Swiss Health System Overview
Health System Rankings
Health System Outcomes
Health System Coverage
Health System Costs for Consumers
Health System Expenditures
Swiss COVID-19 National Policy
Health System Financing
Health System Personnel
Health System Physical Resources and Utilization
Health Information and Communications Technologies
Population, Midyear 2022: 8,740,472
Population Density (Number of Persons per Square Kilometer): 218.56
Life Expectancy at Birth, 2022: 84.25
Projected Population, Midyear 2030: 9,143,698
Percentage of Total Population Aged 65 and Older, Midyear 2022: 19.31%
Projected Percentage of Total Population Aged 65 and Older, Midyear 2030: 23.04%
Projected Percentage of Total Population Aged 65 and Older, Midyear 2050: 29.26%
Source: United Nations, Department of Economic and Social Affairs, Population Division (2023). Data Portal, custom data acquired via website. United Nations: New York. Accessed 12 May 2023.
Percent of Adults Aged 65 and Over Receiving Long-Term Care (2017): 22.4%
Percent of Adults Aged 65 Years and Over Reporting To Be In Fair, Bad, or Very Bad Health (2017): 34.3%
People With Dementia Per 1,000 Population (2019): 17.7%
Projected Number of People With Dementia Per 1,000 Population in 2050: 33.3%
Long-Term Care Workers Per 100 People Aged 65 And Over (2016): NA
Long-Term Care Beds In Institutions and Hospitals Per 1,000 Population Aged 65 And Over (2017): 65.9
Long-Term Care Expenditure (Health and Social Components) By Government and Compulsory Insurance Schemes, as a Share of GDP (%) (2017): 1.7%
Source: OECD (2019), Health at a Glance 2019: OECD Indicators, OECD Publishing, Paris, https://doi.org/10.1787/4dd50c09-en.
Formal Long-Term Care Workers At Home (FTE), 2020: 22,273.8
Formal Long-Term Care Workers In Institutions (FTE), 2020: 62,910.1
Long-Term Care Recipients In Institutions Other Than Hospitals, 2020: 87,409
Long-Term Care Recipients At Home, 2020: 420,793
Source: Organization for Economic Cooperation and Development. OECD.Stat. Last accessed Jan. 30, 2023.
“Long-term care (institutional care and Spitex services) accounted for about 16% of THE [Total Health Expenditure] in 2012. Long-term care financing was reformed in 2011 (see section 6.1.5). Currently, MHI [Mandatory Health Insurance] covers parts of medical long-term care costs, when prescribed by a physician and after needs assessment, independently of whether it is provided at a nursing home or by home care (Spitex) services (Mösle, 2010). The contribution of MHI for care in nursing homes depends on the level of need determined during the needs assessment (and does not necessarily cover total costs), while the amount covered for Spitex services depends on the type and duration of provided care (see section 3.7.1).
“The care level is determined by the long-term care providers and cantons on the basis of instruments that vary across Switzerland. The most important ones are the Resident Assessment Instrument – Resource Utilization Group (RAI-RUG), the BESA (Bedarfsklärungs- und Abrechnungs-System) in the German-speaking part, and the PLAISIR (Planification Informatisée des Soins Infirmiers Requis) instrument in the French-speaking part. Recently, the different assessment instruments were recalibrated in order to lead to more comparable results across Switzerland (GDK/CDS, 2011b). Independent of the instrument, patients are classified into 12 different care levels depending on the planned cumulative care time needed by a patient per day.
“Non-medical costs (e.g. social or recreational services) and hotel costs are not covered by MHI. These costs depend on the level and quality of services and are calculated on a per-diem basis. Patients or their families (spouses and sometimes children, e.g. if a parental donation was received prior to institutionalization) have to cover these costs. However, if household resources are insufficient, additional contributions are available from the old-age and disability insurance (mainly the so-called complementary payments, EL/PC of AHV-IV/AVS-AI, see section 3.6). Finally, cantons generally subsidize construction and running costs of services related to long-term care.”
Source: De Pietro C, Camenzind P, Sturny I, Crivelli L, Edwards-Garavoglia S, Spranger A, Wittenbecher F, Quentin W. Switzerland: Health system review. Health Systems in Transition, 2015; 17(4):1–288
“As long-term care is mainly organized at the cantonal level there are no national programmes to improve quality but instead there are programmes at the cantonal level. Most cantons are currently applying some form of quality reporting for Spitex services. Recently, a research project supported by the Spitex association developed quality indicators for home care (Gmür & Rüfenacht, 2010; Spitex Verband Schweiz, 2013). Implementation of nationwide quality indicators for home care and nursing homes is planned, although details are still to be determined. The FOPH [Federal Office of Public Health] is currently developing a long-term care strategy for the Federal Council, which will review current and future challenges in the area of long-term care and may propose legislative measures to address these challenges (FOPH, 2015d).”
Source: De Pietro C, Camenzind P, Sturny I, Crivelli L, Edwards-Garavoglia S, Spranger A, Wittenbecher F, Quentin W. Switzerland: Health system review. Health Systems in Transition, 2015; 17(4):1–288.
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Page last updated May 23, 2023 by Doug McVay, Editor.