 |
|
Consumer-Driven Health Care
Lessons From Switzerland
Regina E. Herzlinger, DBA;
Ramin Parsa-Parsi, MD, MPH
JAMA. 2004;292:1213-1220.
Switzerland's consumer-driven health care system achieves universal insurance and high quality of care at significantly lower costs than the employer-based US system and without the constrained resources that can characterize government-controlled systems. Unlike other systems in which the choice and most of the funding for health insurance is provided by third parties, such as employers and governments, in the Swiss system, individuals are required to purchase their own health insurance. The positive results achieved by the Swiss system may be attributed to its consumer control, price transparency of the insurance plans, risk adjustment of insurers, and solidarity. However, the constraints the Swiss system places on hospitals and physicians and the paucity of provider quality information may unduly limit its impact. The Swiss health care system holds important lessons, including evidence about its feasibility and equity, for the United States, which is now embarking on its own consumer-driven health care system.
Author Affiliations: Nancy R. McPherson Professor of Business Administration, Harvard Business School (Dr Herzlinger), and Harvard Medical International, Boston, Mass (Dr Parsa-Parsi).
RELATED LETTERS
Holes in the Swiss Health Care System
Thomas M. Vogt
JAMA. 2005;293(19):2337.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System
Erik von Elm, Matthias Egger, Daniel Pewsner, and Brigitte Bisig
JAMA. 2005;293(19):2337-2338.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System
William W. Pfaff
JAMA. 2005;293(19):2338.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System
Isabelle Peytremann Bridevaux and Brigitte Santos-Eggimann
JAMA. 2005;293(19):2338-2339.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System
Arnold Relman
JAMA. 2005;293(19):2339.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System
Mark Tuckfelt
JAMA. 2005;293(19):2339.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System—Reply
Regina E. Herzlinger and Ramin Parsa-Parsi
JAMA. 2005;293(19):2339-2340.
EXTRACT
| FULL TEXT
Holes in the Swiss Health Care System—Reply
Uwe E. Reinhardt
JAMA. 2005;293(19):2340.
EXTRACT
| FULL TEXT
RELATED ARTICLE
The Swiss Health System: Regulated Competition Without Managed Care
Uwe E. Reinhardt
JAMA. 2004;292(10):1227-1231.
EXTRACT
| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
A Cost-Effectiveness Framework for Profiling the Value of Hospital Care
Timbie et al.
Med Decis Making 2008;28:419-434.
ABSTRACT
Consider It Done? The Likely Efficacy Of Mandates For Health Insurance
Glied et al.
Health Aff (Millwood) 2007;26:1612-1621.
ABSTRACT
| FULL TEXT
Employer-Sponsored, Personal, And Portable Health Insurance
Goodman
Health Aff (Millwood) 2006;25:1556-1566.
ABSTRACT
| FULL TEXT
The Bush Administration's Health Care Proposal: The Proper Establishment of a Consumer-Driven Health Care Regime
Falit
J Law Med Ethics 2006;34:632-639.
Holes in the Swiss Health Care System
Vogt
JAMA 2005;293:2337-2337.
FULL TEXT
Holes in the Swiss Health Care System
Pfaff
JAMA 2005;293:2338-2338.
FULL TEXT
Holes in the Swiss Health Care System
Relman
JAMA 2005;293:2339-2339.
FULL TEXT
Holes in the Swiss Health Care System
von Elm et al.
JAMA 2005;293:2337-2338.
FULL TEXT
Holes in the Swiss Health Care System
Peytremann Bridevaux and Santos-Eggimann
JAMA 2005;293:2338-2339.
FULL TEXT
Holes in the Swiss Health Care System
Tuckfelt
JAMA 2005;293:2339-2339.
FULL TEXT
The Swiss Health System: Regulated Competition Without Managed Care
Reinhardt
JAMA 2004;292:1227-1231.
FULL TEXT
|
