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Variation in incidence of orthopaedic surgery between populations with basic or basic plus supplementary health insurance in Switzerland


Busato, A; Widmer, M; Matter, P (2011). Variation in incidence of orthopaedic surgery between populations with basic or basic plus supplementary health insurance in Switzerland. Swiss Medical Weekly, 141:w13152.

Abstract

The study provides evidence that health insurance status accounts for variation in surgery for musculoskeletal problems in Switzerland. There are indications that supplementary health insurance - as a proxy for higher socioeconomic status - is related to lower need for surgery. There are signs that resources for spinal surgery and arthroscopy are diverted to the private sector at the expense of social health insurance. The results are only partially consistent with the hypothesis that volume of services increases with comprehensiveness of coverage.

The study provides evidence that health insurance status accounts for variation in surgery for musculoskeletal problems in Switzerland. There are indications that supplementary health insurance - as a proxy for higher socioeconomic status - is related to lower need for surgery. There are signs that resources for spinal surgery and arthroscopy are diverted to the private sector at the expense of social health insurance. The results are only partially consistent with the hypothesis that volume of services increases with comprehensiveness of coverage.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of General Practice
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:22 Aug 2011 08:51
Last Modified:05 Apr 2016 14:58
Publisher:EMH Swiss Medical Publishers
ISSN:0036-7672
Publisher DOI:10.4414/smw.2011.13152
PubMed ID:21293980
Permanent URL: http://doi.org/10.5167/uzh-49181

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