ArticleInternational journal of public health2019
Longer and healthier lives for all? Successes and failures of a universal consumer-driven healthcare system, Switzerland, 1990-2014.
Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Trends in cost-related forgone care among older adults in Switzerland: a repeated cross-sectional study.European journal of public health · 2026Article
- Health inequalities in the Nordic countries: A comparative overview and update.Journal of internal medicine · 2025Review
- Co-creation for the development and implementation of a competence centre for mental health in Eastern Switzerland: a participatory approach.BMC psychiatry · 2025Article
- Trends over the past 15 years in long-term care in Switzerland: a comparison with Germany, Italy, Norway, and the United Kingdom.BMC geriatrics · 2024Article
- Between data providers and concerned citizens: Exploring participation in precision public health in Switzerland.Public understanding of science (Bristol, England) · 2024Article
- Friendship in Later Life: Thirty Years of Progress and Inequalities.International journal of aging & human development · 2023Article
- eHealth interventions for psychiatry in Switzerland and Russia: a comparative study.Frontiers in digital health · 2023Article
- Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 Years of age.SSM - population health · 2022Article
- Health and labor force participation among older workers in Switzerland: a growth curve analysis.European journal of ageing · 2022Article
- General and Vulnerable Population's Satisfaction With the Healthcare System in Urban and Rural Areas: Findings From the European Social Survey.International journal of public health · 2022Article
- Healthy ageing for all? Comparisons of socioeconomic inequalities in health expectancies over two decades in the Cognitive Function and Ageing Studies I and II.International journal of epidemiology · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesThe ability to translate increases in life expectancy into additional years in good health is a crucial challenge for public health policies. We question the success of these policies in Switzerland, a forerunner of longevity, through the evolution of healthy life expectancy (HLE) across socioeconomic groups.
methodsEducation-specific HLE conditioning on surviving to age 30 was computed for 5-year periods from the Swiss National Cohort, a mortality follow-up of the entire resident population, and the Swiss Health Interview Survey, reporting self-rated health. We compare time trends and decompose them into health, mortality and education components.
resultsBetween 1990 and 2015, comparable gains in LE (males: 5.02 years; females: 3.09 years) and HLE (males: 4.52 years; females: 3.09 years) were observed. People with compulsory education, however, experienced morbidity expansion, while those with middle and high education experienced morbidity compression.
conclusionsDivergence of morbid years by educational levels may reflect unequal access to preventive care due to high out-of-pockets contributions in the healthcare system. This growing gap and the exhaustion of the educational dividend jeopardize future increases in HLE.
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