ArticleHealth expectations : an international journal of public participation in health care and health policy2018
Solidarity and cost management: Swiss citizens' reasons for priorities regarding health insurance coverage.
Article in Health expectations : an international journal of public participation in health care and health policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed.
- Assessing clinical benefit in the Medicare Drug Price Negotiation Program: A 2-step approach for improving transparency, consistency, and meaningful patient engagement.Journal of managed care & specialty pharmacy · 2024Article
- CHAT SA: Modification of a Public Engagement Tool for Priority Setting for a South African Rural Context.International journal of health policy and management · 2022Article
- Engaging community members in setting priorities for nutrition interventions in rural northern Ghana.PLOS global public health · 2022Article
- Deliberative engagement methods on health care priority-setting in a rural South African community.Health policy and planning · 2021Article
- The long shadow of childhood cancer: a qualitative study on insurance hardship among survivors of childhood cancer.BMC health services research · 2021Article
- The Value of Engaging the Public in CHATing About Healthcare Priorities: A Response to Recent Commentaries.International journal of health policy and management · 2019Article
- Solidarity and cost management: Swiss citizens' reasons for priorities regarding health insurance coverage.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Swiss-CHAT: Citizens Discuss Priorities for Swiss Health Insurance Coverage.International journal of health policy and management · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
contextApproaches to priority-setting for scarce resources have shifted to public deliberation as trade-offs become more difficult. We report results of a qualitative analysis of public deliberation in Switzerland, a country with high health-care costs, an individual health insurance mandate and a strong tradition of direct democracy with frequent votes related to health care.
methodsWe adapted the Choosing Healthplans All Together (CHAT) tool, an exercise developed to transform complex health-care allocation decisions into easily understandable choices, for use in Switzerland. We conducted focus groups in twelve Swiss cities, recruiting from a range of socio-economic backgrounds in the three language regions.
findingsParticipants developed strategic arguments based on the importance of basic coverage for all, and of cost-benefit evaluation. They also expressed arguments relying on a principle of solidarity, in particular the importance of protection for vulnerable groups, and on the importance of medical care. They struggled with the place of personal responsibility in coverage decisions. In commenting on the exercise, participants found the degree of consensus despite differing opinions surprising and valuable.
conclusionThe Swiss population is particularly attentive to the costs of health care and means of reducing these costs. Swiss citizens are capable of making trade-offs and setting priorities for complex health issues.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.