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Università della Svizzera italiana

Swiss and Dutch “consumer-driven health care” : ideal model or reality?

Okma, Kieke G.H. ; Crivelli, Luca

In: Health policy, 2013, vol. 109, no. 2, p. 105-112

This article addresses three topics. First, it reports on the international interest in the health care reforms of Switzerland and The Netherlands in the 1990s and early 2000s that operate under the label “managed competition” or “consumer-driven health care.” Second, the article reviews the behavior assumptions that make plausible the case for the model of “managed competition.”...

Università della Svizzera italiana

Leadership and governance in seven developed health systems

Smith, Peter C. ; Anell, Anders ; Busse, Reinhard ; Crivelli, Luca ; Healy, Judith ; Lindahl, Anne Karin ; Westert, Gert ; Kene, Tobechukwu

In: Health policy, 2012, vol. 106, no. 1, p. 37-49

This paper explores leadership and governance arrangements in seven developed health systems: Australia, England, Germany, the Netherlands, Norway, Sweden and Switzerland. It presents a cybernetic model of leadership and governance comprising three fundamental functions: priority setting, performance monitoring and accountability arrangements. The paper uses a structured survey to examine...

Università della Svizzera italiana

Statutory health insurance competition in Europe : a four-country comparison

Thomson, Sarah ; Busse, Reinhard ; Crivelli, Luca ; Van de Vend ; Van de Voordee, Carine

In: Health policy, 2013, vol. 109, no. 3, p. 209-225

This article considers the potential for insurer competition to improve health system performance by strengthening purchasing. Economic theory suggests that insurer competition will enhance efficiency if: (1) people have free choice of insurer, (2) competition is based on price and quality rather than risk selection and (3) insurers have tools to influence health care costs and quality. The...

Università della Svizzera italiana

Fiscal federalism and income redistribution through healthcare financing : an empirical analysis for the Swiss cantons.

Crivelli, Luca ; Salari, Paola

Previous studies have viewed Swiss health-care financing as particularly regressive. However, as the OECD Review of the Swiss Health System (2011) stated, the income-related inequities and the inter cantonal variations are still unexplored due to a lack of available information. The present paper aims to fill this information gap concerning the Swiss health system by exploring the...

Università della Svizzera italiana

Six countries, six health reform models? : Health care reform in Chile, Israel, Singapore, Switzerland, Taiwan and The Netherlands

Okma, Kieke G. H. ; Cheng, Tsung-Mei ; Chinitz, David ; Crivelli, Luca ; Svizzera italiana, Svizzera ; Meng-Kin, Lim ; Maarse, Hans ; Labra, Maria Eliana

In: Journal of comparative policy analysis, 2010, vol. 12, no. 1, p. 75-113

This research contribution presents a diagnosis of the health reform experience of six small and mid-sized industrial democracies: Chile, Israel, Singapore, Switzerland, Taiwan and The Netherlands during the last decades of the twentieth century. It addresses the following questions: Why have these six countries, facing similar pressures to reform their health care systems, with similar options...

Università della Svizzera italiana

Regional public health care spending in Switzerland : an empirical analysis

Crivelli, Luca ; Filippini, Massimo

In this study we attempt to explain variations across the Swiss regional states (cantons) in public health care expenditures. The large autonomy of the cantons in the organization and financing of health care services creates strong heterogeneity. Per capita public expenditures in health care are assumed to depend on the median tax share, intergovernmental grants, and some structural factors. The...

Università della Svizzera italiana

Regulation, ownership and efficiency in the Swiss nursing home industry

Crivelli, Luca ; Filippini, Massimo ; Lunati, Diego

Switzerland is a federal State where policy decisions and implementation regarding long-term care regulation are by rights incumbent to the regional and local governments (Canton and Town Council). This situation is in part responsible for the large number of small nursing homes operating in Switzerland. Moreover, long-term care for the elderly is supplied by private for-profit nursing homes,...

Università della Svizzera italiana

Federalism and regional health care expenditures : an empirical analysis for the Swiss cantons

Crivelli, Luca ; Filippini, Massimo ; Mosca, Ilaria

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. Article 3 of the Federal Constitution grants ample autonomy to individual cantons in those sectors that are not directly regulated by the Constitution, among others health and social care. The autonomy of cantons creates strong heterogeneity in terms of regulatory systems and the organization of health care services....