title: Insurance coverage of pediatric burns: Switzerland versus USA.
abstract: Burn care and research have significantly improved over the past years. However, insurance coverage of such treatments does not reflect the improvements in this multi-disciplinary field. Government insurance policies in first world countries renown for burn care treatment, such as Switzerland and the United States, have not adapted to the complexity and longitudinal nature of burn care. Using case studies from both countries, we have analyzed both the institutional and policy approach to pediatric burn treatment coverage. Subsequently, by presenting the Shriners burn care model, we offer a policy recommendation to both the Swiss and the American governments to better their present legislation and infrastructure on pediatric burn coverage.
authors.affiliation: Plastic and Reconstructive Surgery, Unit of Regenerative Medicine, University Hospital of Lausanne, Switzerland.
authors.forename: Lina
authors.initials: L
authors.lastname: Deghayli
authors.affiliation: Plastic and Reconstructive Surgery, Unit of Regenerative Medicine, University Hospital of Lausanne, Switzerland.
authors.forename: Sara
authors.initials: S
authors.lastname: Moufarrij
authors.affiliation: Lavey Medical Center, Lavey-les-Bains, Switzerland.
authors.forename: Michael
authors.initials: M
authors.lastname: Norberg
authors.affiliation: Shriners Childrens Hospital, Boston, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Sheridan
authors.affiliation: Plastic and Reconstructive Surgery, Unit of Regenerative Medicine, University Hospital of Lausanne, Switzerland.
authors.forename: Wassim
authors.initials: W
authors.lastname: Raffoul
authors.affiliation: Paediatric Surgery, University Hospital of Lausanne, Switzerland.
authors.forename: Anthony
authors.initials: A
authors.lastname: de Buys Roessingh
authors.affiliation: Plastic and Reconstructive Surgery, Unit of Regenerative Medicine, University Hospital of Lausanne, Switzerland.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Hirt-Burri
authors.affiliation: Plastic and Reconstructive Surgery, Unit of Regenerative Medicine, University Hospital of Lausanne, Switzerland. Electronic address: Lee.Laurent-Applegate@chuv.ch.
authors.forename: Lee Ann
authors.initials: LA
authors.lastname: Applegate
mesh_terms: D000293:Adolescent; D002053:Burn Units / Q000191:economics*; D002056:Burns / Q000191:economics / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D019458:Insurance Coverage; D007348:Insurance, Health; D013557:Switzerland; D014481:United States
keywords: American Burn Association; Burn centers; Insurance coverage; LaMal/LAA; Medicare; Pediatric burns; Quality assessment criteria; Rehabilitation; Shriners