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

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Etat: Public
Version: Final published version
Licence: Non spécifiée
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ID Serval
serval:BIB_28BCC307D8F2
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Understanding recent trends in Swiss ambulatory care utilization when out-of-pocket payment is minimal.
Périodique
Sozial- Und Präventivmedizin
Auteur⸱e⸱s
Bridevaux Peytremann I., Santos-Eggimann B.
ISSN
0303-8408 (Print)
ISSN-L
0303-8408
Statut éditorial
Publié
Date de publication
2006
Volume
51
Numéro
5
Pages
318-322
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Publication Status: ppublish
SAPHIRID:59297 --- Old url value: http://www.springerlink.com/content/16mul11772035171/
Résumé
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.
Mots-clé
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
Oui
Création de la notice
04/03/2008 15:58
Dernière modification de la notice
14/02/2022 8:54
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