pocket statistics 2020 - federal council

14Health

Neuchâtel 2021

2020

HealthPocket Statistics 2020

Published by : Federal Statistical Office (FSO)

Information: [email protected], tel. +41 58 463 67 00

Editor : Jean-François Marquis, FSO; Tania Andreani, FSO

Series: Swiss Statistics

Topic : 14 Health

Original text : French

Translation: FSO language services

Layout : DIAMSection,Prepress / Print

Graphics: DIAMSection,Prepress / Print

Map: DIAM Section, ThemaKart

Online: www.statistics.admin.ch

Print : www.statistics.admin.ch Federal Statistical Office, CH-2010 Neuchâtel, [email protected], tel. +41 58 463 60 60 Printed in Switzerland

Copyright : FSO, Neuchâtel 2021 Reproduction with mention of source authorised.

FSO number : 1543-2000

Imprint

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https://www.bfs.admin.ch/bfs/en/home.html


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Table of contents

1 Introduction 4

2 Health determinants 5 2.1 Social situation and employment 52.2 Health behaviour 8

3 Population’s health 12 3.1 General health and mortality 123.2 Cardiovascular diseases and diabetes 163.3 Cancer 183.4 Musculoskeletal disorders 203.5 Infectious diseases 213.6 Mental health 223.7 Disabilities 243.8 Accidents 253.9 Births and health of newborns 26

4 Health system 28 4.1 Hospitals 284.2 Nursing homes 324.3 Home care services 344.4 Doctors and dentists 36

5 Costs and funding 38

Glossary 41

4

1

This pocket statistics offers an overview of the statistical data available in the area of health. It is published in four languages (French, German, Italian and English).

Its structure is based on the diagram below showing the links between the different aspects of health statistics. It includes four main sections which cover :– health determinants, particularly social environments and health-

influencing behaviour,– the population’s health and its various aspects,– the health system and take-up of the various types of treatment

it offers,– the costs and funding of the health system overall.This organisation is similar to the reference publication from the Federal Statistical Office (FSO) on Health Statistics which is pub-lished once every five years. The last edition was published in 2019.

The figures published here are the most recent figures available in november 2020. All of the data used in the graphs are available on the FSO website (www.health-stat.admin.ch).

Structure of the health statistics G1

© FSO 2021

Framework conditionssocial demographics, economy, politics, culture, insurance, etc.

Prevention Financing

Healthdeterminants

Use of health careservices

Health system

Health status

Genetic predisposition

Environment and technologies

Social determinantsand behavioursocial and work conditions, housing conditions, residential environment, lifestyle

Diseases, mortality

Health status/well-being

Health of particular groupsof the population

Social inequalities in health

Type of care

Care pathways

Quality of care

Resourcesinpatient careoutpatient carepersonnelinformal assistance

Costs

Access to care

Screening

1 Introduction

https://www.bfs.admin.ch/bfs/en/home/statistics/health.html

5

2

2.1 Social situation and employment

A social gradient exists when it comes to health : the lower one’s social position (measured by educational attainment for example), the poorer one’s health. Men aged 30 years with low educational attainment thus have a life expectancy 4.0 years shorter than their counterparts with a university education. 3% of the population are deprived of really needed medical care for financial reasons, especially dental care. Among persons at-risk-of-poverty this share increases to 7%.

Men Women

(very) good self-perceived health by educational level1 (2017)

compulsoryeducation 69.9% 64.4%

tertiarylevel 90.5% 91.0%

deprivation of really needed care for financial reasons2 (2018) 2.7% 3.7%

at work3 (2017)

atleast3physicalrisks 48.3% 42.2%

feelingstressed(mostofthetime,always) 20.9% 21.7%

worriedaboutlosingtheirjob 15.8% 15.9%

1 population aged 25 or over in a private household2 population aged 16 or over in a private household3 employed population aged 15 to 64

Sources: FSO – SHS, SILC © FSO 2021

(Very) good self-perceived health accordingto educational level, 2017

G2

© FSO 2021Source: FSO – Swiss Health Survey (SHS)

Population aged 25 or over living in a private household

0%

20%

40%

60%

80%

100%

25–44 years 45–64 years 65 + years

94.8 89.2 81.990.6 80.9 74.182.263.2 58.3

CompulsoryschoolingUpper secondarylevelTertiary level

2 Health determinants

6

2

Difference in life expectancy between educational levels by age, 2011–2014

G3In years between the highest (tertiary level) and the lowest educational level (compulsory schooling or less)

© FSO 2021Source: Swiss National Cohort (SNC)

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5

30 years

65 years

1.3

1.0

4.0

3.3

men women

Physical risks at workEmployed population aged 15 to 64 years


Men Women

exposed to risk for at least one quarter of working time (standing: 3/4)

repetitivemovements

painful ortiring positionscarrying heavy

loadsstanding

hightemperatures

loud noise

low temperatures

vibrationsharmful or toxic

productsphysical risks

(≥3)

2007 2012 2017

70% 40% 20% 0% 0% 20% 40% 70%

G4

Psychosocial risks at workEmployed population aged 15 to 64


Men Women

1 most of the time or always, at least one risk2 most of the time or always3 at least 1 risk in the last 12 months4 sufficiently or quite a lot

high demands1

high work intensity1

lack of autonomy1

ethical conflicts1

emotional demands1

lack of social support1

feeling stressed2

discrimination,violence3

fear of losingone’s job4

psychosocial risks(≥3 types)

2012 2017

70% 40% 20% 0% 0% 20% 40% 70%

G5

7

2

Difference in life expectancy between educational levels by age, 2011–2014

G3In years between the highest (tertiary level) and the lowest educational level (compulsory schooling or less)

© FSO 2021Source: Swiss National Cohort (SNC)

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5

30 years

65 years

1.3

1.0

4.0

3.3

men women

Physical risks at workEmployed population aged 15 to 64 years


Men Women

exposed to risk for at least one quarter of working time (standing: 3/4)

repetitivemovements

painful ortiring positionscarrying heavy

loadsstanding

hightemperatures

loud noise

low temperatures

vibrationsharmful or toxic

productsphysical risks

(≥3)

2007 2012 2017

70% 40% 20% 0% 0% 20% 40% 70%

G4

Psychosocial risks at workEmployed population aged 15 to 64


Men Women

1 most of the time or always, at least one risk2 most of the time or always3 at least 1 risk in the last 12 months4 sufficiently or quite a lot

high demands1

high work intensity1

lack of autonomy1

ethical conflicts1

emotional demands1

lack of social support1

feeling stressed2

discrimination,violence3

fear of losingone’s job4

psychosocial risks(≥3 types)

2012 2017

70% 40% 20% 0% 0% 20% 40% 70%

G5

Poor working conditions are a health risk. 45% of employed persons are exposed to at least three cumulated physical risks in their work such as carrying loads, loud noises or toxic products. This percentage has remained stable since 2012 but shows an increase when compared with 2007. Men are more often concerned than women. Psychosocial risks are linked to work organisation. 21% of economically active persons are stressed most of the time or always and16%areworriedaboutlosingtheirjob.Thesepercentagesarehigher than they were in 2007. Women encounter a lack of autonomy in their work more often than men.

8

2

2.2 Health behaviour

76% of the population were physically active in 2017, i.e. 14 percent-age points more than in 2002. Persons with compulsory schooling are less often physically active than those with tertiary level educa-tion (61% compared with 79%).

63% of men and 73% of women say that they pay attention to what they eat. This share has not changed in the overall population since 1992. The share of women who eat at least 5 portions of fruit and vegetables per day is twice that of men (28% compared with 15%).

20171 Men Women

physically active 77.8% 73.6%

pays attention to diet 62.8% 73.4%

overweight or obese 51.0% 33.0%

smoker 31.0% 23.3%

consumes alcohol daily 14.9% 7.1%

1 population aged 15 or over living in a private household

Source: FSO – Swiss Health Survey (SHS) © FSO 2021

Physical activity

Men

Population aged 15 or over living in a private household G6


0%

20%

40%

60%

80%

100%

2002 2007 2012 2017

31.0

36.3

17.5

15.2

35.1

34.0

17.8

13.1

32.6

43.3

15.4

8.7

35.0

42.8

15.0

7.2

well-trained

sufficientlyactive

partiallyactive

inactive

Women

2002 2007 2012 2017

23.7

34.0

20.9

21.4

29.5

34.1

19.6

16.8

23.8

45.3

18.1

12.8

26.8

46.7

17.4

9.1

Consumption of fruit and vegetables, 2017G7

Men


5 portions and over per day3 to 4 portions per day

0 to 2 portions per dayless than 5 days per week

14.6%

29.9%41.3%

14.2%

Women


at least 5 days per week

28.3%

37.1%

28.5%

6.1%

1

1

1

1

9

2

2.2 Health behaviour

76% of the population were physically active in 2017, i.e. 14 percent-age points more than in 2002. Persons with compulsory schooling are less often physically active than those with tertiary level educa-tion (61% compared with 79%).

63% of men and 73% of women say that they pay attention to what they eat. This share has not changed in the overall population since 1992. The share of women who eat at least 5 portions of fruit and vegetables per day is twice that of men (28% compared with 15%).

20171 Men Women

physically active 77.8% 73.6%

pays attention to diet 62.8% 73.4%

overweight or obese 51.0% 33.0%

smoker 31.0% 23.3%

consumes alcohol daily 14.9% 7.1%


Source: FSO – Swiss Health Survey (SHS) © FSO 2021

Physical activity

Men

Population aged 15 or over living in a private household G6


0%

20%

40%

60%

80%

100%

2002 2007 2012 2017

31.0

36.3

17.5

15.2

35.1

34.0

17.8

13.1

32.6

43.3

15.4

8.7

35.0

42.8

15.0

7.2

well-trained

sufficientlyactive

partiallyactive

inactive

Women

2002 2007 2012 2017

23.7

34.0

20.9

21.4

29.5

34.1

19.6

16.8

23.8

45.3

18.1

12.8

26.8

46.7

17.4

9.1

Consumption of fruit and vegetables, 2017G7

Men


5 portions and over per day3 to 4 portions per day

0 to 2 portions per dayless than 5 days per week

14.6%

29.9%41.3%

14.2%

Women


at least 5 days per week

28.3%

37.1%

28.5%

6.1%

1

1

1

1

11% of the population were obese in 2017. This is twice the 1992 figure. The share of overweight people increases with age up to 74 years.Theshareofobesepeopleistwiceashighamongmenwitha low level of educational attainment compared with those with a high level of educational attainment (20% compared with 10%); the difference is even greater among women (21% compared with 6%).

Overweight and obesityG8

Men


0%

10%

20%

30%

40%

50%

60%

1992 1997 2002 2007 2012 2017

6.1

33.2

6.7

35.6

7.9

37.7

8.6

38.1

11.2

39.3

12.3

38.7

obesityoverweight


Women

1992 1997 2002 2007 2012 2017

4.7

17.2

7.0

21.2

7.4

21.9

7.8

20.9

9.4

22.6

10.2

22.8

10

2

Between 1992 and 2017, the percentage of smokers fell from 37% to 31% among men and remained stable among women (23%). Smoking is most common among men aged between 25 and 34 (42%)andwomenbetween15and34 (30%).61%ofsmokerswould like to quit. The share of non-smokers exposed to passive smoking for at least one hour per day decreased considerably between 2007 and 2017 from 16% to 6%.

Smokers by number of cigarettes per dayG9

Men


0%

10%

20%

30%

40%

50%

1992 1997 2002 2007 2012 2017

17.4

9.8

9.5

15.9

9.6

13.6

13.5

9.2

13.0

9.7

8.5

13.8

9.0

9.0

14.4

7.9

8.2

14.6

≥ 20 cigarettes10 to 19 cigarettes≤ 9 cigarettes


Women

1992 1997 2002 2007 2012 2017

7.7

8.2

8.1

9.0

7.6

11.3

7.3

7.7

10.4

5.07.2

11.3

4.37.6

12.5

7.0

12.8

3.5

Passive smoking


Share of non-smokers exposed to other people's smoke for at least one hour per day

0%

10%

20%

30%

40%

15–24years

25–34years

35–44years

45–54years

55–64years

65–74years

75 +years

15.9

8.4 4.

7

4.8

4.0

2.3

1.316

.5

10.4 4.

2

4.4

3.7

3.2

2.3

35.5

19.7

15.0

13.9

11.4

6.1 3.

6

2007 2012 2017

G10

Alcohol consumptionG11

Men


0%

20%

40%

60%

80%

100%

1992 1997 2002 2007 2012 2017

30.1

14.6

28.8

17.29.3

24.7

14.6

30.8

18.7

11.2

22.2

13.9

32.8

16.9

14.2

19.6

12.9

37.5

18.9

11.1

17.4

15.3

35.7

20.2

11.4

14.9

18.8

34.7

18.8

12.8


Women

1992 1997 2002 2007 2012 2017

11.56.6

25.6

34.1

22.2

10.16.4

24.3

33.5

25.7

10.06.1

26.5

27.0

30.4

9.06.2

29.4

32.8

22.6

8.88.3

29.1

31.9

21.9

10.6

31.6

27.4

23.3

dailyon 3 to 6 days per week

1 to 2 days per weekless than 1 day per weekabstinent

7. 1

11

2

Between 1992 and 2017, the percentage of smokers fell from 37% to 31% among men and remained stable among women (23%). Smoking is most common among men aged between 25 and 34 (42%)andwomenbetween15and34 (30%).61%ofsmokerswould like to quit. The share of non-smokers exposed to passive smoking for at least one hour per day decreased considerably between 2007 and 2017 from 16% to 6%.

Smokers by number of cigarettes per dayG9

Men


0%

10%

20%

30%

40%

50%

1992 1997 2002 2007 2012 2017

17.4

9.8

9.5

15.9

9.6

13.6

13.5

9.2

13.0

9.7

8.5

13.8

9.0

9.0

14.4

7.9

8.2

14.6

≥ 20 cigarettes10 to 19 cigarettes≤ 9 cigarettes


Women

1992 1997 2002 2007 2012 2017

7.7

8.2

8.1

9.0

7.6

11.3

7.3

7.7

10.4

5.07.2

11.3

4.37.6

12.5

7.0

12.8

3.5

Passive smoking


Share of non-smokers exposed to other people's smoke for at least one hour per day

0%

10%

20%

30%

40%

15–24years

25–34years

35–44years

45–54years

55–64years

65–74years

75 +years

15.9

8.4 4.

7

4.8

4.0

2.3

1.316

.5

10.4 4.

2

4.4

3.7

3.2

2.3

35.5

19.7

15.0

13.9

11.4

6.1 3.

6

2007 2012 2017

G10

Alcohol consumptionG11

Men


0%

20%

40%

60%

80%

100%

1992 1997 2002 2007 2012 2017

30.1

14.6

28.8

17.29.3

24.7

14.6

30.8

18.7

11.2

22.2

13.9

32.8

16.9

14.2

19.6

12.9

37.5

18.9

11.1

17.4

15.3

35.7

20.2

11.4

14.9

18.8

34.7

18.8

12.8


Women

1992 1997 2002 2007 2012 2017

11.56.6

25.6

34.1

22.2

10.16.4

24.3

33.5

25.7

10.06.1

26.5

27.0

30.4

9.06.2

29.4

32.8

22.6

8.88.3

29.1

31.9

21.9

10.6

31.6

27.4

23.3

dailyon 3 to 6 days per week

1 to 2 days per weekless than 1 day per weekabstinent

7. 1

Since 1992, the share of daily consumers of alcohol has fallen from 30% to 15% among men and from 11% to 7% among women. Frequency of consumption increases with age. In 2017, chronic hazardous drinking was observed among 5% of the population and 16% got drunk at least once a month. Young men are most affected by binge drinking.

Hazardous drinking, 2017G12

Men


0%

10%

20%

30%

40%

15–

24

25–

34

35–

44

45–

54

55–

64

65–

74 75+

binge drinking at least once a weekbinge drinking at least once a month


Women

chronic hazardous drinking

binge drinking: standard-sized glasses of alcohol on one occasion: M: ≥ 5, W: ≥ 4 chronic hazardous drinking, per day in standard-sized glasses M: ≥ 4, W: ≥ 2

15–

24

25–

34

35–

44

45–

54

55–

64

65–

74 75+

years years

1

2

1

1

2

12

3

3.1 General health and mortality

Since 1990, life expectancy at birth has increased by 7.9 years among men and by 4.8 years among women. It is among the highest world wide. Healthy life expectancy is around 70 years. It takes into account self-perceived health and the difference between men and women is slight.

Men Women

life expectancy at birth in years (2019) 81.9 85.6

healthy life expectancy at birth in years (2017) 69.8 70.8

(very) good self-perceived health1 (2017) 85.9% 83.5%

long-standing health problem1 (2017) 30.5% 34.7%

total deaths (2018) 32 398 34 690 cardiovasculardiseases 9 418 11 178 cancer 9 545 7 815 dementia 2 004 4 450 accidents 1 409 1 336


Sources: FSO – SHS, BEVNAT, STATPOP, CoD © FSO 2021

© FSO 2021Sources: FSO – BEVNAT, ESPOP, STATPOP and SHS

Life expectancy and healthy life expectancy at birth

menwomen

men, in good healthwomen, in good health

In years

The 2012 data relating to healthy life expectancy are not directly comparable with those from other years because of a change in the answer modalities concerning self-perceived health.

G13

20190

20

40

60

80

100

1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010

Self-perceived health and long-standing problems,2017

G14



0%

20%

40%

60%

80%

100%

15–24years

25–34years

35–44years

45–54years

55–64years

65–74years

75 +years

16.7 22.5 25.2 33.5 43.6 45.3 50.3

94.9 93.3 90.1 84.8 77.0 77.1 67.0

(very) good self-perceived healthlong-standing health problem

3 Population’s health

13

3

3.1 General health and mortality

Since 1990, life expectancy at birth has increased by 7.9 years among men and by 4.8 years among women. It is among the highest world wide. Healthy life expectancy is around 70 years. It takes into account self-perceived health and the difference between men and women is slight.

Men Women

life expectancy at birth in years (2019) 81.9 85.6

healthy life expectancy at birth in years (2017) 69.8 70.8

(very) good self-perceived health1 (2017) 85.9% 83.5%

long-standing health problem1 (2017) 30.5% 34.7%

total deaths (2018) 32 398 34 690 cardiovasculardiseases 9 418 11 178 cancer 9 545 7 815 dementia 2 004 4 450 accidents 1 409 1 336


Sources: FSO – SHS, BEVNAT, STATPOP, CoD © FSO 2021

© FSO 2021Sources: FSO – BEVNAT, ESPOP, STATPOP and SHS

Life expectancy and healthy life expectancy at birth

menwomen

men, in good healthwomen, in good health

In years

The 2012 data relating to healthy life expectancy are not directly comparable with those from other years because of a change in the answer modalities concerning self-perceived health.

G13

20190

20

40

60

80

100

1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010

Self-perceived health and long-standing problems,2017

G14



0%

20%

40%

60%

80%

100%

15–24years

25–34years

35–44years

45–54years

55–64years

65–74years

75 +years

16.7 22.5 25.2 33.5 43.6 45.3 50.3

94.9 93.3 90.1 84.8 77.0 77.1 67.0

(very) good self-perceived healthlong-standing health problem

86% of men and 84% of women assessed their state of health as good or very good. The share of persons suffering from chronic health problems increases threefold between the youngest age class and the oldest.

Back pains and a feeling of general weakness are the two most common physical problems: two in five people suffer from these.

Main physical problems, 2017

G15


Population aged 15 or over living in a private household,over a 4 week period

Men Women

back pains generalweakness

shoulder,neck, arm pain

insomnia,sleepingproblems

headaches

a lota few

0%

10%

20%

30%

40%

50%

60%

6.2

31.8

9.6

39.0

4.7

28.6

8.8

40.7

5.4

26.8

9.9

34.9

5.3

22.6

9.4

31.0

3.3

21.1

7.9

29.5

a lota few

14

3

The graph shows the respective importance of causes of death by age group. Congenital diseases are the main cause of death until the age of 2. Between 2 and 15 years, the very rare cases of death are spread between a number of causes. Accidents and suicides pre-dominate among adolescents and young people aged 16 and over. Cancer is the main cause of death among women aged over 30 and among men over the age of 40. It is superseded by cardiovascular diseases from around the age of 80.

Cancer is the biggest cause of premature mortality (before the age of 70) : it is responsible for 29% of potential years of life lost (PYLL) among men and 45% among women. Accidents and violent deaths are the second cause of premature mortality. Standardised mortality rates have fallen by more than 50% since 1970. They have fallen by three quarters for cardiovascular diseases and by two fifths for cancer.

Leading causes of death by age group, 2018

© FSO 2021Source: FSO – Causes of Death Statistics (CoD)

Men

cardiovascular diseasesmalignant tumoursrespiratory diseases

accidents and violent deathsdementiaother

0–24years

45–64years

25–44years

65–84years

85+ years

Women

areas are proportional to the absolute number of deaths

0–24years

45–64years

25–44years

65–84years

85+years

G16

15

3

Potential years of life lost, 2018

Men (N=101345)

© FSO 2021Source: FSO – Cause of Death Statistics (CoD)

Women (N=59 943)

cardiovascular diseasesmalignant tumoursrespiratory diseases

accidents and violent deathsdementiaother

15.4%

29.2%

2.8%26.6%

0.3%

25.7%

8.6%

45.1%

3.4%

18.3%

0.4%

24.2%

G17

Standardised mortality rates

Men

Per 100 000 inhabitants G18

1 surveyed from 1995 onwards


malignant tumourscardiovascular diseases respiratory diseases

accidents and violent deathsotherdementia1

Women

0

200

400

600

800

1 000

1 200

1 400

2018

2018

1970

1975

1980

1985

1990

1995

2000

2005

2010

2015

1970

1975

1980

1985

1990

1995

2000

2005

2010

2015

16

3

3.2 Cardiovascular diseases and diabetes

Cardiovascular diseases are the first most common cause of death and the third most common cause of hospitalisation. Since 2002, the number of hospitalisations for cardiovascular diseases has increased by 17% mainly as a result of increasing population numbers and an ageing population. Over the same period, the number of deaths caused by these illnesses however has fallen by 13%. In 2018, 15 047 people (two thirdsofwhomweremen)sufferedanacutemyocardial infarction and 2193 people died from this. The respective numbersforstrokesare15 815(slightlyoverhalfofwhicharemen)and 2736.

Men Women

number of hospitalisations for cardiovascular diseases (2018) 64 356 47 896

number of deaths due to cardiovascular diseases (2018) 9 418 11 178

acute myocardial infarction, number of cases (2018) 9 844 5 203

stroke, number of cases (2018) 8 274 7 541

hypertension1 (2017) 19.2% 16.0%

excessively high levels of cholesterol1 (2017) 14.3% 10.8%

diabetes1 (2017) 5.4% 3.5%


Sources: FSO – MS, CoD, SHS © FSO 2021

© FSO 2021Source: FSO – Cause of Death Statistics (CoD)and Hospital Medical Statistics (MS)

0

10 000

20 000

30 000

40 000

50 000

60 000

70 000

2002 2004 2006 2008 2010 2012 2014 2016 2018

men: deathswomen: deaths

men: persons hospitalisedwomen: persons hospitalised

Deaths and persons hospitaliseddue to cardiovascular diseases G19

Persons with hypertensionG20Population aged 15 or over living in a private household


60% 50% 40% 30% 20% 10% 0%

6.3

15.3

43.3

55.8

4.1

5.3

8.7

14.8

23.0

33.3

Men

0% 10% 20% 30% 40% 50% 60%

15–24 years

25–34 years

35–44 years

45–54 years

55–64 years

65–74 years

75 + years

0.6

1.5

9.3

22.5

36.0

57.2

4.4

11.7

22.7

36.8

42.4

Women

2.3

31.6

2.8

3.0

2.8

1992 2017

31.3

3.3

17

3

3.2 Cardiovascular diseases and diabetes

Cardiovascular diseases are the first most common cause of death and the third most common cause of hospitalisation. Since 2002, the number of hospitalisations for cardiovascular diseases has increased by 17% mainly as a result of increasing population numbers and an ageing population. Over the same period, the number of deaths caused by these illnesses however has fallen by 13%. In 2018, 15 047 people (two thirdsofwhomweremen)sufferedanacutemyocardial infarction and 2193 people died from this. The respective numbersforstrokesare15 815(slightlyoverhalfofwhicharemen)and 2736.

Men Women

number of hospitalisations for cardiovascular diseases (2018) 64 356 47 896

number of deaths due to cardiovascular diseases (2018) 9 418 11 178

acute myocardial infarction, number of cases (2018) 9 844 5 203

stroke, number of cases (2018) 8 274 7 541

hypertension1 (2017) 19.2% 16.0%

excessively high levels of cholesterol1 (2017) 14.3% 10.8%

diabetes1 (2017) 5.4% 3.5%


Sources: FSO – MS, CoD, SHS © FSO 2021

© FSO 2021Source: FSO – Cause of Death Statistics (CoD)and Hospital Medical Statistics (MS)

0

10 000

20 000

30 000

40 000

50 000

60 000

70 000

2002 2004 2006 2008 2010 2012 2014 2016 2018

men: deathswomen: deaths

men: persons hospitalisedwomen: persons hospitalised

Deaths and persons hospitaliseddue to cardiovascular diseases G19

Persons with hypertensionG20Population aged 15 or over living in a private household


60% 50% 40% 30% 20% 10% 0%

6.3

15.3

43.3

55.8

4.1

5.3

8.7

14.8

23.0

33.3

Men

0% 10% 20% 30% 40% 50% 60%

15–24 years

25–34 years

35–44 years

45–54 years

55–64 years

65–74 years

75 + years

0.6

1.5

9.3

22.5

36.0

57.2

4.4

11.7

22.7

36.8

42.4

Women

2.3

31.6

2.8

3.0

2.8

1992 2017

31.3

3.3

The share of persons suffering from hypertension increased from14%to18%between1992and2017.The shareofpersonswith excessively high levels of cholesterol increased from 9% in 2002 to 13% in 2017.

In2017,5%ofmensufferedfromdiabetescomparedwithjustover 4% in 2007. Among women, the percentage has not changed in 10 years(3%).Personswithalowlevelofeducationalattainmentaretwice as likely to suffer from diabetes as those with a tertiary level education (8% compared with 4%).

Persons with diabetesG21Population aged 15 or over living in a private household


25% 20% 15% 10% 5% 0%

0.6

1.1

1.3

4.4

9.2

12.7

14.9

0.2

0.4

1.3

3.3

8.0

9.9

12.4

Men

0% 5% 10% 15% 20% 25%

0.9

0.8

1.0

1.9

5.6

7.3

10.3

0.8

0.3

0.7

1.7

8.2

8.0

Women

4.4

2007 2017

15–24 years

25–34 years

35–44 years

45–54 years

55–64 years

65–74 years

75+ years

18

3

3.3 Cancer

Morethan40 000newcasesofcancerarediagnosedeveryyear.More than one in five will develop a cancer before the age of 70. The rate of new cases has slowly increased among women. After increasing among men, it has fallen since the penultimate period. Mortality is declining. Prostate cancer is the most common cancer among men while breast cancer is the most common cancer among women.

Every year, about 221 children aged 14 and under get cancer and about 23 die from this disease. Leukaemia (32%) and tumours of the central nervous system (23%) are the most common types of cancer in children.

2013–20171 Men Women

New cases

Deaths New cases

Deaths

all cancers 23 116 9 392 19 655 7 647

lung, bronchi, trachea 2 741 1 999 1 830 1 236

breast 6 239 1 369

prostate 6 366 1 344

colon-rectum 2 525 921 1 976 753

melanoma 1 519 185 1 339 127

cancer among children2 (all types) 122 11 99 12

1 annual average for the period2 0 – 14years

Source: FSO, NACR, ChCR – National Cancer Statistics © FSO 2021

Cancers (total)G22

© FSO 2021Sources: NACR – New cases; FSO – Deaths

men – incidence1

men – mortalitywomen – incidence1

women – mortality

Rate per 100 000 inhabitants, European standard

1 new cases estimated on the basis of cancer registry data; excl. non-melanoma skin cancer

0

100

200

300

400

500

1988–1992 1993–1997 1998–2002 2003–2007 2008–2012 2013–2017

19

3

Cancers by site, 2013–2017G23Average number per year

© FSO 2021Sources: NACR – New cases; FSO – Deaths

0 1 000 2 000 3 000 4 000

prostatelungs, bronchi, trachea

colon and rectumskin melanoma

bladdernon-Hodgkin lymphomaoral cavity and pharynx

pancreaskidney

leukaemialiver

stomach

Men

1 new cases estimated on the basis of cancer registry data

Women

0 1 000 2 000 3 000 4 000

breastcolon and rectum

lung, bronchi, tracheaskin melanoma

corpus uteripancreas

non-Hodgkin lymphomaovary

thyroidleukaemia

oral cavity and pharynxstomach

new cases1 deaths

6 366

6 239

2 new cases excl. non-melanoma skin cancer

2others

2others

Cancers among children, 1988–2017G24

Boys

© FSO 2021Source: FSO, ChCR – National Cancer Statistics

Rate per 100 000 children

Girls

incidence mortality

yearsyears

0

10

20

30

<1 2 4 6 8 10 12 14 <1 2 4 6 8 10 12 14

20

3

3.4 Musculoskeletal disorders

Musculoskeletal disorders are the second most common cause for hospitalisation,afteraccidents.Disordersofthelimbjoints(osteoarthritis, arthritis) and back problems are the reasons for 53% and 24% of hospitalisations for musculoskeletal disorders. The use of prosthesesissometimesnecessary.In2019,25 695personswere hospitalised for hip replacements. This is 68% more than in 2002. Kneeprosthesesarelesscommon(21 175).

2019 Men Women

persons hospitalised for musculoskeletal disorders 67 757 81 953

hipreplacement 11 502 14 193

kneeprosthesis 8 809 12 366

Source: FSO – Hospital Medical Statistics (MS) © FSO 2021

Persons hospitalised for hip replacementsG25Rate per 100 000 habitants

© FSO 2021Source: FSO – Hospital Medical Statistics (MS)

Men

0–14 years15–24 years25–34 years35–44 years45–54 years55–64 years65–74 years75–84 years

85+ years

Women

2002–2004 2017–2019

1 600 1 200 800 400 0 0 400 800 1 200 1 600

21

3

3.5 Infectious diseases

The number of new diagnoses with the HIV virus has fallen since 2009. It had already fallen considerably during the 1990s. 40% of new diagnoses in 2019 concerned men who had sexual relations with men.

Since the 1980s, the number of new cases of tuberculosis has been divided by 2.5. Three quarters of cases are found among per-sons of foreign origin.

2019

new diagnoses of HIV 421

ratesofnewHIVdiagnosesper100 000inhabitants 4.9

new cases of tuberculosis 437

rates of new cases of tuberculosis per 100 000 inhabitants 5.1

Source: FOPH – Reporting System for Notifiable Infectious Diseases © FSO 2021

HIV diagnosesLaboratory reports

data as at September 2020

© FSO 2021Source: FOPH – Reporting System for Notifiable Infectious Diseases

menwomengender unknown

G26

0

500

1 000

1 500

2 000

2 500

3 000

3 500

1985 1990 1995 2000 2005 2010 2015 2019

22

3

3.6 Mental health

Thevastmajorityofthepopulationexperiencepositiveemotionsfarmore often than negative emotions. 15% of the population, however, show signs of medium (11%) or high psychological distress (4%). Depression is the most common mental disorder. 8% of men and 10% ofwomensuffered frommajor depression in 2017.The shareofpersons affected tends to decrease with age.

Men Women

medium or high psychological distress1 (2017) 11.7% 18.3%

majordepression1 (2017) 7.8% 9.5%

treatment for psychological problems1 (2017) 4.4% 7.7%

suicides, excluding assisted suicide (2018) 712 290


Sources: FSO – SHS, CoD © FSO 2021

Emotional state, 2017

G27Over a 4 week period. Population aged 15 or over living in a privatehousehold


0% 40% 60% 80%

Men

Women

Men

Women

4.1

11.2 84.7

3.8

9.9 86.3

7.1

14.0 78.9

5.8

9.9 84.3

rarely/neversometimesalways/mostly

happ

yca

lm a

nd p

eace

ful

desp

onde

ntan

d de

pres

sed

very

ner

vous

dow

n in

the

dum

ps

Positive emotional state Negative emotional state

0% 40% 60% 80%

Men

Women

Men

Women

Men

Women3.2

12.0 84.8

2.46.6 91.02.79.2 88.1

2.36.0 91.7

6.222.6 71.2

4.016.5 79.5

always/mostlysometimesrarely/never

20% 100% 20% 100%

Major depression, 2017

G28Persons suffering from moderate to serious depression. Population aged 15 or over living in a private household


0%

3%

6%

9%

12%

15%

15–24years

25–34years

35–44years

45–54years

55–64years

65–74years

75 +years

13.9

11.110.3 10.9

7.8

3.2

6.7

12.3

8.88.1

6.3

9.5

3.3 3.8

men women

23

3

3.6 Mental health

Thevastmajorityofthepopulationexperiencepositiveemotionsfarmore often than negative emotions. 15% of the population, however, show signs of medium (11%) or high psychological distress (4%). Depression is the most common mental disorder. 8% of men and 10% ofwomensuffered frommajor depression in 2017.The shareofpersons affected tends to decrease with age.

Men Women

medium or high psychological distress1 (2017) 11.7% 18.3%

majordepression1 (2017) 7.8% 9.5%

treatment for psychological problems1 (2017) 4.4% 7.7%

suicides, excluding assisted suicide (2018) 712 290


Sources: FSO – SHS, CoD © FSO 2021

Emotional state, 2017

G27Over a 4 week period. Population aged 15 or over living in a privatehousehold


0% 40% 60% 80%

Men

Women

Men

Women

4.1

11.2 84.7

3.8

9.9 86.3

7.1

14.0 78.9

5.8

9.9 84.3

rarely/neversometimesalways/mostly

happ

yca

lm a

nd p

eace

ful

desp

onde

ntan

d de

pres

sed

very

ner

vous

dow

n in

the

dum

ps

Positive emotional state Negative emotional state

0% 40% 60% 80%

Men

Women

Men

Women

Men

Women3.2

12.0 84.8

2.46.6 91.02.79.2 88.1

2.36.0 91.7

6.222.6 71.2

4.016.5 79.5

always/mostlysometimesrarely/never

20% 100% 20% 100%

Major depression, 2017

G28Persons suffering from moderate to serious depression. Population aged 15 or over living in a private household


0%

3%

6%

9%

12%

15%

15–24years

25–34years

35–44years

45–54years

55–64years

65–74years

75 +years

13.9

11.110.3 10.9

7.8

3.2

6.7

12.3

8.88.1

6.3

9.5

3.3 3.8

men women

1002 people (71% of whom men) committed suicide in 2018, excluding cases of assisted suicide. The standardised suicide rate has fallen by more than two fifths since 1995. The suicide rate in-creases considerably with age among men. If a concomitant disease is indicated when suicide is announced, depression is involved 6 timesoutof10.

Suicide by age and sex (excluding assisted suicide)

Men


0

20

40

60

80

100

120

0–14

yea

rs

15–

24 y

ears

25–

34 y

ears

35–

44 y

ears

45–

54 y

ears

55–

64 y

ears

65–7

4 ye

ars

75–

84 y

ears

85+

year

s

Rate per 100 000 inhabitants

0–14

yea

rs

15–

24 y

ears

25–

34 y

ears

35–

44 y

ears

45–

54 y

ears

55–

64 y

ears

65–7

4 ye

ars

75–

84 y

ears

85+

year

s

Women

1995–1999 2014–2018

G29

24

3

3.7 Disabilities

Functional limitations increase considerably with age. Visual impair- mentsaffectsome77 000persons,35 000ofwhomareaged65orover.Around1 300 000personsareconsideredtobedisabledunderthe Disability Discrimination Act, of whom 300 000 are severely limited in activities people usually do.

% Persons

eyesight : considerable or full impairment1 (2017) 1.1 77 000

hearing : considerable or full impairment1 (2017) 1.1 78 000

locomotion: cannot walk or can only walk a few steps1 (2017) 1.0 67 000

speech: considerable or full impairment1 (2017) 0.4 28 000

persons with disabilities1 (2017) 18.0 1 264 000 severelylimited 4.1 285 000

recipients of disability pensions (AI) (31.12.2019) 217 700

1 population aged 15 or over in a private household

Sources: FSO – SHS; FSIO – AI Statistics © FSO 2021

Functional limitations, 2017G30

Eyesight


0%

2%

4%

6%

8%

10%

12%

14%

15–

39

40–

64 65+

2.7

7.1

2.4

8.5

considerable or full impairmentslight impairment


Hearing

15–

39

40–

64 65+

0.52.2

4.3

2.2

10.8

Mobility

15–

39

40–

64 65+

0.30.2

0.51.4 3.0

4.4

Speech

15–

39

40–

64 65+

0.3

1.1

0.41.3

2.6

years years years years

0.4 1.11.1 0.6

25

3

3.8 Accidents

Accidents are one of the main causes of premature mortality and the first most common cause of hospitalisation. People most commonly experience accidents (often falls) at home, in the garden and during sports or games. Employed men are almost twice as likely as women to have accidents at work (7% compared with 4%). Almost 2% of the population have been involved in road accidents. In 2019, road accidents were responsible for 187 deaths, almost three quarters of these were men.

Men Women

accidents at home, in the garden, during sport and games1 (2017) 19.0% 14.5%

accidents at work2 (2017) 7.2% 3.8%

road accidents1 (2017) 2.2% 1.5%

deaths in road accidents (2019) 139 48

1 population aged 15 or over living in a private household2 economically active persons aged 15 and over

Sources: FSO – SHS, SVU © FSO 2021

Accident victims by type of accident and treatment, 2017

G31Population aged 15 or over living in a private household


20% 15% 10% 5% 0%

9.89.2

5.12.1

0.8

medical treatment self-treatment

Men Women

1 only employed persons

0% 5% 10% 15% 20%

8.2 6.4

3.0

1.0

0.5

0.8work1

road

accidents at home,in the garden,during sport and games

1.4

26

3

3.9 Births and health of newborns

The average age of mothers at maternity has continued to increase since the 1970s. In 2019, the share of women under the age of 30 amongthosewhohadgivenbirthwaslessthan30%comparedwith almost 70% in 1970. The increase in age at maternity may lead to a decrease in fertility and an increase in certain risks such as spontaneous twin pregnancies or chromosomal abnormalities.

96% of births take place at the hospital and a third of deliveries are by caesarean. The rate of caesareans can vary by twofold depending on the region.

283 infants under the age of one died in 2019. This corresponds to a rate of 3.3 deaths per thousand live births. Just over half of these deaths occurred 24 hours following the birth. Above all infant deaths affect children with a very low birth weight or those born very prematurely. The same year 344 stillbirths were registered.

2019

live births 86 172

average age at maternity 32.1

rate of caesareans 32.0%

prematurebirths(< 37completedweeksofpregnancy) 6.7%

lowbirthweightbirths(< 2500g) 6.1%

stillbirths 4.0‰

infant mortality 3.3‰

Sources: FSO – BEVNAT, MS, CoD © FSO 2021

Live births by age of mother G32

© FSO 2021Source: FSO – Vital Statistics (BEVNAT)

0%

20%

40%

60%

80%

100%

1970 1980 1990 2000 2010

33.1

35.8

19.88.6

25.0

39.8

26.1

7.7

16.5

40.8

31.1

10.0

11.9

29.1

38.4

17.6

9.4

24.6

36.9

23.3

<25 years25–29 years30–34 years35–39 years≥40 years

2.7 1.4 1.5 2.9

2019

21.8

39.1

26.5

5.6

7.05.8

27

3

Source: FSO – Hospital medical statistics (MS) © FSO 2021

Spatial division: MS regions

Number of caesarians per 100 deliveries

CH: 32.6≥ 37.028.0–30.9 31.0–33.9 34.0–36.9 < 28.0

Caesarian delivery rate, 2015–2019 G 33

0 25 km

1 rate per 1000 life births2 rate per 1000 births

© FSO 2021Source: FSO – Vital statistics (BEVNAT)

0

3

6

9

12

15

18

1969 1973 1977 1981 1985 1989 1993 1997 2001 2005 2009 2013

infant mortality1 stillbirths2

2019

Stillbirths and infant mortalityYearly rate per 1000 G34

28

4

4.1 Hospitals

In 2019, 281 hospitals carried out their activities over 580 sites. Since 2002, the number of general hospitals has fallen by 39% whereas the number of special clinics has remained almost stable (– 7%). However, in special clinics the number of beds has fallen the most over the same period (–18%) whereas the decline has been more limited in general hospitals (–11%).

2019

hospitals 281

beds 38 057

personnel (full-time equivalents) 170 928

hospitalisation cases 1 472 758

hospitalisation rate (for 1000 inhabitants) 118.7

average length of stay in acute care (in days) 5.2

average daily cost of acute care (CHF) 2 303

Sources: FSO – KS, MS © FSO 2021

General hospitals and special clinicsNumber of hospitals

© FSO 2021Source: FSO – Hospital Statistics (KS)

general hospitals special clinics

break in series as of 2010: revision of survey

G35

0

50

100

150

200

250

2002 2004 2006 2008 2010 2012 2014 2016 2019

Hospital beds by type of establishmentNumber of beds


general hospitals, centralised caregeneral hospitals, basic carepsychiatric clinics

rehabilitation clinicsgeriatric clinicsother special clinics


G36

0

5 000

10 000

15 000

20 000

25 000

30 000

35 000

40 000

45 000

2002 2004 2006 2008 2010 2012 2014 2016 2019

4 Health system

29

4

4.1 Hospitals

In 2019, 281 hospitals carried out their activities over 580 sites. Since 2002, the number of general hospitals has fallen by 39% whereas the number of special clinics has remained almost stable (– 7%). However, in special clinics the number of beds has fallen the most over the same period (–18%) whereas the decline has been more limited in general hospitals (–11%).

2019

hospitals 281

beds 38 057


hospitalisation cases 1 472 758

hospitalisation rate (for 1000 inhabitants) 118.7

average length of stay in acute care (in days) 5.2

average daily cost of acute care (CHF) 2 303

Sources: FSO – KS, MS © FSO 2021

General hospitals and special clinicsNumber of hospitals


general hospitals special clinics


G35

0

50

100

150

200

250

2002 2004 2006 2008 2010 2012 2014 2016 2019

Hospital beds by type of establishmentNumber of beds


general hospitals, centralised caregeneral hospitals, basic carepsychiatric clinics

rehabilitation clinicsgeriatric clinicsother special clinics


G36

0

5 000

10 000

15 000

20 000

25 000

30 000

35 000

40 000

45 000

2002 2004 2006 2008 2010 2012 2014 2016 2019

In2019,hospitalpersonnelaccountedfor170 928fulltimeequivalentjobs.Thisis42%morethanin2002.Eightintenjobsareingeneralhospitals.71%ofjobsareheldbywomen,yetwomenarestillin the minority among doctors (49%). Nursing and social services staffmakeup42%offulltimeequivalentjobsanddoctorsmakeup15%offulltimeequivalentjobs.

Hospital personnel by function and sex, 2019In full-time equivalents


men women

General hospitals Special clinics

doctors

nursing and socialservices staffother medicaldepartments

administrative,housekeeping

and technical staff

G37

50 000 30 000 10 000 0

10263

47152

12724

25296

10870

8928

4925

14021

0 30 000 50 000

1

11868

1914

3352

1499

10 000

4049

883

4836

3477

30

4

In 2019, the average length of stay in acute care was 5.2 days. The average lengthof stay in psychiatric serviceswas six timeslonger (32.4 days). Since 2002, the average stay has continued to decrease. The average cost of a day’s hospitalisation increased during the same period. There has been a 88% increase in the cost of acute care. A day’s hospitalisation in acute care cost CHF 2303 on average in 2019.

Average length of stay in hospitalsIn days

break in series as of 2015: new definition and new data source

© FSO 2021Sources: FSO – Hospital Statistics (KS), Hospital Medical Statistics (MS) from 2015Quellen:

psychiatry rehabilitation/geriatrics acute care

G38

20190

10

20

30

40

50

60

2002 2004 2006 2008 2010 2012 2014 2016 2018

Average hospitalisation costsIn CHF per day and patient



psychiatryrehabilitation /geriatricsacute care

G39

0

500

1 000

1 500

2 000

2 500

2002 2004 2006 2008 2010 2012 2014 2016 2019

Hospitalisation cases by age, 2019Number of cases (thousands)

*N newborns


G40

70

60

50

40

30

20

10

0

10

20

30

40

50

60

70

0–4 10–14 20–24 30–34 40–44 50–54 60–64 70–74 80–84 90–94 *N 95+

stays associated with pregnancies and births

women

men

31

4

In 2019, the average length of stay in acute care was 5.2 days. The average lengthof stay in psychiatric serviceswas six timeslonger (32.4 days). Since 2002, the average stay has continued to decrease. The average cost of a day’s hospitalisation increased during the same period. There has been a 88% increase in the cost of acute care. A day’s hospitalisation in acute care cost CHF 2303 on average in 2019.

Average length of stay in hospitalsIn days

break in series as of 2015: new definition and new data source

© FSO 2021Sources: FSO – Hospital Statistics (KS), Hospital Medical Statistics (MS) from 2015Quellen:

psychiatry rehabilitation/geriatrics acute care

G38

20190

10

20

30

40

50

60

2002 2004 2006 2008 2010 2012 2014 2016 2018

Average hospitalisation costsIn CHF per day and patient



psychiatryrehabilitation /geriatricsacute care

G39

0

500

1 000

1 500

2 000

2 500

2002 2004 2006 2008 2010 2012 2014 2016 2019

Hospitalisation cases by age, 2019Number of cases (thousands)

*N newborns


G40

70

60

50

40

30

20

10

0

10

20

30

40

50

60

70

0–4 10–14 20–24 30–34 40–44 50–54 60–64 70–74 80–84 90–94 *N 95+

stays associated with pregnancies and births

women

men

In2019,thenumberofhospitalisationsroseto691 611formenand781 147forwomen.Excludingstaysassociatedwithpregnan-cies and births, the number of hospitalisations by men and women is very close. Up to the age of 75, the number of hospitalisations is generally greater among men than it is among women. After this age, this trend is reversed.

32

4

4.2 Nursing homes

The 1563 nursing homes for older people employed personnel equat-ing to 98 576 fulltime equivalent jobs in 2019. Nursing staff and facilitators make up 67% of this figure. Eight in ten fulltime equiva-lents (FTE) are filled by women. Persons aged 80 and over (women in 76% of cases) represent three quarters of residents who stayed in nursing homes in 2019.

2019

nursing homes 1 563

personnel, full-time equivalents 98 576

residents as at 31.12. 92 654 men 27 498 women 65 156

accommodation rate in nursing homes among personsaged≥80yearsasat31.12. 15.0%

average length of stay (in days) 881

average daily cost (CHF) 307

Source: FSO – Statistics on Medico-Social Institutions (SOMED) © FSO 2021

Nursing home personnel, by occupational group and gender, 2019In full-time equivalents

© FSO 2021Source: FSO – Statistics on Medico-Social Institutions (SOMED)

men women

doctors and other academic staff

nursing staffand facilitators

administrative staff

housekeeping, technicaland other services

G41

0

20 000

40 000

60 000

80 000

958915028915

56537

3506

18226

61 62

Population and Household Statistics (STATPOP)

Persons living in a nursing home, 2019

Number, for the entire year

© FSO 2021Sources: FSO – Statistics on Medico-Social Institutions (SOMED),

65–

69 y

ears

70–7

4 ye

ars

75–7

9 ye

ars

80–

84 y

ears

85–

89 y

ears

90–

94 y

ears

95+

year

s

men women

Share in total population, as at 31.12.

65–

69 y

ears

70–7

4 ye

ars

75–7

9 ye

ars

80–

84 y

ears

85–

89 y

ears

90–

94 y

ears

95+

year

s

G42

0

5 000

10 000

15 000

20 000

25 000

30 000

1839 35

90 7083

1338

8

1137

0

1854 31

57 4819 68

12 9020

6844

2706

0%

20%

40%

60%

80%

0.7

1.4 3.2 8.

2

19.1

35.8

53.8

0.7

1.3 2.4 5.0 11

.0

21.8

37.4

2252

0

2204

6

33

4

4.2 Nursing homes

The 1563 nursing homes for older people employed personnel equat-ing to 98 576 fulltime equivalent jobs in 2019. Nursing staff and facilitators make up 67% of this figure. Eight in ten fulltime equiva-lents (FTE) are filled by women. Persons aged 80 and over (women in 76% of cases) represent three quarters of residents who stayed in nursing homes in 2019.

2019

nursing homes 1 563

personnel, full-time equivalents 98 576

residents as at 31.12. 92 654 men 27 498 women 65 156

accommodation rate in nursing homes among personsaged≥80yearsasat31.12. 15.0%

average length of stay (in days) 881

average daily cost (CHF) 307

Source: FSO – Statistics on Medico-Social Institutions (SOMED) © FSO 2021

Nursing home personnel, by occupational group and gender, 2019In full-time equivalents


men women

doctors and other academic staff

nursing staffand facilitators

administrative staff

housekeeping, technicaland other services

G41

0

20 000

40 000

60 000

80 000

958915028915

56537

3506

18226

61 62

Population and Household Statistics (STATPOP)

Persons living in a nursing home, 2019

Number, for the entire year

© FSO 2021Sources: FSO – Statistics on Medico-Social Institutions (SOMED),

65–

69 y

ears

70–7

4 ye

ars

75–7

9 ye

ars

80–

84 y

ears

85–

89 y

ears

90–

94 y

ears

95+

year

s

men women

Share in total population, as at 31.12.

65–

69 y

ears

70–7

4 ye

ars

75–7

9 ye

ars

80–

84 y

ears

85–

89 y

ears

90–

94 y

ears

95+

year

s

G42

0

5 000

10 000

15 000

20 000

25 000

30 000

1839 35

90 7083

1338

8

1137

0

1854 31

57 4819 68

12 9020

6844

2706

0%

20%

40%

60%

80%

0.7

1.4 3.2 8.

2

19.1

35.8

53.8

0.7

1.3 2.4 5.0 11

.0

21.8

37.4

2252

0

2204

6

47% of older people in nursing homes stay there for less than one year. The proportion of older people staying in nursing homes for 5 yearsormoreis15%.Theaveragelengthofastayisalmosttwoanda half years (881 days). The per day cost was CHF 307 on average.

Length of stay in nursing homes, 2019

Men (N=13729)


< 1 year1–<2 years2–<3 years3–<4 years4–<5 years5–<6 years6+ years

Women ( N=23799)

Persons discharged from nursing homes, 2019 G43

55.5%

15.2%

9.8%

5.8%4.2%

2.6%6.9%

42.7%

13.9%

10.5%

8.1%

6.4%4.7%

13.7%

34

4

4.3 Home care services

In 2019, 77% of personnel in full-time equivalents in home care ser-vices were employed by non-profit enterprises. Jobs in home care services have increased by 58% since 2010.

Almost half (42%) of the persons who benefit from home care services are aged 80 years or over. Women – who have a longer life expectancy than men – are overrepresented in the older population. Within couples it is also more common that women assist their life partner than the other way round. These factors explain why women make use of home care services more often than men.

2019


clients 394 444 men 162 820 women 231 624

rateofrecoursetohomecareamongpersonsaged≥ 80 years 29.2%

average annual cost per client (CHF) 6 754

Source: FSO – Statistics on Home Care Services (SPITEX) © FSO 2021

Jobs in home care servicesIn full-time equivalents

survey modified in 2010 to include for-profit enterprises and self-employed nurses

© FSO 2021Source: FSO – Statistics on Home Care Services (SPITEX)

non-profit enterprisesfor-profit enterprisesself-employed nurses

G44

0

5 000

10 000

15 000

20 000

25 000

2002 2004 2006 2008 2010 2012 2014 2016 2019

Clients using home care services, 2019Number by service type and age


0–64years

65–79years

80+years

0–64years

65–79years

80+years

men women

care services domestic services

G45

0

20 000

40 000

60 000

80 000

100 000

5295

0

5099

5 8557

3

4627

4

5543

6

4850

2

4711

8

1956

3

2454

1

654

8

950

9

1669

2

35

4

4.3 Home care services

In 2019, 77% of personnel in full-time equivalents in home care ser-vices were employed by non-profit enterprises. Jobs in home care services have increased by 58% since 2010.

Almost half (42%) of the persons who benefit from home care services are aged 80 years or over. Women – who have a longer life expectancy than men – are overrepresented in the older population. Within couples it is also more common that women assist their life partner than the other way round. These factors explain why women make use of home care services more often than men.

2019


clients 394 444 men 162 820 women 231 624

rateofrecoursetohomecareamongpersonsaged≥ 80 years 29.2%

average annual cost per client (CHF) 6 754

Source: FSO – Statistics on Home Care Services (SPITEX) © FSO 2021

Jobs in home care servicesIn full-time equivalents

survey modified in 2010 to include for-profit enterprises and self-employed nurses


non-profit enterprisesfor-profit enterprisesself-employed nurses

G44

0

5 000

10 000

15 000

20 000

25 000

2002 2004 2006 2008 2010 2012 2014 2016 2019

Clients using home care services, 2019Number by service type and age


0–64years

65–79years

80+years

0–64years

65–79years

80+years

men women

care services domestic services

G45

0

20 000

40 000

60 000

80 000

100 00052

950

5099

5 8557

3

4627

4

5543

6

4850

2

4711

8

1956

3

2454

1

654

8

950

9

1669

2The share of persons receiving informal care from relatives for

care or daily tasks is greater than that of persons making use of home care services. Furthermore, 59% of persons who make use of home care services are also helped by relatives.

Recourse to informal assistanceand home care services, 2017

G46

Men


0%

10%

20%

30%

40%

50%

under 65years

65–74years

75–84years

85+years

1.0 2.7 6.

0

20.1

9.9

9.8

10.3

20.3

informal assistance home care services

Population aged 15 or over living in a private household,over a 1 year period

Women

under 65years

65–74years

75–84years

85+years

2.0 4.

5

12.3

28.2

13.9

15.0 19

.1

37.6

36

4

4.4 Doctors and dentists

40% of doctors working in doctors’ practices or outpatient centres in 2018 were general practitioners (specialist qualifications: general internal medicine and paediatrics, medical practitioner). The number ofdoctorsworkingintheambulatorysectorper100 000inhabitantsincreased from 205 in 2010 to 229 in 2019 (+12%).

doctors in doctors’ practices and outpatient centres1, in full-time equivalents (2018) 14 963

doctorsintheoutpatientsectorper100 000inhabitants(2019) 229

medical consultations (at least one)2 (2017) 81.2%

dentists3 (2019) 3 481

dentists3per100 000inhabitants(2019) 40

dental consultations, at least one2 (2017) 59.6%

1 withowninfrastructureandannualturnoverof>CHF30 0002 population aged 15 or over living in a private household3 private practice owners

Sources: FSO – MAS, SHS; FMH, SSO © FSO 2021

Activities of physicians in medical

G47

(N=14 963)

© FSO 2021

general medecine2

psychiatrygynaecology and obstetricsspecialised medicine without surgical activityspecialised medicine with surgical activityother specialist fieldother field of activitiy3

In full-time equivalents

3 main activity does not correspond to any postgraduate medical degree

Source: FSO – Structural data from medical practices and ambulatory centres (MAS)

1 medical practices and ambulatory centres with their own infrastructure and annual turnover of > CHF 30000

2 specialist titles: general internal medicine, paediatrician; general practitioner

practices1, 2018

40.6%

15.7%6.2%

9.2%

12.7%

5.6%10.0%

DoctorsIndex for the number of doctors per 100 000 inhabitants, 1990=100

1 up to 2007, doctors in private practice

© FSO 2021Source: FMH

G48

doctors(outpatient sector)1

doctors (total)

2019

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

2014

2016

2018

90

100

110

120

130

140

150

160

37

4

4.4 Doctors and dentists

40% of doctors working in doctors’ practices or outpatient centres in 2018 were general practitioners (specialist qualifications: general internal medicine and paediatrics, medical practitioner). The number ofdoctorsworkingintheambulatorysectorper100 000inhabitantsincreased from 205 in 2010 to 229 in 2019 (+12%).

doctors in doctors’ practices and outpatient centres1, in full-time equivalents (2018) 14 963

doctorsintheoutpatientsectorper100 000inhabitants(2019) 229

medical consultations (at least one)2 (2017) 81.2%

dentists3 (2019) 3 481

dentists3per100 000inhabitants(2019) 40

dental consultations, at least one2 (2017) 59.6%

1 withowninfrastructureandannualturnoverof>CHF30 0002 population aged 15 or over living in a private household3 private practice owners

Sources: FSO – MAS, SHS; FMH, SSO © FSO 2021

Activities of physicians in medical

G47

(N=14 963)

© FSO 2021

general medecine2

psychiatrygynaecology and obstetricsspecialised medicine without surgical activityspecialised medicine with surgical activityother specialist fieldother field of activitiy3

In full-time equivalents

3 main activity does not correspond to any postgraduate medical degree

Source: FSO – Structural data from medical practices and ambulatory centres (MAS)

1 medical practices and ambulatory centres with their own infrastructure and annual turnover of > CHF 30000

2 specialist titles: general internal medicine, paediatrician; general practitioner

practices1, 2018

40.6%

15.7%6.2%

9.2%

12.7%

5.6%10.0%

DoctorsIndex for the number of doctors per 100 000 inhabitants, 1990=100

1 up to 2007, doctors in private practice

© FSO 2021Source: FMH

G48

doctors(outpatient sector)1

doctors (total)

2019

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008

2010

2012

2014

2016

2018

90

100

110

120

130

140

150

160

81% of the population visit a doctor at least once a year (all medi-cal areas). Men aged between 25 and 44 years visit a doctor the most rarely (65%). 60% of the population go to the dentist at least once a year.

Doctors’ consultations, 2017G49


0%

20%

40%

60%

80%

100%

15–

24

25–

34

35–

44

45–

54

55–

64

65–

74

75+

79.4

77.8

75.1

79.1

82.5

88.8

93.3


years

0

1

2

3

4

5

6

15–

24

25–

34

35–

44

45–

54

55–

64

65–

74

75+

3.6 4.

3

4.0

4.2 4.7

4.6 5.

3

years

At least 1 consultationduring the last 12 months

Annual average number of consultations per inhabitant

38

5

Outpatient curative care including that provided in hospitals repre-sents over one quarter of health expenditure costs. Long-term care includes care for older people in nursing homes and home care. It generatesmorethanafifthofhealthexpenditurecosts,slightlymore than inpatient curative care.

2018

health expenditure (in CHF million) 80 242of which for outpatientcurativecare 20 753 longtermcare 16 374 inpatientcurativecare 15 548 medicalgoods 12 214

health expenditure in relation to the gross domestic product (GDP) 11.2%

Source: FSO – Statistics on health care costs and funding (COU) © FSO 2021

Health expenditure per inhabitant, 2018

Total: 785.–

In CHF per month

© FSO 2021Source: FSO – Statistics on health care costs and funding (COU)

outpatientcurative carelong-term care

inpatient curative caremedical goodsancillary servicesrehabilitative careadministrationprevention

G50

CHF 31.–4.0%

CHF 37.–4.8%

CHF 21.–2.6%

CHF 203.–25.9%

CHF 152.–19.4%

CHF 120.– 15.2%

CHF 160.–20.4%

CHF 61.–7.7%

G51


Health expenditure in relation to GDP

20180%

2%

4%

6%

8%

10%

12%

14%

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

8.6%10.2%

9.4%

11.2%

5 Costs and funding

39

5

Outpatient curative care including that provided in hospitals repre-sents over one quarter of health expenditure costs. Long-term care includes care for older people in nursing homes and home care. It generatesmorethanafifthofhealthexpenditurecosts,slightlymore than inpatient curative care.

2018

health expenditure (in CHF million) 80 242of which for outpatientcurativecare 20 753 longtermcare 16 374 inpatientcurativecare 15 548 medicalgoods 12 214

health expenditure in relation to the gross domestic product (GDP) 11.2%

Source: FSO – Statistics on health care costs and funding (COU) © FSO 2021

Health expenditure per inhabitant, 2018

Total: 785.–

In CHF per month


outpatientcurative carelong-term care

inpatient curative caremedical goodsancillary servicesrehabilitative careadministrationprevention

G50

CHF 31.–4.0%

CHF 37.–4.8%

CHF 21.–2.6%

CHF 203.–25.9%

CHF 152.–19.4%

CHF 120.– 15.2%

CHF 160.–20.4%

CHF 61.–7.7%

G51


Health expenditure in relation to GDP

20180%

2%

4%

6%

8%

10%

12%

14%

1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015

8.6%10.2%

9.4%

11.2%

The ratio between health expenditure and the gross domestic product (GDP) has increased by 2.6 percentage points since 1995, reaching 11.2% in 2018. This value places Switzerland in the group of European countries with the highest ratio.

Health expenditure in OECD countries, 2018Health expenditure in relation to GDP

© FSO 2021Sources: FSO – Statistics on health care costs and funding (COU); OECD – Health Statistics 2020

0% 5% 10% 15% 20%

USAGermany

FranceSwitzerland

SwedenCanada

BelgiumAustria

NorwayUnited Kingdom

The NetherlandsFinland

SpainItaly

IcelandIreland

16.911.5

11.311.2

10.910.8

10.310.3

10.010.010.0

6.9

9.09.0

8.78.5

G52

40

5

In 2018, households financed 63% of health expenditure. Man-datory health insurance premiums from households covered 31% of health expenditure. The government’s contribution to health expend-iture is 30%. Over 6 in every 10 francs of this public funding corre-spond to payments from the cantons and communes to hospitals, nursing homes and home care services.

Health expenditure funding by sourceIn CHF million


state, payments for services

state, payments for social security (including premium reductions, means-tested social benefits from 2008 onwards)

enterprises, social security contributionsprivate households, compulsory health insurance premiumsprivate households, supplementary health insurance premiums

private households, cost sharing compulsory and supplementaryhealth insurance premiums and out-of-pocket payments

private households: other funding

G53

0

10 000

20 000

30 000

40 000

50 000

60 000

70 000

80 000

90 000

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

41

AlcoholChronic hazardous drinking:≥ 4standardsizedglassesofanalcoholicdrink(e. g.abeer)perdayformen,≥ 2standardsizedglassesforwomen; binge drinking: ≥ 5 standardsized glasses on a singleoccasionformen;≥ 4standardsizedglassesonasingleoccasionfor women.

Deprivation of care for financial reasonsPersons who were deprived of a dental check-up or treatment or who did not consult a doctor or follow a treatment in the course of the twelve months prior to the survey due to financial reasons despite having really a need.

Educational levelCompulsory education: primary and lower secondary level education; upper secondary level : vocational and professional education and training programmes leading to a diploma or a federal proficiency certificate, general education programmes: academic Matura, upper-secondary specialised school ; tertiary level : universities and institutes of technology, universities of applied sciences, advanced professional education and training.

Functional limitationsEyesight : can read a book or a newspaper (or watch the TV), including with glasses; hearing: can follow a conversation involving at least two people, including with a hearing aid; locomotion: can walk alone unaided without stopping and without being in a lot of discomfort ; speech: speaking. Moderate limitation: yes, without a lot of difficulty (forlocomotion:morethanafewstepsbutlessthan200 metres) ;considerable or full limitation: yes, but with a great deal of difficulty, or no(justafewstepsorcannotmove).

Healthy life expectancyThe number of years that a person can expect to live in good health (from birth). Good health is defined by the fact that the persons interviewed rate their “general state of health” as (very) good. This indicator, which combines information on mortality and morbidity, is very sensitive to methodological differences.

HospitalisationHospital stay of at least 24 hours for examinations, treatments and care. Stays of less than 24 hours during which a bed is filled at night and hospital stays in the event of a transfer to another hospital or death are also considered as hospitalisations.

Glossary

42

IncidenceFrequency of new cases of an illness in a defined population and during a given period.

Infant mortalityNumber of deaths of children aged less than one year per 1000 live births.

Jobs in full-time equivalentsJobs in full-time equivalents are calculated by converting the volume ofworkintofulltimejobs.Theyarecalculatedbydividingthetotalnumber of hours worked by the annual average of hours worked in fulltimejobs.

Obesity and the overweightOverweight : BMI index between 25 and 29.9 ; obese:BMI≥ 30.The BMIindexiscalculatedby :weight(inkg)/bodyheightsquared(inm).

Persons with disabilitiesPersons with a long-standing health problem who say that they are limited (severely or slightly) in activities of daily living.

Physical activityTrained:≥ 3xanintensephysicalactivityperweek ;sufficiently active: 2xanintensephysicalactivityperweekor≥ 150minutesofmoderatephysical activity ; partially active: 1x an intense physical activity per week or 30 to 149 minutes of moderate physical activity ; inactive: physical activity below these thresholds.

Potential years of life lostThe premature mortality indicator refers to deaths before the age of 70.Itiscalculatedbyaddingupthetotaldifferencebetweenageat death and this theoretical age.

Premature birthsBefore the 37th completed week of pregnancy.

Risk of povertyPersons considered at risk of poverty are those who live in a house hold whose financial resources (excluding capital stock) are considerably lower than the usual income level in the country considered(< 60%ofthemedianequivaliseddisposableincome).

43

Standardised rateRecalculated rate assuming the population studied presents the age structure by population type. This enables comparison of mortality between populations and observation of its development over long periods, neutralising the differences due to age structure, for exam-ple, from the ageing of the population.

StillbirthsA child is referred to as stillborn if it does not show any sign of life atbirthanditweighsatleast500 gorifthegestationlastedatleast22 full weeks (24 weeks up to 31.12.2004).

Further informationwww.health-stat.admin.ch(with file providing data from the graphs)

https://www.bfs.admin.ch/bfs/en/home/statistics/health.html

2

Statisticscounts for you.

www.statistics-counts.ch

Online www.statistics.admin.ch

Print www.statistics.admin.ch Federal Statistical OfficeCH-2010 Neuchâ[email protected] tel. +41 58 463 60 60

FSO number 1543-2000

http://www.statistics-counts.ch



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