Sustainable Health Care System
During the last decades, the health system in our country strongly expanded: the numbers of medical doctors, carers and others active in this area have increased strikingly. In addition, a variety of technical and pharmacological developments have contributed to a considerable improvement of prevention, diagnosis and treatment of many diseases and ailments.
The resulting health system is therefore most successful. At the same time, the personal and financial resources deployed are so high that Switzerland will barely be in a position to maintain them in the long-term.
Is the deployment of all these means justified?Medicine very often employs «everything» to treat patients – even though it is uncertain for many of the diagnostic and therapeutic treatments available today whether they are effective, appropriate and economic in a given situation, such as decreed by law.
It is apparent already today that this «maximum medicine» is stretched to its limits, both economically and ethically. In order to asses where adaptations are useful and possible, it would be important to know the benefit or the «value» of medical performances.
The project «Sustainable Health Care System»In this situation, the Swiss Academies of Arts and Sciences have launched the project «Sustainable Health Care System» in 2011, which comprises the following four sub-projects:
- The study «Methods to determine the benefit and value of medical performances and their application in Switzerland and selected European countries». The study was done on behalf of the Swiss Academies by PD Dr Matthias Schwenkglenks and Dr Florian Gutzwiller from the Institute of Pharmaceutical Medicine at the University of Basel. The study was presented on 29 March 2012 during a public conference in Berne (see below).
Download of the study (in German with a foreword and a summary in English) (7 MB)
- The position paper «Sustainable Medicine» by an expert group of the Swiss Academy of Medical Sciences (SAMS) identifies factors affecting the sustainability of medicine and proposes measures for the development of a sustainable medicine.
Download of the position paper (in German) (2 MB)
- A «publifocus» by the Swiss Centre for Technology Assessment (TA-SWISS) on the topic «Benefit and value of medical treatments». The publifocus was presented during a press conference on 29 November 2012 and is available for download on the following webpage:
- The study «Efficiency, utilisation and financing of the Swiss health care system». The study was presented on 4 December 2012 during a public conference in Berne (see below).
Download of the study (in German with a summary in English) (2.5 MB)
Conference: a sustainable health care system for Switzerland
The results of the four sub-projects were presented and discussed at a symposium in Berne. At the same time, the Swiss Academies presented their «Roadmap for a sustainable health care system».
4 December 2012, Berne
Programme (pdf, German; pdf, French)
«Roadmap for a sustainable health care system» (pdf, German; pdf, French)
Presentations from the Conference:
- Das Schweizer Gesundheitssystem: ein Fall für die Akademien (Dr Markus Zürcher) PDF
- Ineffizienzen im Schweizer Gesundheitssystem: Stossrichtungen für Verbesserungen (Dr Rolf Iten) PDF
- Publifocus «Nutzen und Kosten medizinischer Behandlungen» (Dr Sergio Bellucci) PDF
- A sustainable health system? (Prof. Andrew Street) PDF
- Das Positionspapier «Nachhaltige Medizin» (Prof. Daniel Scheidegger) PDF
- Roadmap der Akademien der Wissenschaften Schweiz (Prof. Peter Suter) PDF
- Ein nachhaltiges Gesundheitssystem: politischer Handlungsbedarf (Dr Carlo Conti) PDF
Conference: Benefits and value of medical interventions
At this conference, the study «Methods to determine the benefit and value of medical performances and their application in Switzerland and selected European countries» was presented to the public.
29 March 2012, Berne
Presentations from the Conference (in German language):
Introduction (Prof. P. Suter) PDF
What is a QALY? (PD Dr M. Schwenkglenks) PDF
Life expectancy and quality of life as a common denominator? (Dr F. Gutzwiller) PDF
So far and no further? (Dr R. Iten) PDF
How others do it (A. Vettori) PDF
Lessons learned (PD Dr M. Schwenkglenks) PDF
What follows? (Prof. Th. Zeltner) manuscript PDF, presentation PDF