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Università della Svizzera italiana

Le rôle de l’assurance maladie dans la régulation du système de santé en Suisse

Bolgiani, Iva ; Crivelli, Luca ; Domenighetti, Gianfranco

In: Revue française des affaires sociales, 2006, vol. 60, no. 2-3, p. 239-262

Le système suisse d’assurance maladie se situe à mi-chemin entre une assurance sociale et une assurance privée. L'assurance est obligatoire et gérée par une pluralité de caisses maladies privées sans but lucratif, qui sont formellement en concurrence et offrant un panier identique de prestations. La prime de l’assurance est indépendante du revenu et varie en fonction du canton de...

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....

Università della Svizzera italiana

Federalismo e spesa sanitaria regionale : analisi empirica per i Cantoni svizzeri

Crivelli, Luca ; Filippini, Massimo ; Mosca, Ilaria

Il sistema sanitario svizzero è, a giusta ragione, considerato uno dei più complessi al mondo e, almeno in parte, questa complessità è legata al federalismo. Pur avendo di fronte una nazione che, per dimensioni, è paragonabile ad un “Länder" tedesco o ad una regione italiana, non è infatti corretto parlare di sistema sanitario elvetico, quanto piuttosto di 26 sub-sistemi cantonali,...

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

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

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...