Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Longer and healthier lives for all? Successes and failures of a universal consumer-driven healthcare system, Switzerland, 1990–2014
International Journal of Public Health, Volume 64, No. 8, Year 2019
Notification
URL copied to clipboard!
Description
Objectives: The ability to translate increases in life expectancy into additional years in good health is a crucial challenge for public health policies. We question the success of these policies in Switzerland, a forerunner of longevity, through the evolution of healthy life expectancy (HLE) across socioeconomic groups. Methods: Education-specific HLE conditioning on surviving to age 30 was computed for 5-year periods from the Swiss National Cohort, a mortality follow-up of the entire resident population, and the Swiss Health Interview Survey, reporting self-rated health. We compare time trends and decompose them into health, mortality and education components. Results: Between 1990 and 2015, comparable gains in LE (males: 5.02 years; females: 3.09 years) and HLE (males: 4.52 years; females: 3.09 years) were observed. People with compulsory education, however, experienced morbidity expansion, while those with middle and high education experienced morbidity compression. Conclusions: Divergence of morbid years by educational levels may reflect unequal access to preventive care due to high out-of-pockets contributions in the healthcare system. This growing gap and the exhaustion of the educational dividend jeopardize future increases in HLE. © 2019, The Author(s).
Authors & Co-Authors
Cullati, Stéphane
Switzerland, Geneva
Université de Genève
Burton-Jeangros, Claudine
Switzerland, Geneva
Université de Genève
Egger, Matthias
Unknown Affiliation
Spoerri, Adrian
Unknown Affiliation
Zwahlen, Marcel
Unknown Affiliation
Puhan, Milo Alan
Unknown Affiliation
Röösli, Martin
Unknown Affiliation
Bochud, Murielle
Unknown Affiliation
Oris, Michel
Unknown Affiliation
Statistics
Citations: 14
Authors: 9
Affiliations: 2
Identifiers
Doi:
10.1007/s00038-019-01290-5
ISSN:
16618556
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Participants Gender
Female