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Fair Resource Allocation and Rationing at the Bedside$
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Marion Danis, Samia A. Hurst, Len Fleck, Reidun Forde, and Anne Slowther

Print publication date: 2014

Print ISBN-13: 9780199989447

Published to Oxford Scholarship Online: November 2014

DOI: 10.1093/acprof:oso/9780199989447.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 January 2021

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.

Keywords:   Switzerland, health care system, market-based healthcare delivery, priority setting, rationing, bedside rationing

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