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Praca recenzowana / peer-reviewed paper Monografia „Zdrowie i medycyna – wyzwania przyszłości” składa się z czterech części. Podstawowym przesłaniem książki jest omówienie demograficznych i ekonomicznych wyzwań przyszłości, ich przewidywanego wpływu na zdrowie i systemy ochrony zdrowia oraz rozwój medycyny. Monografia stanowi kompleksowy przegląd zjawisk wpływających na kształt przyszłej ochrony zdrowia wraz z omówieniem różnorodnych mechanizmów, które można wykorzystać do zmian niekorzystnych trendów. Na tym tle przedstawiono w niej obecne i przewidywane rezultaty innowacji w obszarze ochrony zdrowia oraz oczekiwane scenariusze w zmianie podejścia do zdrowotnych wyzwań przyszłości.

Switzerland has a mixed public and private healthcare system. All citizens are enrolled in compulsory basic health insurance. A 1996 law allows people to choose among different sickness funds and managed care plans. The federal government is empowered to act on important health issues, but the 26 cantons have prime responsibility in health care and social welfare. They have their own laws on health care, hygiene, hospitals, and social welfare. These laws are not harmonized. The system is complex, with a mix of public (mainly hospitals) and private (mainly doctors' offices) providers. The health services are decentralized. Ambulatory care was traditionally provided in doctors' offices, but the last decade has seen the development of centers for day surgery, group practices, and managed care plans. Decisions on placement, location, and extension of services are decentralized. The payment system is very complex. Current trends include global budgets, cost analyses, and prices related to patient categories. However, coverage policy is developed centrally and includes both traditionally established services and new technologies. New technologies are added to the list only after evaluation by the Federal Coverage Committee. The coverage process integrates health technology assessment (HTA). Coverage can be granted in stages, including limited coverage and temporary coverage. Technologies and coverage can be reevaluated on the basis of registries or assessment information. The structure of the Swiss healthcare system does not lend itself to the establishment of a national HTA program. However, recent moves include the development of a coordinating mechanism for HTA in Switzerland.