Abstract

The aging of the population and the increase in chronic diseases are overloading our healthcare system, with complex patients requiring more care. To meet their needs and keep them at home, interprofessional team management is necessary. The Directorate of Health of the Canton of Geneva issued a call for tenders to set up Medical Homes. We responded, were selected and have been building its various components over the past two years: identification of complex patients, setting up coordinated teams, the shared care plan, coordination with the medical assistant and the financing system. The preliminary results show its success, yet specific project management skills and financial resources are needed.

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