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Jean-Claude R. Givel, MD, FACS, FRCS; Felix H. Harder, MD, FACS

Arch Surg. 1999;134:1400-1403.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Switzerland is a truly federal nation. This means that important sectors, such as health care, teaching, and the police, are controlled mainly at the level of the 26 cantons, independently and in their own specific fashions. These divisions make the development of very large centers extremely difficult, whereas they do offer an excellent basic surgical service within small communities. To appreciate this particular setup, one has to realize that Switzerland is characterized by its small size (population of 7 million), hosting 2 main cultural backgrounds, Germanic and Latin, and 4 national languages (German, French, Italian, and Romansch). Switzerland has only 5 faculties of medicine in the Universities of Basel, Bern, Geneva, Lausanne, and Zurich, still a large number for 7 million people. The public health sector (around 50% of the hospital bed capacity of the country) is divided into . . . [Full Text of this Article]

HISTORICAL BACKGROUND

TRAINING: UNDERGRADUATE AND POSTGRADUATE

RESEARCH

SURGERY IN THE SWISS HEALTH CARE SYSTEM

PROFESSIONAL POLITICS

CONCLUSIONS

From the Service de Chirurgie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland (Dr Givel), and the Department Chirurgie, Kantonsspital, Basel, Switzerland (Dr Harder).

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