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In health care discussions of recent years it has often been assumed that many of the new chronic diseases are in the first instance triggered by individual behaviour. Research is now showing more and more conclusively, that an individual's health is also determined by external influences. These include socio-economic factors such as education, profession and income, as well as socio-cultural determinants such as gender, ethnic origin, or social status.

The Report “Health in Switzerland” describes for the first time the health of the population in the light of these social health determinants. Switzerland, following Sweden and Finland, is one of the first countries in Europe to take up this new concept. With this move, comes the conviction that a health policy has to provide more than a mere guarantee to care for sick people. A health policy should also contribute to shaping social conditions, so that as many people as possible have access to the health system resources. In so doing it will also be valuable in reducing health disparities. Such an approach shows that the objective of healthy life concerns not only health policy in the narrowest sense, but that this is a multi-sector task involving the accountability of many societal decision-makers.

The present report „Health in Switzerland - National Health Report 2008“, describes in five main chapters the topics which Swiss Health and Society Policy will be concerned with in the future.
• Chapter I introduces the concept of health determinants
• Chapter II handles the health of the population at different stages of life and under difficult living conditions.
• Chapter III provides a summary of chronic illnesses and accidents.
• Chapter IV discusses the basic health determinants “education” and “environment”.
• Chapter V provides information on the utilisation, cost and financing of the health care system.
• The conclusion describes ways to achieve a multi-sector health policy.

This summary gives an overview over the most important topics and results of the National Health Report 2008.

The summary is also available in German, French and Italian:
Gesundheit in der Schweiz. Nationaler Gesundheitsbericht 2008 - Kurzfassung
La santé en Suisse. Rapport national sur la santé 2008 - Résumé
Salute in Svizzera. Rapporto nazionale sulla salute 2008 - Sintesi

The National Health Report 2008 is available in German and French:
Gesundheit in der Schweiz. Nationaler Gesundheitsbericht 2008.
La santé en Suisse. Rapport national sur la santé 2008.

Swiss Health Observatory (Obsan)
Neuchâtel 2008, 28 pages, free
Order Nr.: 1008-0800-OB / ISBN: 978-3-907872-61-1
Published on 27.11.2008

• Complete publication (PDF, 1214 KB)

A print version of this publication is available as well as an electronic version

This publication may be ordered by telephone or email