Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png
Objectives<p>Despite compulsory universal health coverage, rising health insurance premiums in Geneva, Switzerland may present financial barriers to care. This study evaluates trends in forgoing healthcare for financial reasons from 2011 to 2025, with associations with insurance premiums, soci...
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2025
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| _version_ | 1849927623837220864 |
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| author | Mayssam Nehme (10232172) |
| author2 | Roxane Dumont (13236969) Harris Heritier (22686869) Julien Lamour (11581563) Shannon Mechoullam (22686872) David De Ridder (10039772) Idris Guessous (43509) |
| author2_role | author author author author author author |
| author_facet | Mayssam Nehme (10232172) Roxane Dumont (13236969) Harris Heritier (22686869) Julien Lamour (11581563) Shannon Mechoullam (22686872) David De Ridder (10039772) Idris Guessous (43509) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mayssam Nehme (10232172) Roxane Dumont (13236969) Harris Heritier (22686869) Julien Lamour (11581563) Shannon Mechoullam (22686872) David De Ridder (10039772) Idris Guessous (43509) |
| dc.date.none.fl_str_mv | 2025-11-26T06:01:13Z |
| dc.identifier.none.fl_str_mv | 10.3389/ijph.2025.1609027.s003 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/figure/Image_1_Forgoing_Healthcare_and_Insurance_Premiums_Trends_A_15-Year_Population-Based_Study_in_Geneva_Switzerland_png/30718082 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Public Health and Health Services not elsewhere classified epidemiology population-based cohort forgoing care insurance coverage socioeconomic determinants |
| dc.title.none.fl_str_mv | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| dc.type.none.fl_str_mv | Image Figure info:eu-repo/semantics/publishedVersion image |
| description | Objectives<p>Despite compulsory universal health coverage, rising health insurance premiums in Geneva, Switzerland may present financial barriers to care. This study evaluates trends in forgoing healthcare for financial reasons from 2011 to 2025, with associations with insurance premiums, socioeconomic and health-related factors.</p>Methods<p>We conducted an annual cross-sectional study with 1,000 randomly selected participants every year (2011–2025), (n = 10,169). The primary outcome was self-reported forgoing of healthcare for financial reasons. Temporal trends and associations with premiums were analyzed using Locally Estimated Scatterplot Smoothing LOESS regression. Logistic regression assessed associations with individual-level determinants.</p>Results<p>Overall, 18.1% reported forgoing care, increasing from 15.8% in 2011 to 25.8% in 2025 (+64.6%), corresponding to a 61.9% rise in premiums. Although low income remained a strong predictor (aOR 2.33 [1.76–3.09]), increases were also seen among higher-income groups. Strong correlations were found between premiums and forgoing care, especially in women (0.813) and young adults (0.805).</p>Conclusion<p>Additional reforms are needed to reduce growing inequities in access to care despite compulsory universal coverage.</p> |
| eu_rights_str_mv | openAccess |
| id | Manara_e448eae9fbd24dacf7501cb61ae8b68d |
| identifier_str_mv | 10.3389/ijph.2025.1609027.s003 |
| network_acronym_str | Manara |
| network_name_str | ManaraRepo |
| oai_identifier_str | oai:figshare.com:article/30718082 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.pngMayssam Nehme (10232172)Roxane Dumont (13236969)Harris Heritier (22686869)Julien Lamour (11581563)Shannon Mechoullam (22686872)David De Ridder (10039772)Idris Guessous (43509)Public Health and Health Services not elsewhere classifiedepidemiologypopulation-based cohortforgoing careinsurance coveragesocioeconomic determinantsObjectives<p>Despite compulsory universal health coverage, rising health insurance premiums in Geneva, Switzerland may present financial barriers to care. This study evaluates trends in forgoing healthcare for financial reasons from 2011 to 2025, with associations with insurance premiums, socioeconomic and health-related factors.</p>Methods<p>We conducted an annual cross-sectional study with 1,000 randomly selected participants every year (2011–2025), (n = 10,169). The primary outcome was self-reported forgoing of healthcare for financial reasons. Temporal trends and associations with premiums were analyzed using Locally Estimated Scatterplot Smoothing LOESS regression. Logistic regression assessed associations with individual-level determinants.</p>Results<p>Overall, 18.1% reported forgoing care, increasing from 15.8% in 2011 to 25.8% in 2025 (+64.6%), corresponding to a 61.9% rise in premiums. Although low income remained a strong predictor (aOR 2.33 [1.76–3.09]), increases were also seen among higher-income groups. Strong correlations were found between premiums and forgoing care, especially in women (0.813) and young adults (0.805).</p>Conclusion<p>Additional reforms are needed to reduce growing inequities in access to care despite compulsory universal coverage.</p>2025-11-26T06:01:13ZImageFigureinfo:eu-repo/semantics/publishedVersionimage10.3389/ijph.2025.1609027.s003https://figshare.com/articles/figure/Image_1_Forgoing_Healthcare_and_Insurance_Premiums_Trends_A_15-Year_Population-Based_Study_in_Geneva_Switzerland_png/30718082CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307180822025-11-26T06:01:13Z |
| spellingShingle | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png Mayssam Nehme (10232172) Public Health and Health Services not elsewhere classified epidemiology population-based cohort forgoing care insurance coverage socioeconomic determinants |
| status_str | publishedVersion |
| title | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| title_full | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| title_fullStr | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| title_full_unstemmed | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| title_short | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| title_sort | Image 1_Forgoing Healthcare and Insurance Premiums Trends: A 15-Year Population-Based Study in Geneva, Switzerland.png |
| topic | Public Health and Health Services not elsewhere classified epidemiology population-based cohort forgoing care insurance coverage socioeconomic determinants |