Crossed Perspectives:

Quebec Meets Switzerland in the Service of Aging Well

Why Switzerland?
The Swiss medico-social system for the elderly is characterised by its rigorous organisation and decentralised governance. It is based on a triptych: medico-social establishments (EMS), home help and residences for independent people. Each canton manages its own arrangements, resulting in a degree of regional heterogeneity. Funding is based on a balance between insurance, patient contributions and public subsidies. Faced with an ageing population, Switzerland is focusing resolutely on home care, the overall well-being of senior citizens, and technological innovation.

As part of this study mission, 26 professionals had the opportunity to discover innovative initiatives in support and care for the elderly.

The mission began with a meeting with HevivA, the Vaud professional association of medico-psycho-social institutions. Founded in 1959, it brings together 64 institutions representing nearly 12,000 employees. HevivA plays a central role in providing legal, economic and organisational support to its members. It also offers more than 150 continuing education programmes a year and acts as the voice of the sector in dealings with political and institutional bodies.

The day continued with a visit to the EMS Montchoisi, managed by the Saphir Foundation. Scheduled to open in 2021, this bright facility has 84 residents, divided between two geriatric wards and a psychiatric ward for the elderly. Set in peaceful surroundings with views of the Alps, it is characterised by strong community integration, particular attention to the pace of life of residents, and high-quality catering producing up to 400 meals per service.

The second day took the delegation to the Primeroche foundation, which manages several EMS in French-speaking Switzerland, including Le Grand-Pré, which opened in 2014. The establishment has 48 individual rooms, convivial communal areas, a garden and a wildlife area. Therapeutic support is based on alternative approaches such as art therapy, aromatherapy and music therapy. Its integration into village life gives residents direct access to shops and medical services.

The day ended at the Le Manoir residence, which adopts an approach focused on mental and emotional well-being. Innovative initiatives included a sensory space, travel therapy and a Snoezelen room. These multi-sensory facilities promote cognitive stimulation, relaxation and a reassuring, rewarding environment for residents.

On the third day, the delegation visited the Multengut residence, run by Senevita, a major private player in Switzerland. The site offers 95 flats and 26 modern rooms in elegant surroundings. Support is individualised, professional care is provided, and numerous activities are organised to maintain independence and encourage social interaction.

In Zurich, the programme continued at the Zollikerberg residence, owned by the Tertianum group, which specialises in top-of-the-range residences for senior citizens. The establishment offers 68 flats, 24 care rooms and a wellness centre with swimming pool, massages and cultural activities. The Tertianum approach combines independence, personalised care and an active social life in a refined and stimulating setting.

The delegation then met teams from the Stiftung Alterswohnungen der Stadt Zürich (SAW), a public foundation set up by the city of Zurich. It manages almost 2,000 low-rent flats for elderly people on modest incomes. This unique homecare model includes local services - cleaning, laundry, activities - and 24-hour assistance. An exemplary initiative in terms of accessibility and solidarity.

The mission ended with a visit to Almacasa Friesenberg, a residence specialising in care for people with cognitive disorders, including Alzheimer's disease. It offers individualised support in a secure environment, with green spaces, adapted care and activities designed to preserve the independence and dignity of residents.

This study mission enabled RQRA members to discover a wide range of models of care and support in Switzerland, combining innovation, quality of life, local roots and organisational excellence. It opens up inspiring perspectives for rethinking our own practices and anticipating the challenges of ageing.