Consumer-driven health care: Lessons from Switzerland

JAMA

Volumn 292, Issue 10, 2004, Pages 1213-1220

  Herzlinger, Regina E ^a   Parsa Parsi, Ramin ^b  

^a HARVARD BUSINESS SCHOOL   (United States)

^b Harvard Medical International   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CANADA; CONSUMER; DEMOGRAPHY; DIABETES MELLITUS; EMPLOYER; GOVERNMENT; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEART INFARCTION; HOSPITAL BED; LENGTH OF STAY; LIFE EXPECTANCY; PRIORITY JOURNAL; REIMBURSEMENT; REVIEW; SELF REPORT; SWITZERLAND; UNITED STATES;

EID: 4444225688     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.292.10.1213     Document Type: Review

References (70)

1. Gabel JR, Le Sasso AT, Rice T. Consumer-driven health plans: are they more than talk now? Health Aff (Millwood). 2003(suppl):W395-W407. Web Exclusives 2002 Supplement.
2. Joint Economic Committee, US Congress. The Performance and Potential of Consumer-Driven Health Care. Available at http://jec.senate.gov/index.cfm. Accessed February 25, 2004.
3. McLaughlin CG. Health care consumers: choices and constraints. Med Care Res Rev. 1999;56(suppl 1): 40-42.
4. Herzlinger RE. Note on Health Insurance and its Intermediaries. Boston, Mass: Harvard Business School Publishing; 2001. Revised November 5, 2003. Harvard Business School Note No. 302-033.
5. Premium rates: the trend is up. On Managed Care. 2002;7(1):2.
6. Top 25 HMOs with high satisfaction ratings. Managed Healthcare Executive. January 2002:52.
7. Romano M. Lost luster. Mod Healthc. 2000;30:16.
8. Benko LB. Loosening their grip: as HMOs' popularity continues to erode, more plans turn to less-restrictive rules: but with costs rising, what's next? Mod Healthc. 2002;32:30-34.
9. Iglehart JK. Revisiting the Canadian health care system. N Engl J Med. 2002;342:2007-2012.
10. Naylor CD. Health care in Canada: incrementalism under fiscal duress. Health Aff (Millwood). 1999;18:9-26.
11. Lyall S. In Britain's health service, sick itself, cancer cure is dismal. New York Times. February 10, 2000: A1.
12. Marmot M. Acting on the evidence to reduce inequalities in health. Health Aff (Millwood). 1999;18:42.
13. Martin RM. NHS waiting lists and evidence of national or local failure: analysis of health service data. BMJ. 2003;326:188.
14. Herzlinger RE. Consumer-driven health insurance. In: Herzlinger RE. Consumer-Driven Health Care. San Francisco, Calif: Jossey-Bass; 2004:74-101.
15. Ward's Automotive Yearbook. Detroit, Mich: Ward's Reports; 2002:202.
16. Fang S, Kleiner BH. Excellence at Toyota Motor Manufacturing in the United States. Management Research News. 2000;26:116-122.
17. Comerica Bank Auto Affordability Index. Available at: http://www.Comerica.com/cma/cda/main /0,00,1_A_,299.00.html〉.
18. Bentley JM, Nash DB. How Pennsylvania hospitals have responded to publicly released reports on coronary artery bypass graft surgery. Jt Comm J Qual Improv. 1998;24:40-49.
19. Medtronic's Health Insurance Options. Boston, Mass: Harvard Business School Publishing; September 2002. HBS Case No. 302-306.
20. Chassin MR, Hannen EL, DuBuono BA. Benefits and hazards of reporting medical outcomes publicly. W Engl J Med. 1996;334:394-398.
21. Petersen ED, DeLong ER, Jollis JG, Muhlbaier LH, Mark DB. The effects of New York's bypass surgery provider profiling on access to care and patient outcomes in the elderly. Cardiac Surg. 1998;324:993-999.
22. Hannan EL, Siu AL, Kumar D, Chassin MR. The decline in coronary artery bypass graft surgery mortality in New York State. JAMA. 1995;273:209-213.
23. Dziuban SW Jr, McIlduff JB, Miller SJ, Dal Col RH. How a New York cardiac surgery program uses outcome data. Ann Thorac Surg. 1994;58:1871-1876.
24. Mukamel D, Mushlin AI. Quality of care information makes a difference: an analysis of market share and price changes after publication of the New York State Cardiac Surgery Mortality Reports. Med Care. 1998;36:945-954.
25. Keller EB, Melnick G, Zwanziger J. The changing effects of competition on non-profit and for-profit hospital pricing behavior. J Health Econ. 1999;18:69-86.
26. Sage WM, Hyman DA, Greenberg W. Why competition law matters to health care quality. Health Aff (Millwood). 2003;22:31-36.
27. Birkmeyer JD, Skinner JS, Wennberg DE. Will volume-based referral strategies reduce costs or just save? Health Aff (Millwood). 2002;24:234-241.
28. Zweifel P. Switzerland. J Health Polit Policy Law. 2000;25:937-944.
29. Moffit RE, Maniere P, Green DG, Belien P, Hjertqvist J, Breyer F. Perspectives on the European health care systems: some lessons for America. Heritage Lectures. 2001(711):15-16.
30. Kosten des Gesundheitswesens. Detaillierte Ergebnisse 2000. Neuchâtel, Switzerland: Bundesamt für Statistik; 2002.
31. Data on employer and employee contributions to health insurance: MEPS-Employer-Sponsored Health Insurance Data. Tables IV.A.1 and IV.B. 2000. Available at: http://www.meps.ahrq.gov/CompendiumTables/TC_TOC.htm. Accessed July 6, 2004.
32. US Bureau of the Census. Statistical Abstract of the United States, 2003. Washington, DC: Government Printing Office: 2003:104.
33. VISANA. Leistungsübersicht Ausgabe 2002. Muri/Bern, Switzerland: Schweiz Visana Versicherungen AG; 2002.
34. Statistik der obligatorischen Krankenversicherung 2002. Bern, Switzerland: Bundesamt für Gesundheit; 2002:94.
35. Kommunikation. Gümligen, Switzerland: Innova Versicherungen; June 2003. Available at: http://www.innova.ch/privat/angebote/index.html. Accessed August 11, 2004.
36. Rechtlich-wirtschaftlicher Status der Betriebe, Statistik der stationären Betriebe des Gesundheitswesens. Neuchâtel, Switzerland: Bundesamt für Statistik; 2001:5.
37. Prämien 2003, Verzeichnis der zugelassenen Krankenversicherer. Bern, Switzerland: Bundesamt für Sozialversicherung; 2002:8.
38. Huth P, Longchamp C. Kostendruck bewirkt wachsendes Leistungsbewusstsein, 1: Trendstudie Gesundheitsmonitor '99 (Abbildung 8 and 9). Basel, Switzerland: GFS-Forschungsinstitut; 1999.
39. Der Schweizer Beobachter, 19/99: Krankenkassen-Test: Bei diesen Kassen liegen Sie richtig. Available at: http://www.beobachter.ch/artikel.asp?session= E529F869-1F06-4337-B5C9-C73FF4A572EF&AssetID=3785. Accessed August 11, 2004.
40. Schweizerische Sozialversicherungsstatistik 2003. Bern, Switzerland: Bundesamt für Sozialversicherung; 2003:145, 157.
41. Beck K, Spycher S, Holly A, Gardiol L. Risk adjustment in Switzerland. Health Policy. 2003;65:63-74.
42. Enthoven A, Kronick R. A consumer choice health plan for the 1990s. N Engl J Med. 1989;320:29-37.
43. Andeson GF, Reinhardt UE, Hussey PS, Petrosyan V. It's the prices, stupid. Health Aff (Millwood). 2003;22:89-105.
44. Quill BE, Desvignes-Kendrick M. Reconsidering health disparities. Public Health Rep. 2001;116:505-514.
45. Goldman DP, Smith JP. Can patient self-management help explain the SES health gradient? Proc Natl Acad Sci U S A. 2002;99:10929-10934.
46. US Bureau of the Census. Statistical Abstract of the United States, 2002. Washington, DC: Government Printing Office; 2002.
47. Bundesamt für Statistik 2002. Available at: http://www.statistik. admin.ch. Accessed December 12, 2003.
48. Organization for Economic Cooperation and Development. OECD Health Data 2002. Paris, France: Organization for Economic Cooperation and Development; 2002.
49. Wong MD, Shapiro MF, Boscardin WJ, Ettner SL. Contribution of major diseases to disparities in mortality. N Engl J Med. 2002;347:1585-1592.
50. Statistik über die Krankenversicherung 2001. Bern, Switzerland: Bundesamt für Sozialversicherung; 2002: 62.
51. US Bureau of the Census. Statistical Abstract of the United States, 2001. Washington, DC: Government Printing Office; 2001.
52. Department of Health and Human Services. Health United States, 2002. Washington, DC: Government Printing Office; 2003.
53. Blues. In: PULSE. Gwynedd, Pa: Sherlock Co; June 2003: v.
54. Cunningham R, Sherlock DB. Bounceback: blues thrive as markets cool toward HMOs. Health Aff (Millwood). 2002;21:24-39.
55. Shaw DV. Mergers and health care organizations. J Health Care Finance. 2003;29:28-37.
56. Statistik über die Krankenversicherung 2000. Bern, Switzerland: Bundesamt für Sozialversicherung; 2001: 88-93.
57. Statistik der Wählbaren Franchisen in der Krankenversicherung. Bern, Switzerland: Bundesamt für Sozialversicherung; 2000.
58. Gesundheit und Gesundheitsverhalten in der Schweiz 1997, Schweizerische Gesundheitsbefragung. Neuchâtel, Switzerland: Bundesamt für Statistik; 2000:49.
59. Coulter A, Cleary PD. Patients' experiences with hospital care in five countries. Health Aff (Millwood). 2001;20:244-252.
60. Soziale Ungleichheit und Gesundheit in der Schweiz. Eine Spezialauswertung der Gesundheitsbefragung 1997. Neuchâtel, Switzerland: Bundesamt für Statistik; 2002:108.
61. Whellan DJ, Gaulden L, Gattis WA, et al. The benefit of implementing a heart failure disease management program. Arch Intern Med. 2001;161:2223-2228.
62. Colombo F. Towards More Choice in Social Protection? Individual Choice of Insurer in Basic Mandatory Health Insurance in Switzerland. Paris, France: Organisation for Economic Cooperation and Development; 2001:36. Labor Market and Social Policy Occasional Papers No. 53.
63. Freudenheim M. A new health plan may raise expenses for sickest workers. New York Times. December 5, 2001:A1.
64. Silow-Carroll S, Duchow L. E-Health Options for Business: Evaluating the Choices. New York, NY: Commonwealth Fund; 2002:13-15.
65. Marcotte BJ. How employers can make consumer-driven health care a reality. In: Herzlinger RE. Consumer-Driven Health Care. San Francisco, Calif: Jossey-Bass; 2004:213-223.
66. Interest in HSAs picks up steam among employers. Inside Consumer Directed Care. March 5, 2004;2(5):1-2.
67. The World Health Report 2000. Geneva, Switzerland: World Health Organization; 2000:176.
68. Domenighetti G, Grivelli L. Versorgungssicherheitin der Ambulanten Medizin im Rahmen der Aufhebung des Vertragszwangs, Kurzfassung von Santésuisse. Solothurn, Switzerland: Santésuisse; 2001.
69. Herzlinger RE. A health care SEC. In: Consumer-Driven Health Care. San Francisco, Calif: Jossey-Bass; 2004:797-810.
70. Gerdtham UG, Søgaard J, Jonsson R, Andersson F. A pooled cross-section analysis of the health care expenditures of the OECD countries. Dev Health Econ Public Policy. 1992;1:287-310.