Overview

Switzerland is facing a multimorbid, ageing population and a scarcity of general practitioners (GPs). In Anglo-Saxon and Nordic countries with similar challenges, advanced practice nurses (APNs) appear to be a solution by adding new capacities and suitable competencies. Even though APNs have been established in the hospital sector, Swiss primary care is at an early stage of implementing the role. Despite the lack of regulations, role models and reimbursement schemes, political uncertainties and scepticism from GPs, the first pilot projects are underway. We discuss four of these case studies and assess the achievements and remaining challenges for further implementation.