Ticino Canton, Switzerland Potential Areas of Collaboration

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© Pixabay 2018 It coversanareaof2812km Ticino isoneofthe26cantonscountry. Located inthesouthernpartofSwitzerland, General overview Ticino Canton,Switzerland internal policiesandregulations tosomeextent. cantons havetheprivilege ofshapingtheirown As aconsequenceofSwiss federalprinciples,all country much lowerratesforTicino thanfortherestof perception andphysicalactivityindicatorsshowed was good,orverybutdataforhealth 74% ofthepopulationconsideredthattheirhealth Ticino –164.2;Switzerland –121.4) the greatestageingindexofallcantons(2016: in 2015–2016) 2016) isabovethenationalaverage(83.1years Life expectancyinTicino (83.8yearsin2015– region. the qualityofenvironmentandmobilityin the otherhand,thissituationnegativelyimpacts traffic alongtheEuropeannorth–southaxis.On and Italy, representingacrucialcorridorforroad geographic positionbetweentheSwissAlps or Romansh.Ticino benefitsfromitsstrategic the otherSwisscantonsitisFrench, German, where Italianistheofficiallanguage,whilein 350 000 inhabitants (4). (2), but,atthesametimeithas (1). Ticino istheonlycanton 2 andhasalmost (3). In2012, 2014) of thatallocatedintheOECD countries(2.8%in Switzerland (2.5%in2014) isbelowtheaverage to diseasepreventionand healthpromotionin the proportionoftotalhealth expenditureallocated Development (OECD)countries).Unfortunately, Organisation forEconomicCo-operationand compared toanaverageofUS$3735PPPin purchasing powerparity(PPP)inSwitzerland health expenditurepercapita(in2014,US$7096 insurance premiumsand,therefore,intotal trend alsoincludesasteadyincreaseinhealth- to healthcarecompared9.6%in2007.The allocated 11.6%ofitsgrossdomesticproduct costs continuetogrow:in2014,Switzerland Despite thiscompetition-basedmodel,health country. system isverywelldevelopedandpeculiartothe hand, withinthe26cantons.Switzerland’shealth delivering health-careserviceslies,ontheother Responsibility forfinancing,organizingand based oncompetitionamongthesecompanies. health-insurance companies,resultinginamarket health insurance.Thisiscoveredbyprivate whereby everyresidentisprovidedcompulsory Federal LawonCompulsoryHealthCare(LAMal) The healthsystemisregulatedbytheSwiss (5). Monte BreoverLugano Based on the national strategy against noncommunicable diseases adopted in 2016, the Ticino Canton has developed a health-promotion programme for 2017–2020, which includes programmes on nutrition, physical activity, tobacco and alcohol, as well as intersectoral projects related to migration, environment, mental health and sustainable mobility.

Strengths

The strengths of the Ticino Canton are: 99 long life expectancy; 99 high quality, accessible health services; 99 a high level of democracy and participation; 99 a low level of corruption; 99 social security; 99 environmental preservation.

Aspirations

Ticino Canton’s aims include the development of: 99 a strategy for and interventions on health promotion, 99 multisectoral approaches to developing slow mobility, focusing particularly on youth smoking, binge-drinking green urbanism and climate adaptation; and physical activity; 99 indicators on health status, health perception and healthy behaviour.

Challenges

The main challenges in the Ticino Canton are: 99 high expenditure for basic health insurance; 99 public health policy too much health-care-system 99 the presence of linguistic and cultural minorities; oriented; 99 the social and political tension associated with 99 the absence of an evaluation culture (policies/ increasing numbers of cross-border workers and measures taken); immigration; 99 poor intersectoral collaboration in public administration.

Ticino Canton, Switzerland Potential areas of collaboration

Ticino would be interesting in collaborating with other regions on: 99 promoting behavioural change in a life-course 99 adapting the environment and health strategy to perspective; include climate change; 99 developing gender- and culture-oriented health- 99 promoting health in small communities. promotion interventions;

Working groups

Ticino would be interested in participating in working groups on: 99 environment; 99 women’s/men’s health; 99 participatory approaches/resilience.

People active in Regions for Health Network (RHN)

Ottavio Beretta Data Analyst Health Promotion and Evaluation Office Bellinzona Email: [email protected]

Martine Bouvier Gallacchi Chief Medical Officer Health Promotion and Evaluation Office Bellinzona Email: [email protected]

Giorgio Merlani Chief Medical Health Officer of the Ticino Canton Bellinzona Email: [email protected]

Ticino Canton, Switzerland References

1. USTAT [website]. Giubiasco: Cantonal Statistical Office of Ticino; 2018 (http://www.ti.ch/USTAT, accessed 21 February 2018). 2. Vital Statistics, BEVNAT. Neuchâtel: Federal Statistical Office; 2016 (https://www3.ti.ch/DFE/DR/USTAT/allegati/tabella/ T_010302_29C.xlsx, accessed 21 February 2018). 3. Population and Households Statistics (STATPOP). Neuchâtel: Federal Statistical Office; 2016 (https://www3.ti.ch/DFE/ DR/USTAT/allegati/tabella/T_010202_25K.xlsl, accessed 21 February 2018). 4. Swiss Health Survey 2012. Neuchâtel: Federal Statistical Office; 2013 (https://www.bfs.admin.ch/bfs/en/home/ statistics/catalogues-databases/publications.assetdetail.349060.html, accessed 5 February 2018). 5. OECD Health Statistics 2017 [database]. Paris: Organisation for Economic Co-operation and Development; 2018 (http://www.oecd.org/health/health-data.htm, accessed 21 February 2018).

Ticino Canton, Switzerland