Longer and healthier lives for all? Successes and failures of a universal consumer-driven healthcare system, Switzerland, 1990-2014.

ABSTRACT:

Objectives

The 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.

Methods

Education-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.

Results

Between 1990 and 2015, comparable gains in LE (males: 5.02 years; females: 3.09 years) and HLE (males

SUBMITTER: Remund A 

PROVIDER: S-EPMC6811388 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature