Five years after the first Review of Switzerland’s health system, the OECD and the World Organization combined their expertise again to report on progress and implementation of health reforms in the Swiss health system. In addition to taking stock of the good overall performance of the Swiss health system, the two organizations propose concrete ways to help the system be more efficient and prepare for the future health needs of the Swiss population. The report focuses on three important issues: health insurance markets, health workforce planning and management and governance of the health system.
Tables des matières:
Introduction Assessment and Recommendations Chapter 1.Key Features of the Swiss Health System -1.1. Key features of Switzerland -1.2. The economic size of the health sector. -1.3. Governance of the Swiss health system -1.4. Financing health care in Switzerland -1.5. Delivering health services -1.6. Provider payments, reimbursement and contracting -1.7. The system’s efficiency: international benchmarking and future challenges Chapter 2.Health Insurance -2.1. General trends in the Swiss health insurance market -2.2. The 1996 Health Insurance Law has strengthened solidarity, but health financing inequalities remain -2.3. Competition in health insurance markets does not deliver all its promises. -2.4. The reform agenda Chapter 3.Health Workforce -3.1. Health workforce distribution and evolution -3.2. Trends shaping the health workforce -3.3. Education -3.4. International health worker migration and Switzerland -3.5. Not only a question of numbers -3.6. The challenge of developing a national and long-term vision on health workforce issues Chapter 4.Recent Health System Reforms and Progress since the 2006 Review. -4.1. Public health and prevention -4.2. Quality of care -4.3. Hospital financing -4.4. Pharmaceuticals Chapter 5. Reforms and Governance of the Swiss Health System -Introduction -5.1. Main issues in health system governance identified in 2006 -5.2. Governance traditions and principles -5.3. Dynamic governance or the political capacity for reform -5.4. Key features and instruments of governance of the Swiss health system -5.5. Looking at health system objectives through the governance lens -5.6. Conclusion Acronyms Canton Abbreviations