[The physician/population ratio in Switzerland: the impact of its regional variation on mortality, health expenditures and user's satisfaction].
An opinion survey conducted in 1997 in the various Swiss "cantons" produced the following findings: 1. The satisfaction of the population concerning the provision of ambulatory care does not increase when the physician/population ratio increases. It is not clear whether a decrease of "oversupply" gives raise, at least in the short term, to a feeling of dissatisfaction. 2. The perception of signs of shortened supply does not increase when the physician/population ratio decreases. 3. When the cantons are grouped by level of physician/population ratio, the different groups show nearly the same health performance as measured by the rate of avoidable mortality. 4. The number of consultations per capita increases clearly in the "cantons" having high physician/population ratios. Increased ratios have clearly an impact on health expenditures.
Crivelli
Luca
L
Institut MECOP, Université de la Suisse Italienne, Lugano, Suisse.
Domenighetti
Gianfranco
G
D003196:Computer Graphics; D005102:Health Expenditures; D006297:Health Services Accessibility / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D007348:Insurance, Health; D008017:Life Expectancy; D017060:Patient Satisfaction; D010820:Physicians / Q000600:supply & distribution*; D013557:Switzerland