Table 4 Spending by disease, 2012 and 2017, percentage change 2012–2017 and share of aggregated health care services of spending by disease in 2017
Disease (GBD level 2/3) | Spending in m CHF | Change (%) | Spending shares (%) | Service share (%) of total disease spending in 2017 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
2012 | 2017 | 2012–2017 | 2012 | 2017 | outpatient | outpatient drugs | inpatient acute care | inpatient long-term care | other | |
Communicable diseases | ||||||||||
HIV/AIDS | 355 | 384 | 8.2 | 0.5 | 0.5 | 18.7 | 77.5 | 0.9 | 0.7 | 2.2 |
Hepatitis | 24 | 164 | 589.0 | 0.0 | 0.2 | 8.0 | 87.7 | 1.8 | 0.8 | 1.8 |
Other communicable diseases | 2626 | 3291 | 25.3 | 3.9 | 4.1 | 71.2 | 8.7 | 15.9 | 0.4 | 3.9 |
Maternal and neonatal disorders | 665 | 847 | 27.4 | 1.0 | 1.1 | 32.4 | 0.1 | 65.3 | 0.5 | 1.6 |
Nutritional deficiencies | 790 | 1311 | 66.0 | 1.2 | 1.6 | 33.5 | 12.4 | 25.4 | 25.9 | 2.7 |
Neoplasms | ||||||||||
Colon and rectum cancers | 346 | 549 | 58.6 | 0.5 | 0.7 | 29.2 | 15.8 | 52.2 | 0.7 | 2.1 |
Trachea, bronchus, and lung cancers | 397 | 734 | 84.6 | 0.6 | 0.9 | 17.6 | 49.9 | 29.3 | 1.2 | 2.0 |
Breast cancer | 586 | 742 | 26.5 | 0.9 | 0.9 | 38.8 | 28.9 | 28.1 | 2.0 | 2.2 |
Prostate cancer | 275 | 458 | 66.4 | 0.4 | 0.6 | 30.9 | 33.3 | 33.7 | 0.1 | 2.0 |
Other neoplasms | 2081 | 2676 | 28.6 | 3.1 | 3.4 | 18.9 | 16.2 | 62.6 | 0.6 | 1.8 |
Cardiovascular diseases | ||||||||||
Ischemic heart disease | 1100 | 1322 | 20.2 | 1.7 | 1.7 | 37.5 | 10.2 | 49.4 | 0.2 | 2.8 |
Stroke | 872 | 1277 | 46.5 | 1.3 | 1.6 | 8.8 | 1.3 | 79.1 | 7.8 | 3.0 |
Hypertensive heart disease | 52 | 51 | -1.3 | 0.1 | 0.1 | 27.6 | 45.7 | 23.5 | 0.2 | 3.0 |
Atrial fibrillation and flutter | 509 | 532 | 4.7 | 0.8 | 0.7 | 20.7 | 10.1 | 67.5 | 0.1 | 1.6 |
Other cardiovascular and circulatory diseases | 2708 | 2912 | 7.5 | 4.1 | 3.7 | 45.9 | 25.9 | 25.0 | 0.2 | 3.0 |
Chronic respiratory diseases | ||||||||||
COPD | 300 | 398 | 32.7 | 0.5 | 0.5 | 21.6 | 19.1 | 51.1 | 5.0 | 3.1 |
Asthma | 418 | 408 | -2.4 | 0.6 | 0.5 | 43.8 | 44.0 | 9.3 | 0.2 | 2.7 |
Other chronic respiratory diseases | 329 | 399 | 21.1 | 0.5 | 0.5 | 28.3 | 13.4 | 55.8 | 0.1 | 2.4 |
Digestive diseases | ||||||||||
Cirrhosis and other chronic liver diseases | 99 | 92 | -7.4 | 0.1 | 0.1 | 13.4 | 1.2 | 81.0 | 2.2 | 2.2 |
Other digestive diseases | 2611 | 3454 | 32.3 | 3.9 | 4.3 | 46.6 | 16.8 | 34.0 | 0.0 | 2.5 |
Neurological disorders | ||||||||||
Alzheimer’s disease and other dementias | 1543 | 2126 | 37.8 | 2.3 | 2.7 | 6.1 | 3.8 | 6.2 | 82.3 | 1.6 |
Parkinson’s disease | 1428 | 1243 | -12.9 | 2.1 | 1.6 | 8.1 | 8.1 | 5.8 | 76.2 | 1.7 |
Epilepsy | 1163 | 1196 | 2.8 | 1.7 | 1.5 | 33.1 | 15.8 | 11.5 | 36.0 | 3.5 |
Multiple sclerosis | 200 | 317 | 58.7 | 0.3 | 0.4 | 13.7 | 62.7 | 11.1 | 9.2 | 3.3 |
Other neurological disorders | 1907 | 1870 | -1.9 | 2.9 | 2.3 | 52.3 | 12.6 | 12.3 | 18.0 | 4.8 |
Mental disorders | ||||||||||
Schizophrenia | 600 | 568 | -5.2 | 0.9 | 0.7 | 5.5 | 6.0 | 60.7 | 23.6 | 4.2 |
Depression | 3145 | 3293 | 4.7 | 4.7 | 4.1 | 18.7 | 8.7 | 21.4 | 48.1 | 3.1 |
ADHD | 200 | 219 | 9.3 | 0.3 | 0.3 | 52.0 | 33.6 | 7.9 | 1.3 | 5.2 |
Alcohol and drug use disorders | 977 | 1067 | 9.1 | 1.5 | 1.3 | 3.6 | 1.5 | 42.4 | 36.1 | 16.5 |
Other mental disorders | 5812 | 6224 | 7.1 | 8.7 | 7.8 | 27.2 | 6.7 | 13.9 | 48.8 | 3.4 |
Diabetes and kidney diseases | ||||||||||
Diabetes mellitus | 682 | 1014 | 48.6 | 1.0 | 1.3 | 44.0 | 37.9 | 12.6 | 2.0 | 3.4 |
Chronic kidney disease | 437 | 646 | 47.6 | 0.7 | 0.8 | 75.0 | 8.1 | 10.7 | 0.0 | 6.2 |
Skin and subcutaneous diseases | 1279 | 1717 | 34.2 | 1.9 | 2.2 | 60.2 | 15.2 | 21.2 | 0.4 | 3.0 |
Sense organ diseases | 2508 | 3607 | 43.8 | 3.8 | 4.5 | 72.6 | 14.1 | 5.0 | 4.7 | 3.7 |
Musculoskeletal disorders | ||||||||||
Rheumatoid arthritis | 437 | 569 | 30.2 | 0.7 | 0.7 | 21.2 | 70.5 | 0.7 | 4.7 | 2.9 |
Osteoarthritis | 1233 | 1459 | 18.4 | 1.9 | 1.8 | 20.2 | 5.7 | 70.1 | 0.9 | 3.1 |
Low back pain | 282 | 420 | 48.9 | 0.4 | 0.5 | 61.7 | 4.9 | 26.2 | 2.6 | 4.6 |
Osteoporosis | 2317 | 2963 | 27.8 | 3.5 | 3.7 | 18.4 | 10.7 | 2.5 | 66.3 | 2.2 |
Other musculoskeletal disorders | 4227 | 5596 | 32.4 | 6.4 | 7.0 | 59.0 | 9.2 | 23.3 | 3.1 | 5.5 |
Oral disorders | 4414 | 4772 | 8.1 | 6.6 | 6.0 | 92.8 | 0.5 | 0.5 | 0.0 | 6.2 |
Other NCDs | ||||||||||
Congenital birth defects | 1851 | 1943 | 5.0 | 2.8 | 2.4 | 40.6 | 4.2 | 25.8 | 12.3 | 17.2 |
Other non-communicable diseases | 2867 | 3359 | 17.2 | 4.3 | 4.2 | 27.9 | 16.1 | 53.7 | 0.1 | 2.2 |
Injuries | ||||||||||
Road injuries - occupational | 40 | 57 | 42.1 | 0.1 | 0.1 | 35.6 | 1.4 | 53.2 | 0.1 | 9.7 |
Road injuries – non-occupational | 370 | 443 | 19.7 | 0.6 | 0.6 | 44.6 | 1.7 | 44.0 | 1.1 | 8.6 |
Other injuries – non-occupational | 544 | 612 | 12.4 | 0.8 | 0.8 | 54.3 | 3.0 | 33.9 | 0.5 | 8.2 |
Other injuries –occupational | 834 | 1016 | 21.8 | 1.3 | 1.3 | 52.9 | 2.4 | 36.4 | 0.6 | 7.8 |
Residual injuries | 4095 | 4553 | 11.2 | 6.2 | 5.7 | 16.7 | 0.4 | 46.2 | 32.9 | 3.9 |
Well care | 2278 | 2837 | 24.5 | 3.4 | 3.6 | 71.7 | 0.2 | 25.1 | 0.0 | 3.0 |
Prevention | 1700 | 1937 | 14.0 | 2.6 | 2.4 | 0.0 | 0.0 | 0.0 | 0.0 | 100.0 |