High prevalence of forgoing healthcare for economic reasons in Switzerland: a population-based study in a region with universal health insurance coverage.

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State: Public
Version: author
Serval ID
serval:BIB_F6ACF1610913
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
High prevalence of forgoing healthcare for economic reasons in Switzerland: a population-based study in a region with universal health insurance coverage.
Journal
Preventive Medicine
Author(s)
Guessous I., Gaspoz J.M., Theler J.M., Wolff H.
ISSN
1096-0260 (Electronic)
ISSN-L
0091-7435
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
55
Number
5
Pages
521-527
Language
english
Notes
Publication types: Journal Article WOS Document Type: Article
Abstract
OBJECTIVE: To investigate the determinants and the 4-year evolution of the forgoing of healthcare for economic reasons in Switzerland.
METHOD: Population-based survey (2007-2010) of a representative sample aged 35-74years in the Canton of Geneva, Switzerland. Healthcare forgone, socioeconomic and insurance status, marital status, and presence of dependent children were assessed using standardized methods.
RESULTS: A total of 2601 subjects were included in the analyses. Of the subjects, 13.8% (358/2601) reported having forgone healthcare for economic reasons, with the percentage varying from 3.7% in the group with a monthly income ≥13,000CHF (1CHF≈1$) to 30.9% in the group with a monthly income <3000CHF. In subjects with a monthly income <3000CHF, the percentage who had forgone healthcare increased from 22.5% in 2007/8 to 34.7% in 2010 (P trend=0.2). Forgoing healthcare for economic reasons was associated with lower income, female gender, smoking status, lower job position, having dependent children, being divorced and single, paying a higher deductible, and receiving a premium subsidy.
CONCLUSION: In a Swiss region with universal health insurance coverage, the reported prevalence of forgoing healthcare for economic reasons was high and greatly dependent on socioeconomic factors. Our data suggested an increasing trend among participants with the lowest income.
Pubmed
Web of science
Create date
13/12/2012 19:46
Last modification date
20/08/2019 17:23
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