Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.

ABSTRACT:

Objectives

Despite compulsory universal health coverage, rising health insurance premiums in Geneva, Switzerland may present financial barriers to care. This study evaluates trends in forgoing healthcare for financial reasons from 2011 to 2025, with associations with insurance premiums, socioeconomic and health-related factors.

Methods

We conducted an annual cross-sectional study with 1,000 randomly selected participants every year (2011-2025), (n = 10,169). The primary outcome was self-reported forgoing of healthcare for financial reasons. Temporal trends and associations with premiums were analyzed using Locally Estimated Scatterplot Smoothing LOESS regression. Logistic regression assessed associations with individual-level determinants.

Results

Overall, 18.1% repor

SUBMITTER: Nehme M 

PROVIDER: S-EPMC12689442 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature