{"id":93619,"date":"2021-04-12T11:43:13","date_gmt":"2021-04-12T11:43:13","guid":{"rendered":"https:\/\/swissfederalism.ch\/ricognizione-nel-tempo-sul-costo-dei-nosocomi-in-svizzera\/"},"modified":"2021-05-26T12:46:04","modified_gmt":"2021-05-26T12:46:04","slug":"reconnaissance-over-time-on-the-cost-of-hospitals-in-switzerland","status":"publish","type":"post","link":"https:\/\/swissfederalism.ch\/en\/reconnaissance-over-time-on-the-cost-of-hospitals-in-switzerland\/","title":{"rendered":"Reconnaissance over time on the cost of hospitals in Switzerland"},"content":{"rendered":"<h1>Reconnaissance over time on the cost of hospitals in Switzerland<\/h1>\n<h3><em>The Federal Office of Public Health has published the second comparison of costs per case of hospitals and maternity hospitals in Switzerland<\/em><\/h3>\n<p>Today the Federal Office of Public Health (FOPH) published for the second time a comparison of the costs per case of hospitals and maternity hospitals in Switzerland. This enables a nationwide comparison of costs.<br \/>\nThe inpatient services of hospitals and maternity hospitals are paid for using the flat rates per case of the SwissDRG tariff structure.<\/p>\n<p><strong><a title=\"Konzept zur Publikation von Fallkosten 2020\" href=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Konzept_zur_Publikation_von_Fallkosten_2020.pdf\" target=\"_blank\" rel=\"noopener\">Konzept zur Publikation von Fallkosten 2020<\/a><\/strong><br \/>\n<strong><a title=\"Concept pour la publication des co\u00fbts de case 2020\" href=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Concept-pour-la-publication-des-couts-par-cas-ajustes-selon-le-degre-de-gravite.pdf\" target=\"_blank\" rel=\"noopener\">Concept pour la publication des co\u00fbts de case 2020<\/a><\/strong><\/p>\n<p>Homogeneous groups of differently weighted cases are formed in order to account for their differing complexity.<br \/>\nFor comparison purposes, a hospital&#8217;s individual case costs are considered net of this different weighting of its cases (individual case costs net of degree of severity).<br \/>\nIt is thus possible to compare the costs of a standardized case across different hospitals.<\/p>\n<figure id=\"attachment_93608\" aria-describedby=\"caption-attachment-93608\" style=\"width: 840px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-93608 size-large\" src=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Una-casa-per-partorienti-in-Svizzera-1024x683.jpeg\" alt=\"Una casa per partorienti in Svizzera\" width=\"840\" height=\"560\" srcset=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Una-casa-per-partorienti-in-Svizzera-1024x683.jpeg 1024w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Una-casa-per-partorienti-in-Svizzera-300x200.jpeg 300w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Una-casa-per-partorienti-in-Svizzera-768x512.jpeg 768w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Una-casa-per-partorienti-in-Svizzera-1536x1024.jpeg 1536w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Una-casa-per-partorienti-in-Svizzera.jpeg 1920w\" sizes=\"(max-width: 840px) 100vw, 840px\" \/><figcaption id=\"caption-attachment-93608\" class=\"wp-caption-text\">A home for pregnant women in Switzerland<\/figcaption><\/figure>\n<h3>Improvement in the plausibility of hospital data<\/h3>\n<p>The FOPH notes that, with a few exceptions, the costs per case are stable and that overall there have been no appreciable changes. There has also been a slight improvement in the plausibility of the hospital data.<br \/>\nHowever, the second publication of the costs per case after 2020 does not permit an in-depth analysis of the development of costs in the acute inpatient sector of hospitals.<\/p>\n<p><strong><a href=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Publikation-der-Fallkosten-der-Spitaler-2019.xlsx\">Publikation der Fallkosten der Spit\u00e4ler 2019<\/a><\/strong><br \/>\n<strong><a href=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Publication-des-couts-par-cas-des-hopitaux-2019.xlsx\">Publication des co\u00fbts par cas des h\u00f4pitaux 2019<\/a><\/strong><\/p>\n<p>It should be kept in mind that the lump-sum payment system results in inaccuracies in the representation of certain services.<br \/>\nHospitals that provide a high proportion of services that are not correctly represented may eventually present costs per case that do not necessarily reflect higher or lower efficiency.<br \/>\nThis should be taken into account when comparing per-case costs net of severity among individual hospitals.<\/p>\n<figure id=\"attachment_93576\" aria-describedby=\"caption-attachment-93576\" style=\"width: 840px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"wp-image-93576 size-large\" src=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Il-reparto-di-un-ospedale-elvetico-1024x683.jpeg\" alt=\"Il reparto di un ospedale elvetico\" width=\"840\" height=\"560\" srcset=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Il-reparto-di-un-ospedale-elvetico-1024x683.jpeg 1024w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Il-reparto-di-un-ospedale-elvetico-300x200.jpeg 300w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Il-reparto-di-un-ospedale-elvetico-768x512.jpeg 768w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Il-reparto-di-un-ospedale-elvetico-1536x1024.jpeg 1536w, https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Il-reparto-di-un-ospedale-elvetico.jpeg 1920w\" sizes=\"(max-width: 840px) 100vw, 840px\" \/><figcaption id=\"caption-attachment-93576\" class=\"wp-caption-text\">The ward of a Swiss hospital<\/figcaption><\/figure>\n<h3>A guide for rate setting partners<\/h3>\n<p>The publication serves as a guide for rate setting partners and can be used by the cantons in their hospital planning. It can also be used by physicians and patients as a basis for decision-making when choosing a hospital.<\/p>\n<p><strong><a title=\"Publikation der Fallkosten der Spit\u00e4ler 2018\" href=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Publikation-Fallkosten_publication-couts-par-cas_23.9.2020.xlsx\" target=\"_blank\" rel=\"noopener\">Publikation der Fallkosten der Spit\u00e4ler 2018<\/a><\/strong><br \/>\n<strong><a href=\"https:\/\/swissfederalism.ch\/wp-content\/uploads\/2021\/04\/Publication-des-couts-par-cas-des-hopitaux-2018.xlsx\">Publication des co\u00fbts par cas des h\u00f4pitaux 2018<\/a><\/strong><\/p>\n<p>In addition to the costs per case, since 2008 the FOPH has been publishing key figures for Swiss hospitals and quality indicators for Swiss acute care hospitals.<br \/>\nThe key figures provide an overview of the structure, patients, services, range of services, personnel, financial situation of the hospitals and the average severity of the diseases requiring acute hospitalization.<br \/>\nThe quality indicators contain data on care such as number of cases, rates (e.g. of caesarean sections), mortality for certain clinical pictures and interventions, lengths of stay and particular transfers.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Federal Office of Public Health released the second comparison regarding the expenditures per case of hospitals and birthing homes<\/p>\n","protected":false},"author":2,"featured_media":93585,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[256,260,210,257],"tags":[398,520,408,262,424],"class_list":["post-93619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-economy","category-highlights","category-magazine","category-switzerland","tag-federalism","tag-health","tag-science","tag-taxation","tag-university"],"_links":{"self":[{"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/posts\/93619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/comments?post=93619"}],"version-history":[{"count":4,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/posts\/93619\/revisions"}],"predecessor-version":[{"id":99844,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/posts\/93619\/revisions\/99844"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/media\/93585"}],"wp:attachment":[{"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/media?parent=93619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/categories?post=93619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/swissfederalism.ch\/en\/wp-json\/wp\/v2\/tags?post=93619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}