Understanding recent trends in Swiss ambulatory care utilization when out-of-pocket payment is minimal.

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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_28BCC307D8F2
Type
Article: article from journal or magazin.
Collection
Publications
Title
Understanding recent trends in Swiss ambulatory care utilization when out-of-pocket payment is minimal.
Journal
Sozial- Und Präventivmedizin
Author(s)
Bridevaux Peytremann I., Santos-Eggimann B.
ISSN
0303-8408 (Print)
ISSN-L
0303-8408
Publication state
Published
Issued date
2006
Volume
51
Number
5
Pages
318-322
Language
english
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
SAPHIRID:59297 --- Old url value: http://www.springerlink.com/content/16mul11772035171/
Abstract
OBJECTIVE: To examine trends in ambulatory care utilization when individuals face almost no financial barriers to health care.
METHODS: Observational study of insurance data. Adults with minimal deductible were included. Ambulatory care visits and costs were measured from 1997 to 2002.
RESULTS: Mean ambulatory care costs/insuree increased from 1292.- to 1790.- CHF, corresponding to higher increases in drug costs (+61.7 %) than services costs (+24.3 %). The proportion of visits to generalists decreased while those to hospital outpatient services increased.
CONCLUSIONS: In a demographically stable population of insurees, increases in ambulatory care costs were due neither to growth in physicians' visits nor to increasing physicians' fees per act, but to what was included in or prescribed during the visits.
Keywords
Adult, Ambulatory Care/economics, Ambulatory Care/utilization, Drug Costs, Female, Health Care Costs, Humans, Insurance, Health, Male, Middle Aged, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
04/03/2008 14:58
Last modification date
01/10/2019 6:17
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