- Title Pages
- 1 The Values at the Bedside Study
- 2 The Interaction of Bedside Rationing and the Fairness of Health Care Systems
- 3 The Swiss Context
- 4 The United Kingdom Context
- 5 The Norwegian Context
- 6 The Italian Context
- 7 How Do Economic Incentive Schemes Influence Rationing Decisions by Primary Care Physicians?
- 8 The Legal Context of Bedside Rationing
- 9 Bedside Rationing or Rational Planning
- 10 Just Caring
- 11 Overdiagnosis and Overtreatment
- 12 How Can Bedside Rationing Be Justified Despite Coexisting Inefficiency?
- 13 The Collective Action Problem
- 14 Statistical versus Identified Lives
- 15 Give to the Doctor What Is Due to the Doctor!
- 16 Priority Setting in Hospital Care
- 17 Rationing by Clinical Judgment
- 18 Fairness and Transparency in Bedside Micro-allocation
- 19 Fair Resource Allocation in Clinical Care for Socially Disadvantaged Groups and Health Disparity Populations
- 20 Bedside Rationing After Health Care Reform in the United States
- 21 Priority Setting Through Clinical Practice Guidelines
- 22 Physicians as Bellwethers
- 23 Moving Away from Silent Trepidation
- 24 Priority Setting As a Clinical Skill
The Swiss Context
The Swiss Context
- (p.43) 3 The Swiss Context
- Fair Resource Allocation and Rationing at the Bedside
Samia A. Hurst
- Oxford University Press
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.
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