in 2011 by an article in the Federal Health Insurance Act. This provision of the law stipulates that mandatory health insurance covers these necessary post-hospitalization care services for a period of 14 days. In the context of an aging population and hospital overload, these care services seem essential to maintain the health of the population. However, in practice, the use of acute and transitional care remains low and sometimes even absent in certain cantons. This article compares the implementation of acute and transitional care in five Swiss cantons to understand the reasons for this low utilization, as well as the differences related to cantonal leeway. It examines cantonal regulations, the use of this type of care, and the institutions offering this service.