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HEALTH

‘Burn-out’ is an ‘occupational phenomenon’ not disease: WHO

UPDATE: The World Health Organization said on Tuesday that "burn-out" remains an "occupational phenomenon" that could lead someone to seek care but it is not considered a medical condition.

'Burn-out' is an 'occupational phenomenon' not disease: WHO
Participants at the World Health Assembly in Geneva on May 20th. Photo: AFP

The clarification came a day after the WHO mistakenly said it had listed burn-out in its International Classification of Diseases (ICD) for the first time.

The World Health Assembly, WHO's main annual meeting which wraps up on Tuesday, approved at the weekend the latest catalogue of diseases and injuries, collectively known as the ICD-11. for diagnosis and health insurers.

While burn-out was listed in the previous version, the ICD-10, its definition has been changed in the latest edition of the text.

“The definition has been modified based on existing research,” a WHO spokesperson said in an email. 

WHO has now defined burn-out as “a syndrome conceptualised as resulting from chronic workplace stress that has not been successfully managed”.

It said the syndrome was characterised by: “1) feelings of energy depletion or exhaustion; 2) increased mental distance from one's job, or feelings of negativism or cynicism related to one's job; and 3) reduced professional efficacy.”

“Burn-out refers specifically to phenomena in the occupational context and should not be applied to describe experiences in other areas of life,” according to the definition.

The updated ICD list was drafted last year following recommendations from health experts around the world. 

The ICD-11, which is to take effect in January 2022, contains several other additions, including classification of “compulsive sexual behaviour” as a mental disorder, although it stops short of lumping the condition together with addictive behaviours.

It does however for the first time recognise video gaming as an addiction, listing it alongside gambling and drugs like cocaine.

The updated list removes transgenderism from its list of mental disorders, listing it instead under the chapter on “conditions related to sexual health”.  

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HEALTH

How difficult is it to change your doctor in Switzerland?

If you already have a GP doctor in Switzerland but, for some reason, need or want to switch, how easy is it to do so?

How difficult is it to change your doctor in Switzerland?

There are a number of reasons why you may want to leave your GP and find a new one.

Maybe you don’t like their bedside manner, are not happy with the medical care, or are simply moving away and need to find someone closer to your new home.

Whatever the reason, whether or not you can easily switch from one doctor to another depends on the kind of health insurance you have.

Different models, different rights

If you have the ‘standard’ — and typically the most expensive — type of the obligatory health insurance (KVG / LaMal), then you are free to switch your GPs at will, and you don’t have to inform the insurance carrier of the switch.

However, if you have opted for one of the cheaper insurance models, then your right to switch doctors may be limited:

Family doctor model’

It is the most popular in Switzerland (and 20 percent cheaper than standard insurance policy premiums).

Under this model, you have a family doctor who will manage your care — that is, treat you or send you to specialists if needed (with the exception of gynecologists and eye doctors, who don’t require a referral).

You can’t, however, change doctors at will, unless your insurance company approves the switch.

Telemedicine model

If you have opted for the Telemed formula, you must call a health hotline set up by your insurance company.

They will give you a referral to a doctor or hospital based on your symptoms.
 
Heath Maintainance Organisation (HMO)

Under this model, policyholders are required to consult a particular HMO practice. Two disadvantages of this alternative is a limited choice of doctors and you also need a referral to see a specialist.

So the only option that gives you the right to switch doctors with no hassle is the standard one, with the family doctor model also possibly allowing you to do so, under certain circumstances.

The way Telmed and HMO are set up, however, switching doctors is not possible. If that option is important to you, then you will have to switch to the (more expensive) standard insurance.

The only exception to the above restrictions are emergencies, when you need urgent medical treatment.

Assuming you have the standard model, how do you go about changing?

The process is pretty simple: you can find physicians in your area either through recommendations from people you know (which is the best way to ensure you will not be getting an ‘anonymous’ doctor) or, if no recommendations are available, then through the OneDoc platform, which lists which doctors are taking new patients and where.

You can then make an appointment directly online.

When you do so, ask your current physician’s office to transfer your file to the new doc.

You don’t need to explain the reasons for the switch.
 
READ ALSO: The essential Swiss websites you need to use for health matters 
 

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