Advancing rehabilitation in Switzerland: An evidence informed policy brief for system strengthening

Background

Rehabilitation needs in Switzerland are rising as population ageing intersects with increasing chronic and non‑communicable diseases (NCDs). These conditions often lead to long‑term functional decline, making rehabilitation vital for maintaining independence and preventing avoidable disability. Despite strong system performance, rehabilitation remains unevenly integrated into national policies and care pathways. The 2023 World Health Assembly Resolution on strengthening rehabilitation provides renewed momentum for coordinated national action.

Methods

A representative national stakeholder survey and expert consultations identified key system gaps affecting rehabilitation. Participants pointed to fragmented financing, workforce shortages, limited integration with primary care, and barriers to interprofessional collaboration. These insights informed policy considerations developed through structured workshops and a consolidation survey.

Policy considerations

Twenty‑two considerations were formulated in a policy brief. They call for a national platform, such as a Swiss Rehabilitation Alliance, to provide strategic leadership; financing reforms recognising rehabilitation as an investment in long‑term NCD management; and expanded access to high‑quality rehabilitation across all care levels, including community and home‑based services. Further priorities include coordinated care pathways, quality assurance, workforce development, modernised information systems, strengthened research capacity, and equitable access to assistive technologies.

Conclusions

These considerations provide a practical roadmap for embedding rehabilitation within national health priorities, particularly in chronic disease and multimorbidity. Their implementation can support more resilient, equitable, and person‑centred rehabilitation services across Switzerland while advancing alignment with the WHA Resolution.

Key messages

• The policy brief is aimed to support better integration of rehabilitation into national health policy to respond to growing chronic disease and ageing-related needs.

• A coordinated national strategy, stronger financing, and improved care pathways can optimise rehabilitation access, quality, and equity.