ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2018
How much does the treatment of each major disease cost? A decomposition of Swiss National Health Accounts.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Cost-Effectiveness, Burden of Disease and Budget Impact of Inclisiran: Dynamic Cohort Modelling of a Real-World Population with Cardiovascular Disease.PharmacoEconomics · 2022Pooled it
- More cost-effective management of patients with musculoskeletal disorders in primary care after direct triaging to physiotherapists for initial assessment compared to initial general practitioner assessment.BMC musculoskeletal disorders · 2019Trial
- Hospitalizations and inpatient resource consumption of patients suffering from chronic disease - Past trend and forecast for Switzerland.BMC health services research · 2025Article
- Estimates of non-communicable disease expenditure by disease phase, sex, and age group for all OECD countries.Population health metrics · 2025Article
- Trends in diabetes mellitus and related costs among hospital admissions in Switzerland, 2012-2020.Diabetology & metabolic syndrome · 2025Article
- What drives health care spending in Switzerland? Findings from a decomposition by disease, health service, sex, and age.BMC health services research · 2023Article
- What is the value of disease expenditure studies? An argument for an international database of spending estimates.BMC global and public health · 2023Article
- Disease-specific health spending by age, sex, and type of care in Norway: a national health registry study.BMC medicine · 2023Article
- [Multiprofessional treatment approach in chronic back pain].Zeitschrift fur Rheumatologie · 2023Review
- Economic effects of dietary salt reduction policies for cardiovascular disease prevention in Japan: a simulation study of hypothetical scenarios.Frontiers in nutrition · 2023Article
- Development and Validation of Short Forms of the Pain Catastrophizing Scale (F-PCS-5) and Tampa Scale for Kinesiophobia (F-TSK-6) in Musculoskeletal Chronic Pain Patients.Journal of pain research · 2023Article
- Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey.Chiropractic & manual therapies · 2022Article
- Associations between social integration, participation and productivity loss among persons with chronic pain: a registry based cross sectional study.BMC musculoskeletal disorders · 2022Article
- The intergenerational relationship between conditional cash transfers and newborn health.BMC public health · 2022Article
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- Decomposition of outpatient health care spending by disease - a novel approach using insurance claims data.BMC health services research · 2021Article
- Plant-Derived Substances with Antibacterial, Antioxidant, and Flavoring Potential to Formulate Oral Health Care Products.Biomedicines · 2021Review
- Identification of Health Expenditures Determinants: A Model to Manage the Economic Burden of Cardiovascular Disease.International journal of environmental research and public health · 2021Article
- Factors related to the change in Swiss inpatient costs by disease: a 6-factor decomposition.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
In most countries, surprisingly little is known on how national healthcare spending is distributed across diseases. Single-disease cost-of-illness studies cover only a few of the diseases affecting a population and in some cases lead to untenably large estimates. The objective of this study was to decompose healthcare spending in 2011, according to Swiss National Health Accounts, into 21 collectively exhaustive and mutually exclusive major disease categories. Diseases were classified following the Global Burden of Disease Study. We first assigned the expenditures directly mapping from National Health Accounts to the 21 diseases. The remaining expenditures were assigned based on diagnostic codes and clues contained in a variety of microdata sources. Expenditures were dominated by non-communicable diseases with a share of 79.4%. Cardiovascular diseases stood out with 15.6% of total spending, followed by musculoskeletal disorders (13.4%), and mental and substance use disorders (10.6%). Neoplasms (6.0% of the total) ranked only sixth, although they are the leading cause of premature death in Switzerland. These results may be useful for the design of health policies, as they illustrate how healthcare spending is influenced by the epidemiological transition and increasing life expectancy. They also provide a plausibility check for single cost-of-illness studies. Our study may serve as a starting point for further research on the drivers of the constant growth of healthcare spending.
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