Individual Responsibility and Community Solidarity — The Swiss Health Care System

A Cost-Effectiveness Analysis of Nivolumab versus Docetaxel for Advanced Nonsquamous NSCLC Including PD-L1 Testing

“…As a consequence, the costs for the NIV arm would increase due to more patients still receiving NIV during PFS and hence increase the ICER making NIV less cost-effective. Finally, although our results are not directly generalizable to other countries, the Swiss system is comparable to the US system and to many European countries in terms of patient care and cost 39 .…”

Do acute myocardial infarction and stroke mortality vary by distance to hospitals in Switzerland? Results from the Swiss National Cohort Study

“…Therefore, we also calculated straight-line distance to model helicopter flight distance. We found that results were comparable to driving time (see online supplementary appendices [14][15][16][17][18][19][20][21].…”

“…However, in Switzerland, healthcare is mainly organised at the cantonal level with 26 cantons in charge of healthcare planning and organisation. 16 Information on which treatment services are available at each hospital does not exist in a national database, and this includes catheter labs and stroke units operating in the years 2000 to 2008. At the local level, rescue crews are supposed to know which hospitals on which day and hour can receive patients who are in need of specialised AMI or stroke treatments.…”

“…16 The decision of emergency services to which hospital to admit possible patients with AMI or stroke is regionally organised via the cantonal rescue coordination centres.…”

Health Analytics, Economics and Medicine toward a 21<sup>st</sup> Century Health Care System

“…It is pointed out in [32] that "patients in the Swiss system incur substantial out-of-pocket costs: one third of health care spending comes from copayments, deductible, and other private payments", but "consumers can choose among various models-the standard model or any of several managed-care models, which limit access to specialists in exchange for lower premiums". Moreover, [32] also notes that "over the years, the Swiss health care system has been mentioned by commentators as a potential model for the US" because its performance among the best of OECD (Organization for Economic Cooperation and Development) countries, with high levels of patient satisfaction and one of the highest life expectancies. In addition, "competition among health care providers and payers has an important place in the design of the Swiss health care system" and is "supposed to guarantee high quality as well as efficient and cost-effective service delivery".…”