Solidarity and cost management: Swiss citizens' reasons for priorities regarding health insurance coverage

Schindler, Maik; Danis, Marion; Goold, Susan Dorr; Hurst, Samia

doi:10.1111/hex.12680

Cited by 15 publications

(13 citation statements)

References 20 publications

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“…People's income level may affect the agenda of the politicians to some level but alongside the politicians can influence the priorities, especially those groups who support them. [10] The healthcare is traditionally important for most of the countries' citizens. However, it can have various aspects and one of them is related to the debate for personal responsibility for health.…”

Section: Literature Reviewmentioning

confidence: 99%

“…According to Schindler et al, "there was a tension between the lack of fault for having a disease, and the need for accountability for health behavior that influences solidarity and rising health costs". [10] The prioritization of environmental issues is typically related to the development of postmaterialism. The environmental protection and focus on energy policies are more popular across Western Europe.…”

Section: Literature Reviewmentioning

confidence: 99%

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Covid-19 Pandemic as a Contemporary Challenge and Determinant of EU Citizens’ Priorities

Pastarmadzhieva

Angelova

2021

SHS Web Conf.

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The challenges caused by the Covid-19 pandemic have numerous dimensions. Although the public and the health care systems are the most affected by the situation, the indirect consequences may last longer. One of the areas, which has been put under stress is the relations between the society and the state. These relations determine the overall stability and performance of the states, which is also valid for supranational entity as the European Union (EU). In order to protect its stability, the member states of the latter need to respond the expectation and priorities of their citizens. Thus, the purpose of the current study is to identify if there is a change in the priorities of the EU citizens and what is it. The object of the study are the countries, members of the European Union, studied from 2016 to 2020. Focus of the research is the topics, most relevant for the citizens of EU member states. The data used is from Euro barometer and for the purposes of the analysis statistical methods (frequencies and cross tables) and comparative approach are used. The results show that generally the top priorities of the EU citizens are the same, but their intensity varies across the studied years.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Covid-19 Pandemic as a Contemporary Challenge and Determinant of EU Citizens’ Priorities

Pastarmadzhieva

Angelova

2021

SHS Web Conf.

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“…23 CHAT has been translated into various languages, and has been adapted for computer and web-based use. 18,28,29 Because CHAT includes various rounds whereby participants first work on their own to prioritize as individuals and then in a group to make decisions together, the exercises have at times resulted in decisions being made that are not based only on personal preferences but on societal priorities and values.…”

Section: Key Messagesmentioning

confidence: 99%

CHAT SA: Modification of a Public Engagement Tool for Priority Setting for a South African Rural Context

Tugendhaft

Danis

Christofides

et al. 2020

Int J Health Policy Manag

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Background: Globally, as countries move towards universal health coverage (UHC), public participation in decisionmaking is particularly valuable to inform difficult decisions about priority setting and resource allocation. In South Africa (SA), which is moving towards UHC, public participation in decision-making is entrenched in policy documents yet practical applications are lacking. Engagement methods that are deliberative could be useful in ensuring the public participates in the priority setting process that is evidence-based, ethical, legitimate, sustainable and inclusive. Methods modified for the country context may be more relevant and effective. To prepare for such a deliberative process in SA, we aimed to modify a specific deliberative engagement tool – the CHAT (Choosing All Together) tool for use in a rural setting. Methods: Desktop review of published literature and policy documents, as well as 3 focus groups and modified Delphi method were conducted to identify health topics/issues and related interventions appropriate for a rural setting in SA. Our approach involved a high degree of community and policy-maker/expert participation. Qualitative data were analysed thematically. Cost information was drawn from various national sources and an existing actuarial model used in previous CHAT exercises was employed to create the board. Results: Based on the outcomes, 7 health topics/issues and related interventions specific for a rural context were identified and costed for inclusion. These include maternal, new-born and reproductive health; child health; woman and child abuse; HIV/AIDS and tuberculosis (TB); lifestyle diseases; access; and malaria. There were variations in priorities between the 3 stakeholder groups, with community-based groups emphasizing issues of access. Violence against women and children and malaria were considered important in the rural context. Conclusion: The CHAT SA board reflects health topics/issues specific for a rural setting in SA and demonstrates some of the context-specific coverage decisions that will need to be made. Methodologies that include participatory principles are useful for the modification of engagement tools like CHAT and can be applied in different country contexts in order to ensure these tools are relevant and acceptable. This could in turn impact the success of the implementation, ultimately ensuring more effective priority setting approaches.

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“…Correspondingly, these ndings cannot be generalized to countries with other social security systems in place. In Switzerland, for example, every resident must be a liated to and is covered by basic health insurance [27][28][29]. Furthermore, compulsory disability insurance (DI) aims to guarantee the basic needs of persons who have become disabled, by paying disability bene ts and/or by providing rehabilitation measures [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

The long shadow of childhood cancer: A qualitative study on insurance hardship among survivors of childhood cancer

Hendriks

Harju

Roser

et al. 2020

Preprint

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Background The long-term consequences of childhood cancer have received increasing attention due to the growing number of survivors over the past decades. However, insurance hardships of survivors and their families are mostly unknown. This study explored qualitatively, in a sample of childhood cancer survivors (CCS), (i) the experiences and needs of CCS living in Switzerland with a special focus on hardships related to insurance; and (ii) the views of insurance and law experts with experience on childhood cancer. Methods Semi-structured interviews were conducted with 28 childhood cancer survivors and 3 experts (one legal expert, two insurance experts). Data was analysed using qualitative content analysis. Results Three key themes emerged from the interviews with the CCS: 1) experiences with insurance, 2) perception of discrimination, and 3) needs and barriers for support. The interviewed experts provided further detailed clarification of CCS’ concerns. Our findings indicated that some CCS can move past their cancer history, while others continue to face hardships. CCS reported confusion about the opportunities and services within the social security system and most relied on their personal contacts for guidance. Finally, CCS expressed a strong need for socio-economic and legal support for social insurance questions, especially related to disability insurance. Conclusions With the growing population of CCS, it is essential to further assess the interplay between medical and psychosocial health and socio-economic hardship. Supportive psychosocial services should aim to ameliorate insurance hardships. Better understanding of the relationship between childhood cancer and insurance hardships during survivorship will inform efforts to improve long-term financial security and health outcomes for survivors. We call for the public, lawmakers, researchers, insurers, and patient organizations to come together and discuss future perspectives to avoid the risk of discrimination for cancer survivors.

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Solidarity and cost management: Swiss citizens' reasons for priorities regarding health insurance coverage

Cited by 15 publications

References 20 publications

Covid-19 Pandemic as a Contemporary Challenge and Determinant of EU Citizens’ Priorities

Covid-19 Pandemic as a Contemporary Challenge and Determinant of EU Citizens’ Priorities

CHAT SA: Modification of a Public Engagement Tool for Priority Setting for a South African Rural Context

The long shadow of childhood cancer: A qualitative study on insurance hardship among survivors of childhood cancer

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