23 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.
Candidate Analytical Mapping · Open for annotation
Cantonal decision right over hospital planning
Federal Office of Public Health (FOPH). Hospital treatment. https://www.bag.admin.ch/en/hospital-treatment | Swiss Federal Council. Investments by Swiss hospitals and cantonal hospital planning. 2026. https://www.bag.admin.ch/dam/de/sd-web/qsUvJJv1r6Nh/Investitionen%20der%20Schweizer%20Spit%C3%A4ler%20und%20kantonale%20Spitalplanung.pdf
Statement or annotation question
The evidence supports a cantonal planning and hospital-list decision right. It does not allocate every clinical, financial or employment decision to a common hospital authority.
Source context or anchor
Cantons are obliged to plan hospital care
- Material reference
- material:50a7427709320ee89518b33e
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; cantonal decision structures vary
- Period
- Current FOPH page and 2026 Federal Council report
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- FOPH Hospital treatment; Federal Council 2026 pages 4-10.
- Detected Media Type
- text/html
- Response Sha256
- f091c4f22405b09ac871430c79eff03e68defb8de35c845221f88da91227e86a
Annotation prompts and machine flags
- Do not infer hospital-wide operational authority from planning authority.
Candidate Analytical Mapping · Open for annotation
Cantonal hospital planning with varied institutional roles
Federal Office of Public Health (FOPH). Hospital treatment. https://www.bag.admin.ch/en/hospital-treatment | Swiss Federal Council. Investments by Swiss hospitals and cantonal hospital planning. 2026. https://www.bag.admin.ch/dam/de/sd-web/qsUvJJv1r6Nh/Investitionen%20der%20Schweizer%20Spit%C3%A4ler%20und%20kantonale%20Spitalplanung.pdf | De Pietro C, Camenzind P, Sturny I, et al. Switzerland: health system review 2015. Health Systems in Transition 2015;17(4):1-288. https://iris.who.int/server/api/core/bitstreams/a3a599b2-18d2-43ac-ad07-2fb04820e486/content
Statement or annotation question
Cantons plan hospital care, but their ownership, financing and tariff roles vary. Historical ownership material is not a current national ownership snapshot.
Source context or anchor
Cantons are obliged to plan hospital care
- Material reference
- material:3924d549cf5a03671147479b
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; arrangements vary by canton
- Period
- Current FOPH and 2026 report; historical review 2015
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- FOPH Hospital treatment; Federal Council 2026 pages 4-10; HiT 2015.
- Detected Media Type
- text/html
- Response Sha256
- f091c4f22405b09ac871430c79eff03e68defb8de35c845221f88da91227e86a
Annotation prompts and machine flags
- Do not calculate a national public-private ownership share from these sources.
Candidate Analytical Mapping · Open for annotation
Decentralized delivery with independent provider organization
European Observatory on Health Systems and Policies. Switzerland: Health Systems in Action 2024. https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/switzerland---hsia-one-pager.pdf?sfvrsn=d64dbc37_1 | Federal Office of Public Health (FOPH). National health policy. https://www.bag.admin.ch/en/national-health-policy | De Pietro C, Camenzind P, Sturny I, et al. Switzerland: health system review 2015. Health Systems in Transition 2015;17(4):1-288. https://iris.who.int/server/api/core/bitstreams/a3a599b2-18d2-43ac-ad07-2fb04820e486/content
Statement or annotation question
The Swiss delivery system is decentralized, with primary and specialist care not organized as one uniform national pathway. Cantonal and insurance-model variation remains material.
Source context or anchor
decentralised health system with 26 cantons
- Material reference
- material:6e5a201cd9d955ec34ef14c7
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland, retaining cantonal and insurance-model variation
- Period
- Current national policy page and 2024 synthesis; 2015 context
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Primary care organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- HSiA 2024 p1; FOPH National health policy; HiT 2015.
- Detected Media Type
- application/pdf
- File Sha256
- c92c32bd2f7cbfeff3b8fab23db0444b9fc2255f2bf3b1f7da6d005fe9c97596
- Page Count
- 1
- Response Sha256
- c92c32bd2f7cbfeff3b8fab23db0444b9fc2255f2bf3b1f7da6d005fe9c97596
Annotation prompts and machine flags
- Do not substitute this synthesis for a canton-specific care-pathway map.
Candidate Analytical Mapping · Open for annotation
Distributed federal, cantonal and municipal responsibilities
Federal Office of Public Health (FOPH). National health policy. https://www.bag.admin.ch/en/national-health-policy | De Pietro C, Camenzind P, Sturny I, et al. Switzerland: health system review 2015. Health Systems in Transition 2015;17(4):1-288. https://iris.who.int/server/api/core/bitstreams/a3a599b2-18d2-43ac-ad07-2fb04820e486/content
Statement or annotation question
Swiss health responsibilities are distributed across federal, cantonal and municipal authorities. This is a federal architecture, not a single provider command chain.
Source context or anchor
Duties and responsibilities for Swiss healthcare are divided among
- Material reference
- material:c6c581a0380f04aa218f3870
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland, with cantonal and municipal variation
- Period
- Current FOPH page; 2015 review supplies historical context
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- FOPH National health policy; HiT 2015 pages 37-40.
- Detected Media Type
- text/html
- Response Sha256
- 25652300481f925cc81acffa582b3f771b7e3b4ac4ca5394b2d248b11911e24e
Annotation prompts and machine flags
- National variation must remain visible.
Candidate Analytical Mapping · Open for annotation
Historical managed-care and ownership context
De Pietro C, Camenzind P, Sturny I, et al. Switzerland: health system review 2015. Health Systems in Transition 2015;17(4):1-288. https://iris.who.int/server/api/core/bitstreams/a3a599b2-18d2-43ac-ad07-2fb04820e486/content | OECD and World Health Organization. OECD Reviews of Health Systems: Switzerland 2011. https://www.oecd.org/content/dam/oecd/en/publications/reports/2011/10/oecd-reviews-of-health-systems-switzerland-2011_g1g14ce1/9789264120914-en.pdf
Statement or annotation question
Historical reviews describe managed-care development, network design and earlier ownership context. They are retained as time-bounded evidence, not recast as a current national provider-market count.
Source context or anchor
cantons are responsible for hospital planning
- Material reference
- material:b7a211ed48cc1b0ea4d1228c
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; review evidence is not a current national implementation measure
- Period
- 2011 and 2015 historical reviews
- Source layers
- Review Literature
- Coverage domains
- Authoritative review, Provider autonomy, Market structure, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- HiT 2015 pages 161-174; OECD/WHO review pp77-79.
- Detected Media Type
- application/pdf
- File Sha256
- 0a6fea590724accdd66069de40c6c8581b356c2becb149ce6010d10a5799be23
- Page Count
- 323
- Response Sha256
- 0a6fea590724accdd66069de40c6c8581b356c2becb149ce6010d10a5799be23
Annotation prompts and machine flags
- Do not claim national current ownership or referral performance.
Candidate Analytical Mapping · Open for annotation
Hospital investment and planning as a current policy issue
Swiss Federal Council. Investments by Swiss hospitals and cantonal hospital planning. 2026. https://www.bag.admin.ch/dam/de/sd-web/qsUvJJv1r6Nh/Investitionen%20der%20Schweizer%20Spit%C3%A4ler%20und%20kantonale%20Spitalplanung.pdf | Swiss Federal Council. Health2030: the Federal Council's health policy strategy for 2020-2030. 2019. https://www.bag.admin.ch/dam/en/sd-web/kbf9k4UTipCM/strategie-gesundheit2030.pdf
Statement or annotation question
Health2030 identifies coordination in intercantonal and regional hospital planning as a policy concern, and the 2026 Federal Council report documents hospital investment and cantonal planning as current issues. Neither source establishes a shared reform implementation result across all cantons.
Source context or anchor
Cantons have multiple roles in hospital provision
- Material reference
- material:1ca1d2f9d4257637a699d693
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; cantonal arrangements vary
- Period
- Health2030 strategy 2020-2030; Federal Council report 2026
- Source layers
- Official
- Coverage domains
- Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider ownership, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Federal Council report pages 4-10; Health2030 pages 23-24.
- Detected Media Type
- application/pdf
- File Sha256
- c6648c90504d6a4623fefb8890fe5741c53333e0b009e0b18358c60b4e0bf71d
- Page Count
- 89
- Response Sha256
- c6648c90504d6a4623fefb8890fe5741c53333e0b009e0b18358c60b4e0bf71d
Annotation prompts and machine flags
- Do not treat a policy report as a common completed cantonal reform.
Candidate Analytical Mapping · Open for annotation
Hospital lists and contractual-provider relationships
Federal Office of Public Health (FOPH). Hospital treatment. https://www.bag.admin.ch/en/hospital-treatment | Swiss Federal Council. Investments by Swiss hospitals and cantonal hospital planning. 2026. https://www.bag.admin.ch/dam/de/sd-web/qsUvJJv1r6Nh/Investitionen%20der%20Schweizer%20Spit%C3%A4ler%20und%20kantonale%20Spitalplanung.pdf
Statement or annotation question
Cantonal hospital lists and insurer contractual relationships structure access and purchasing relationships. They do not prove an integrated national provider network.
Source context or anchor
contractual hospitals have arrangements with insurers
- Material reference
- material:4615c5f6b05a8186b0a1c98c
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; cantonal lists may include cross-cantonal providers
- Period
- Current FOPH page and 2026 report
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Hospital organization, Market structure, Provider networks, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- FOPH Hospital treatment; Federal Council 2026 pages 4-10.
- Detected Media Type
- text/html
- Response Sha256
- f091c4f22405b09ac871430c79eff03e68defb8de35c845221f88da91227e86a
Annotation prompts and machine flags
- Do not interpret a listed or contractual relationship as common ownership.
Candidate Analytical Mapping · Open for annotation
Observed inpatient transitions, not referral adherence
Swiss Health Observatory (Obsan). Treatment chains in inpatient health care in Switzerland. 2015. https://www.bag.admin.ch/dam/de/sd-web/EwhpCoS5eRaE/behandlungsketten.pdf
Statement or annotation question
Obsan describes historical inpatient transitions after acute care. These flows cannot be used as measures of outpatient referral adherence, completed care pathways or current coordination quality.
Source context or anchor
hospital data from 2008 to 2013
- Material reference
- material:1f4d1fba6ebcf913cef35875
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland inpatient hospital data
- Period
- Hospital data 2008-2013; report published 2015
- Source layers
- Official
- Coverage domains
- Authoritative review, Facility data, Hospital organization, Provider networks, Observed referral, Patient flows, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Obsan treatment chains report pages 1-4.
- Detected Media Type
- application/pdf
- File Sha256
- ef0a91158160ea327a9bde90b2cfe716b34e8d6a7cb0f7534e8bf7c2aad49edc
- Page Count
- 4
- Response Sha256
- ef0a91158160ea327a9bde90b2cfe716b34e8d6a7cb0f7534e8bf7c2aad49edc
Annotation prompts and machine flags
- Keep the inpatient and historical boundary visible.
Candidate Analytical Mapping · Open for annotation
Optional insurance-model gatekeeping
Federal Office of Public Health (FOPH). Health insurance: Restricted choice of providers. https://www.bag.admin.ch/en/health-insurance-restricted-choice-of-providers | European Observatory on Health Systems and Policies. Switzerland: Health Systems in Action 2024. https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/switzerland---hsia-one-pager.pdf?sfvrsn=d64dbc37_1 | OECD and World Health Organization. OECD Reviews of Health Systems: Switzerland 2011. https://www.oecd.org/content/dam/oecd/en/publications/reports/2011/10/oecd-reviews-of-health-systems-switzerland-2011_g1g14ce1/9789264120914-en.pdf | Tandjung R, Morell S, Hanhart A, et al. Referral determinants in Swiss primary care with a special focus on managed care. PLOS ONE. 2017;12(11):e0186307. https://doi.org/10.1371/journal.pone.0186307
Statement or annotation question
GP and HMO models can structure a first-contact and referral pathway, but Switzerland does not have universal mandatory gatekeeping. A 2012-2013 primary-care study records initiated referrals only; it does not establish national completed referral pathways. Reported network designs are time-bounded and heterogeneous.
Source context or anchor
patients are always required except in an emergency
- Material reference
- material:f598c41d27ca0dea0cff77fa
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; only insured people choosing relevant models
- Period
- Current FOPH design; 2011 policy review; 2012-2013 primary-care study
- Source layers
- Official
- Coverage domains
- Authoritative review, Market structure, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- FOPH Restricted choice; HSiA 2024 p1; OECD/WHO review pp77-79; Tandjung et al. 2017, Abstract and Methods.
- Detected Media Type
- text/html
- Response Sha256
- b985a9d759f2b2ef7bcc1441310f05c819767e915b072405302bb76ce4c1979b
Annotation prompts and machine flags
- Do not label model-specific rules as nationwide referral completion.
Candidate Analytical Mapping · Open for annotation
Provider autonomy remains an explicit evidence boundary
Swiss Federal Council. Investments by Swiss hospitals and cantonal hospital planning. 2026. https://www.bag.admin.ch/dam/de/sd-web/qsUvJJv1r6Nh/Investitionen%20der%20Schweizer%20Spit%C3%A4ler%20und%20kantonale%20Spitalplanung.pdf | European Observatory on Health Systems and Policies. Switzerland: Health Systems in Action 2024. https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/switzerland---hsia-one-pager.pdf?sfvrsn=d64dbc37_1 | De Pietro C, Camenzind P, Sturny I, et al. Switzerland: health system review 2015. Health Systems in Transition 2015;17(4):1-288. https://iris.who.int/server/api/core/bitstreams/a3a599b2-18d2-43ac-ad07-2fb04820e486/content
Statement or annotation question
Cantonal hospital relationships vary, but the reviewed materials do not support a national provider-autonomy score. This is shown as missing comparability, not as low autonomy.
Source context or anchor
Cantons have multiple roles in hospital provision
- Material reference
- material:0610878334ec1ba3167b3959
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Switzerland; cantonal and provider variation
- Period
- 2026 report and historical/current review synthesis
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Federal Council 2026 pages 4-10; HSiA 2024 p1; HiT 2015.
- Detected Media Type
- application/pdf
- File Sha256
- c6648c90504d6a4623fefb8890fe5741c53333e0b009e0b18358c60b4e0bf71d
- Page Count
- 89
- Response Sha256
- c6648c90504d6a4623fefb8890fe5741c53333e0b009e0b18358c60b4e0bf71d
Annotation prompts and machine flags
- Do not replace the boundary with High, Medium or Low autonomy.
Country Improvement Source Lead · Open for annotation
Health insurance: Restricted choice of providers
Federal Office of Public Health (FOPH). Health insurance: Restricted choice of providers. https://www.bag.admin.ch/en/health-insurance-restricted-choice-of-providers
Statement or annotation question
FOPH describes GP and HMO insurance models that restrict provider choice. In the GP model, an insured person normally sees their GP first, who decides on specialist consultation; this is model-specific and does not create universal national gatekeeping.
Source context or anchor
patients are always required except in an emergency
- Material reference
- material:e949e8b8b0ebb153b7c20ce7
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2026
- Institution
- Federal Office of Public Health
- Document type
- Not Supplied
- Territory
- Swiss compulsory insurance models; optional GP and HMO models
- Period
- Current page retrieved August 2026
- Source layers
- Official
- Coverage domains
- Authoritative review, Market structure, Provider networks, Patient flows, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- html_text_anchor
- Source Word Anchor
- patients are always required (except in an emergency) to consult their own GP first
- Source Word Count
- 12
- Detected Media Type
- text/html
- Response Sha256
- b985a9d759f2b2ef7bcc1441310f05c819767e915b072405302bb76ce4c1979b
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Country Improvement Source Lead · Open for annotation
Health2030: the Federal Council's health policy strategy for 2020-2030
Swiss Federal Council. Health2030: the Federal Council's health policy strategy for 2020-2030. 2019. https://www.bag.admin.ch/dam/en/sd-web/kbf9k4UTipCM/strategie-gesundheit2030.pdf
Statement or annotation question
Health2030 identifies insufficient coordination in intercantonal and regional hospital planning and specifies coordinated care as a line of action. It is a federal policy framework, not evidence that implementation or effects are uniform across cantons.
Source context or anchor
lack of coordination in hospital planning
- Material reference
- material:72959627c88df99a741b9994
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2019
- Institution
- Swiss Federal Council
- Document type
- Not Supplied
- Territory
- Switzerland; federal strategy addresses intercantonal and regional planning context
- Period
- Strategy adopted 2019 for the 2020-2030 period
- Source layers
- Official
- Coverage domains
- Authoritative review, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- lack of coordination in hospital planning at intercantonal and regional level
- Source Word Count
- 11
- Detected Media Type
- application/pdf
- File Sha256
- 0a60cad3ae4c031232527c5d024cd1986e335df321ab8376e297873aab5afcb9
- Page Count
- 27
- Response Sha256
- 0a60cad3ae4c031232527c5d024cd1986e335df321ab8376e297873aab5afcb9
Annotation prompts and machine flags
- Treat the strategy as a federal policy framework. Do not infer cantonal implementation, outcomes or uniformity.
Country Improvement Source Lead · Open for annotation
Hospital investment and cantonal hospital planning
Swiss Federal Council. Investments by Swiss hospitals and cantonal hospital planning. 2026. https://www.bag.admin.ch/dam/de/sd-web/qsUvJJv1r6Nh/Investitionen%20der%20Schweizer%20Spit%C3%A4ler%20und%20kantonale%20Spitalplanung.pdf
Statement or annotation question
The Federal Council report describes cantons as hospital planners, financiers, owners and tariff partners in varying combinations. It supports role variation and multiple cantonal relationships to hospitals, but not one comparable national provider-autonomy rating.
Source context or anchor
Cantons have multiple roles in hospital provision
- Material reference
- material:dbd8d07057465b84b658a59e
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Swiss Federal Council
- Document type
- Not Supplied
- Territory
- Switzerland; cantonal arrangements vary
- Period
- 2026 report; pages 4 to 10 describe contemporary institutional arrangements and historical context
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider ownership, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- cantonal responsibility, planning authority, ownership, tariff and financing
- Source Word Count
- 9
- Detected Media Type
- application/pdf
- File Sha256
- c6648c90504d6a4623fefb8890fe5741c53333e0b009e0b18358c60b4e0bf71d
- Page Count
- 89
- Response Sha256
- c6648c90504d6a4623fefb8890fe5741c53333e0b009e0b18358c60b4e0bf71d
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Country Improvement Source Lead · Open for annotation
Hospital treatment
Federal Office of Public Health (FOPH). Hospital treatment. https://www.bag.admin.ch/en/hospital-treatment
Statement or annotation question
FOPH states that cantons plan hospital care and issue hospital lists; listed hospitals may include cross-cantonal providers, while contractual hospitals have arrangements with insurers. This establishes a cantonal planning and purchasing context, not a single national network.
Source context or anchor
Cantons are obliged to plan hospital care
- Material reference
- material:0bec360360147ddca0afcebd
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2026
- Institution
- Federal Office of Public Health
- Document type
- Not Supplied
- Territory
- Switzerland; hospital planning and lists are cantonal
- Period
- Current page retrieved August 2026
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- html_text_anchor
- Source Word Anchor
- Cantons are obliged to plan hospital care
- Source Word Count
- 7
- Detected Media Type
- text/html
- Response Sha256
- f091c4f22405b09ac871430c79eff03e68defb8de35c845221f88da91227e86a
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Country Improvement Source Lead · Open for annotation
Hospital treatment chains in Switzerland
Swiss Health Observatory (Obsan). Treatment chains in inpatient health care in Switzerland. 2015. https://www.bag.admin.ch/dam/de/sd-web/EwhpCoS5eRaE/behandlungsketten.pdf
Statement or annotation question
Obsan reports observed post-acute inpatient transitions to rehabilitation, psychiatry, nursing care, Spitex and readmission using 2008-2013 hospital data. These are inpatient transition patterns, not evidence of outpatient referral adherence or care coordination quality.
Source context or anchor
hospital data from 2008 to 2013
- Material reference
- material:ad7ff6fe92e2bd2722f53ad7
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2015
- Institution
- Swiss Health Observatory
- Document type
- Not Supplied
- Territory
- Switzerland; inpatient hospital data
- Period
- Hospital data from 2008-2013; published 2015
- Source layers
- Official
- Coverage domains
- Authoritative review, Facility data, Hospital organization, Provider networks, Observed referral, Patient flows, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- acute-to-rehabilitation, psychiatry, nursing, Spitex and readmission transitions
- Source Word Count
- 8
- Detected Media Type
- application/pdf
- File Sha256
- ef0a91158160ea327a9bde90b2cfe716b34e8d6a7cb0f7534e8bf7c2aad49edc
- Page Count
- 4
- Response Sha256
- ef0a91158160ea327a9bde90b2cfe716b34e8d6a7cb0f7534e8bf7c2aad49edc
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Country Improvement Source Lead · Open for annotation
National health policy
Federal Office of Public Health (FOPH). National health policy. https://www.bag.admin.ch/en/national-health-policy
Statement or annotation question
FOPH describes health responsibilities as divided among federal, cantonal and municipal authorities and frames national policy as coordination across those levels rather than a unitary delivery hierarchy.
Source context or anchor
Duties and responsibilities for Swiss healthcare are divided among
- Material reference
- material:3c20c1d283f5675ec913ddf1
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2026
- Institution
- Federal Office of Public Health
- Document type
- Not Supplied
- Territory
- Switzerland, with federal, cantonal and municipal responsibilities
- Period
- Current page retrieved August 2026
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- html_text_anchor
- Source Word Anchor
- Duties and responsibilities for Swiss healthcare are divided among the federal, cantonal and municipal authorities
- Source Word Count
- 10
- Detected Media Type
- text/html
- Response Sha256
- 25652300481f925cc81acffa582b3f771b7e3b4ac4ca5394b2d248b11911e24e
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Country Improvement Source Lead · Open for annotation
OECD Reviews of Health Systems: Switzerland 2011
OECD and World Health Organization. OECD Reviews of Health Systems: Switzerland 2011. https://www.oecd.org/content/dam/oecd/en/publications/reports/2011/10/oecd-reviews-of-health-systems-switzerland-2011_g1g14ce1/9789264120914-en.pdf
Statement or annotation question
The review describes managed-care plans and integrated-care networks that can use GP gatekeeping, restricted networks and referral arrangements. It reports historical network design rather than a current national referral-completion or autonomy measure.
Source context or anchor
referral to a specialist is usually necessary
- Material reference
- material:69e5cdb13c6425f7304dca7e
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2011
- Institution
- OECD and World Health Organization
- Document type
- Not Supplied
- Territory
- Switzerland; managed-care network arrangements discussed in a 2011 policy review
- Period
- Review published 2011, principally using 2009-2010 evidence
- Source layers
- Grey Literature
- Coverage domains
- Authoritative review, Market structure, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- referral to a specialist is usually necessary
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- cf9a154ee84c4c2874312a4a8e791758992d196a5f7af8c12b33fe32d4fe1213
- Page Count
- 159
- Response Sha256
- cf9a154ee84c4c2874312a4a8e791758992d196a5f7af8c12b33fe32d4fe1213
Annotation prompts and machine flags
- Treat network arrangements as historical and heterogeneous. Do not infer current national referral completion or provider autonomy.
Country Improvement Source Lead · Open for annotation
Referral determinants in Swiss primary care with a special focus on managed care
Tandjung R, Morell S, Hanhart A, et al. Referral determinants in Swiss primary care with a special focus on managed care. PLOS ONE. 2017;12(11):e0186307. https://doi.org/10.1371/journal.pone.0186307. Full text: https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5675398/fullTextXML
Statement or annotation question
A cross-sectional Swiss primary-care study recorded initiated referrals during 2012-2013 and examined voluntary managed-care-plan membership. Its sample cannot estimate national completed referral pathways, referral quality or current model uptake.
Source context or anchor
no mandatory gatekeeping mechanisms exists
- Material reference
- material:12e98258340c101b320ef693
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2017
- Institution
- PLOS ONE
- Document type
- Not Supplied
- Territory
- Swiss primary-care sample; 90 participating primary-care physicians, not a census of all Swiss pathways
- Period
- Consultations and referrals recorded in 2012-2013; article published 2017
- Source layers
- Research Literature
- Coverage domains
- Authoritative review, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- xml_section_anchor
- Source Word Anchor
- In the Swiss healthcare system, no mandatory gatekeeping mechanisms exists
- Source Word Count
- 10
- Detected Media Type
- application/xml
- Response Sha256
- 1d81a83706d2601b2ea93de0ea53adc26fdbd4d7c75a7ea336a61cb50d9865c9
Annotation prompts and machine flags
- Keep the 2012-2013 sample boundary visible. Do not infer national referral completion, quality or current prevalence.
Country Improvement Source Lead · Open for annotation
Switzerland: Health Systems in Action 2024
European Observatory on Health Systems and Policies. Switzerland: Health Systems in Action 2024. https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/switzerland---hsia-one-pager.pdf?sfvrsn=d64dbc37_1
Statement or annotation question
The 2024 Observatory profile characterizes Switzerland as decentralized, with independently organized primary and specialist care and insurance models that can restrict choice. It is a national synthesis, not a uniform cantonal operating model.
Source context or anchor
decentralised health system with 26 cantons
- Material reference
- material:513af049d997efd4cbad720a
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2024
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Not Supplied
- Territory
- Switzerland national synthesis; cantonal and insurance-model variation retained
- Period
- 2024 profile; publication date in source metadata
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- decentralised system, primary and specialist care, insurance-model context
- Source Word Count
- 8
- Detected Media Type
- application/pdf
- File Sha256
- c92c32bd2f7cbfeff3b8fab23db0444b9fc2255f2bf3b1f7da6d005fe9c97596
- Page Count
- 1
- Response Sha256
- c92c32bd2f7cbfeff3b8fab23db0444b9fc2255f2bf3b1f7da6d005fe9c97596
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Country Improvement Source Lead · Open for annotation
Switzerland: health system review 2015
De Pietro C, Camenzind P, Sturny I, et al. Switzerland: health system review 2015. Health Systems in Transition 2015;17(4):1-288. https://iris.who.int/server/api/core/bitstreams/a3a599b2-18d2-43ac-ad07-2fb04820e486/content
Statement or annotation question
The 2015 review describes federal and cantonal functions, cantonal licensing and hospital planning, high choice and managed-care development. Its provider-ownership and pathway descriptions are historical context and must not be presented as a current national inventory.
Source context or anchor
cantons are responsible for hospital planning
- Material reference
- material:c5ff991df3ed33a657b1ffaf
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2015
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Not Supplied
- Territory
- Switzerland; historical national synthesis with cantonal variation
- Period
- 2015 review; historical contextual source, not a current performance or ownership census
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- federalism, cantonal licensing and hospital planning, managed care
- Source Word Count
- 11
- Detected Media Type
- application/pdf
- File Sha256
- 0a6fea590724accdd66069de40c6c8581b356c2becb149ce6010d10a5799be23
- Page Count
- 323
- Response Sha256
- 0a6fea590724accdd66069de40c6c8581b356c2becb149ce6010d10a5799be23
Annotation prompts and machine flags
- Keep territorial, time and claim boundaries visible. Do not infer unmeasured national uniformity.
Displayed source projection · Open for annotation
Switzerland: health system review 2015
European Observatory on Health Systems and Policies. Switzerland: health system review 2015. 2015. https://eurohealthobservatory.who.int/countries/switzerland
- Material reference
- candidate-source:CHE:23180a061b1479f98262
- Pipeline stage
- Current-Public-Source-Projection
- Evidence mode
- Not classified
- Publication date
- 2015
- Institution
- not supplied
- Document type
- Candidate Source Metadata
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Candidate Source Metadata, Official
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Visibility
- Previously projected
- Heading
- Country overview
- Html Text Block
- 8
- Locator Type
- html_text_anchor
- Source Word Anchor
- since 1996 The Swiss health system is highly decentralized The federal level
- Source Word Count
- 12
- Response Sha256
- d96887c0b688bd4306ef5ff23a5f7646aab3eb1ae443af8b81dde88f8cbbc952
Annotation prompts and machine flags
- Public source projection retained as a distinct stage record.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Source Triage Record · Open for annotation
Switzerland: health system review 2015
European Observatory on Health Systems and Policies. Switzerland: health system review 2015. 2015. https://eurohealthobservatory.who.int/countries/switzerland
- Material reference
- material:e55d5400b0678e358db22ada
- Pipeline stage
- Global-Source-Triage-Queue
- Evidence mode
- Not classified
- Publication date
- 2015
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Who European Observatory
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Open for annotation
- Heading
- Country overview
- Html Text Block
- 8
- Locator Type
- html_text_anchor
- Source Word Anchor
- since 1996 The Swiss health system is highly decentralized The federal level
- Source Word Count
- 12
- Response Sha256
- d96887c0b688bd4306ef5ff23a5f7646aab3eb1ae443af8b81dde88f8cbbc952
Annotation prompts and machine flags
- Verify the exact bibliographic citation against the original source.
- Confirm that the document applies to the named country and intended territorial scope.
- Confirm document type, issuing institution, authority, and claim-specific suitability.
- Retrieve and hash the exact source version when it is not already verified.
- Check publication date, effective period, currency, and supersession risk.
- Confirm only domains directly supported by the reviewed source.
- Add substantive feedback directly through the text-anchored annotation layer.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Targeted Source Lead · Open for annotation
Switzerland: health system review 2015
European Observatory on Health Systems and Policies. Switzerland: health system review 2015. 2015. https://eurohealthobservatory.who.int/countries/switzerland
- Material reference
- material:664be25a4c438f2e22352d1c
- Pipeline stage
- Targeted-Gap-Source-Leads
- Evidence mode
- Not classified
- Publication date
- 2015-10-04
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Health System Review
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Not supplied
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Unreviewed
- Source Version Linked From Locator Gap Acquisition
- True
- Status
- Candidate
- Heading
- Country overview
- Html Text Block
- 8
- Locator Type
- html_text_anchor
- Source Word Anchor
- since 1996 The Swiss health system is highly decentralized The federal level
- Source Word Count
- 12
- Detected Media Type
- text/html
- Response Sha256
- d8ca7940073c690fe345646b7061cacff639cf7f45b50d53edeaa7dd1e220fb9
Annotation prompts and machine flags
- Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.
- Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.