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HEALTH

MAPS: Where do Switzerland’s heaviest drinkers and smokers live?

New figures show which parts of Switzerland indulge and overindulge the most.

MAPS: Where do Switzerland's heaviest drinkers and smokers live?
Swiss football supporters at Euro 2016. Photo: ROMAIN LAFABREGUE / AFP

A new study by the Swiss Health Observatory has shown which parts of Switzerland consume the most illicit substances – from alcohol to cannabis – while also giving a snapshot as to where residents need to tighten their belts. 

While the actual tipple might differ – aperitivo in Ticino, wine in Romandy and beer pretty much everywhere else – the Swiss do love a drink. 

Just over one in ten (10.9 percent) consume alcohol at least once per day in Switzerland – just half of the 20.4 percent who drank daily in 1992. 

While men drink more than women all across the country, the amount consumed per capita varies widely depending on the canton in question. 

The same goes for cannabis. While not legal in Switzerland, it is still widely used. In fact, a poll by the World Health Organisation showed that more teenagers smoked in Switzerland than in any other European country, with 27 percent of 15 year olds having smoked at least once.

READ: Switzerland green lights recreational marijuana trial 

Ticino is the place to drink

Ticino is home to the heaviest drinkers in Switzerland, with more than 20 percent enjoying a drink daily. Ticino is followed by Jura and Geneva in terms of daily consumption. 

In Obwalden, only five percent of the population drinks daily – the lowest of anywhere in Switzerland. 

Geneva does however boast the most teetotallers, with 21 percent of Geneva not drinking at all. 

Image: Swiss Health Observatory 2020

Foreigners more likely to abstain

The research also showed that foreigners are the least likely to drink alcohol, with almost one in three (28 percent) not drinking at all, compared with 14.9 percent of native-born Swiss. 

The unemployed were also much more likely to drink, with 17.4 percent of those without a job drinking once per day – compared to eight percent of employed persons. 

Appenzeller Ausserrhoder the greenest of them all

The small eastern canton of Appenzeller Ausserrhoder takes the space cake when it comes to cannabis consumption – with 5.6 percent smoking it at least once per month. 

Next is Vaud (5.6 percent), Geneva (5.2), Zurich (5.2) and Neuchatel (5). 

The national average in Switzerland is four percent of the population smoking weed at least once per month. 

Argau consumes the least, with 1.7 percent of residents using marijuana monthly, followed by Obwalden. 

Residents of Ticino clearly prefer alcohol, with only 2.1 percent smoking cannabis on a monthly basis. 

Image: Swiss Health Observatory 2020

Where do the biggest victims of cheese and chocolate live? 

The study also broke down Switzerland’s obesity problem to see which cantons were the chubbiest. 

While the alcohol and cannabis figures showed a wide variation, it was not the case in relation to obesity – with the cantonal averages broadly reflective of the national averages. 

An average of 41.9 percent of adults are overweight in Switzerland – up from 30.4 percent in 1992. Men (51 percent) are significantly more likely to be obese than women (33 percent). 

Aargau is the most obese canton, with 45.8 percent of the population overweight. Jura (45.3) and Thurgau (44.7) follow closely behind. 

Zurich might be the most populous canton, but it’s the lightest – with only 38.6 percent of the population overweight. Obwalden, Vaud, Geneva, Grisons, Uri and Ticino are all below the national average. 

Foreigners tend to be a little heavier than Swiss locals, with 46.7 percent overweight compared to 40.4 of Swiss. 

Image: Swiss Health Observatory

Note: This information was published in June 2020 by the Swiss Health Observatory based on figures collected from 2017. 

 

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HEALTH

How difficult is it to change your doctor in Switzerland?

If you already have a GP doctor in Switzerland but, for some reason, need or want to switch, how easy is it to do so?

How difficult is it to change your doctor in Switzerland?

There are a number of reasons why you may want to leave your GP and find a new one.

Maybe you don’t like their bedside manner, are not happy with the medical care, or are simply moving away and need to find someone closer to your new home.

Whatever the reason, whether or not you can easily switch from one doctor to another depends on the kind of health insurance you have.

Different models, different rights

If you have the ‘standard’ — and typically the most expensive — type of the obligatory health insurance (KVG / LaMal), then you are free to switch your GPs at will, and you don’t have to inform the insurance carrier of the switch.

However, if you have opted for one of the cheaper insurance models, then your right to switch doctors may be limited:

Family doctor model’

It is the most popular in Switzerland (and 20 percent cheaper than standard insurance policy premiums).

Under this model, you have a family doctor who will manage your care — that is, treat you or send you to specialists if needed (with the exception of gynecologists and eye doctors, who don’t require a referral).

You can’t, however, change doctors at will, unless your insurance company approves the switch.

Telemedicine model

If you have opted for the Telemed formula, you must call a health hotline set up by your insurance company.

They will give you a referral to a doctor or hospital based on your symptoms.
 
Heath Maintainance Organisation (HMO)

Under this model, policyholders are required to consult a particular HMO practice. Two disadvantages of this alternative is a limited choice of doctors and you also need a referral to see a specialist.

So the only option that gives you the right to switch doctors with no hassle is the standard one, with the family doctor model also possibly allowing you to do so, under certain circumstances.

The way Telmed and HMO are set up, however, switching doctors is not possible. If that option is important to you, then you will have to switch to the (more expensive) standard insurance.

The only exception to the above restrictions are emergencies, when you need urgent medical treatment.

Assuming you have the standard model, how do you go about changing?

The process is pretty simple: you can find physicians in your area either through recommendations from people you know (which is the best way to ensure you will not be getting an ‘anonymous’ doctor) or, if no recommendations are available, then through the OneDoc platform, which lists which doctors are taking new patients and where.

You can then make an appointment directly online.

When you do so, ask your current physician’s office to transfer your file to the new doc.

You don’t need to explain the reasons for the switch.
 
READ ALSO: The essential Swiss websites you need to use for health matters 
 

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