International Journal of Integrated Care, 31 December 2009 - ISSN 1568-4156
Conference abstract
Chronic disease prevention and management program for diabetic patients in the canton of Vaud (Switzerland)
I. Peytremann-Bridevaux, Institute of Social and Preventive Medicine, CHUV and University of Lausanne, Switzerland
I. Hagon-Traub, Service de la Santé Ensemble Hospitalier de la Côte, Hôpital de Morges, Switzerland
M. Cauderay, Fondation USCADE, Pully, Switzerland
Y. Kuhne, Association du Réseau de soins de la Broye et du Nord vaudois, Yverdon, Switzerland
C.A. Favrod-Coune, Société Médical Romande, Lausanne, Switzerland
J. Ruiz, Service de CHUV and University of Lausanne, Switzerland
B. Burnand, Lausanne, Switzerland
G. Stucki, Service de la Santé Publique du canton de Vaud, Lausanne, Switzerland
Correspondence to: Isabelle Peytremann-Bridevaux, E-mail:

Background and problem statement: Diabetes constitutes a major burden for communities in terms of morbidity, mortality and healthcare costs. The canton of Vaud plans to implement a prevention and chronic disease management program for diabetes.

Methods: Meetings gathering cantonal and academic specialists in prevention and public health, GPs and specialists in diabetology (private practices and hospitals), representatives of para-medical and hospital professionals, from patients' associations and insurance companies have allowed to define the aims and main action lines of the program.

Results: Four objectives were defined: 1) general population: increase knowledge on diabetes and risk factors, reduce the prevalence of glucose intolerance and undiagnosed diabetes; 2) diabetic patients: promote self-management education, and coordinated, integrated evidence-based care stratified according to disease severity and patients' needs; 3) healthcare professionals: reinforce information and education for better diabetic care; 4) authorities and partners: implement a surveillance system. Working groups determined provisional measures.

Conclusions: This preparatory work will enable the development and implementation of the diabetes program. This project, innovative for Switzerland, represents a tremendous opportunity for all healthcare stakeholders of the canton to work together towards a common goal: improving the state of health and healthcare of diabetic patients.

chronic disease management; implementation; Switzerland