en
Book chapter
English

The Swiss context

ContributorsHurst, Samiaorcid
Published inFair resource allocation and rationing at the bedside, Editors Danis, M., Hurst, S.A., Fleck, L.M., Forde, R. & Slowther, A.
PublisherOxford : Oxford University Press
Publication date2014
Abstract

This chapter provides an overview of the Swiss health care system and of discussions regarding priority setting in Switzerland, in order to provide some background for the interpretation of responses of Swiss physicians to the Values at the Bedside survey. Responding Swiss doctors reported a high degree of freedom, a high availability of resources, but also high pressure to ration, and also reported the highest rate of physician bedside rationing among the four study countries. This finding contradicts the hypothesis that physician bedside rationing is the result of centralized rules. The Swiss context highlights the fact that a market-based and well-financed health care system will generate physician rationing despite expectations to the contrary. It will, however, be of a different kind: more individualized but also more implicit.

Keywords
  • Switzerland
  • Health care system
  • Market-based healthcare delivery
  • Priority setting
  • Rationing, bedside rationing
NotePart Two : The societal context
Citation (ISO format)
HURST, Samia. The Swiss context. In: Fair resource allocation and rationing at the bedside. Oxford : Oxford University Press, 2014. doi: 10.1093/acprof:oso/9780199989447.003.0003
Identifiers
ISBN978-0-19-998944-7
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