Primary care physician supply and other key determinants of health care utilisation: the case of Switzerland

BMC Health Services Research
André Busato, Beat Künzi

Abstract

The Swiss government decided to freeze new accreditations for physicians in private practice in Switzerland based on the assumption that demand-induced health care spending may be cut by limiting care offers. This legislation initiated an ongoing controversial public debate in Switzerland. The aim of this study is therefore the determination of socio-demographic and health system-related factors of per capita consultation rates with primary care physicians in the multicultural population of Switzerland. The data were derived from the complete claims data of Swiss health insurers for 2004 and included 21.4 million consultations provided by 6564 Swiss primary care physicians on a fee-for-service basis. Socio-demographic data were obtained from the Swiss Federal Statistical Office. Utilisation-based health service areas were created and were used as observational units for statistical procedures. Multivariate and hierarchical models were applied to analyze the data. Models within the study allowed the definition of 1018 primary care service areas with a median population of 3754 and an average per capita consultation rate of 2.95 per year. Statistical models yielded significant effects for various geographical, socio-demographic a...Continue Reading

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Citations

Oct 26, 2011·Primary Health Care Research & Development·Edgar SamarasunderaMichael Soljak
Aug 9, 2011·Health Policy and Planning·Ligia Paina, David H Peters
Feb 2, 2012·International Journal of Family Medicine·Jennifer M CoombsStephen C Alder
Oct 11, 2011·BMC Health Services Research·Shinichi TaniharaIchiro Kawachi
Mar 20, 2009·BMC Health Services Research·André BusatoBeat Künzi
Jul 25, 2013·International Journal of Public Health·Greg StapletonDavid Townend
Sep 2, 2014·International Journal of Health Geographics·Donald P Allan
Feb 22, 2012·Health Economics·Christel E van DijkDinny H de Bakker
Oct 20, 2011·Journal of Health Services Research & Policy·André BusatoDavid Goodman
Oct 18, 2015·Health Economics Review·Ansgar LangeJ-Matthias von der Schulenburg
May 15, 2020·PloS One·Nina StollerDrahomir Aujesky
Apr 21, 2020·BMC Health Services Research·Chunzhou Mu, Jane Hall
Apr 12, 2019·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Marita MohammadshahiSara Emamgholipour Sefiddashti
Jul 17, 2020·International Journal of Public Health·Caroline BählerEva Blozik
Aug 23, 2021·BMC Health Services Research·Niklaus GygliMichael Simon
Oct 1, 2021·Asia-Pacific Journal of Public Health·Lusie Wardani, Yohanna M L Gultom

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