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OECD Reviews of Health Systems: Switzerland 2011

image of OECD Reviews of Health Systems: Switzerland 2011

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.

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Reforms and Governance of the Swiss Health System

This chapter describes the governance of Switzerland’s health system and the reform process. Governance in Switzerland is founded on decentralised approaches and consensus seeking. This can often curb the political capacity for reform, but it also provides opportunities for innovative policies at a municipal or cantonal level for sharing knowledge and best practices. In this context, improving governance will depend on the ability of the Swiss authorities and other stakeholders to develop and implement a strategic vision for the future of the Swiss health system. The ongoing discussions over a potential law on prevention and the national health strategy project are important initiatives in this direction. Better governance will also require development of nationwide information systems and generating better evidence to inform policy.

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