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[Self-help support, self-help groups and self-help friendliness in Switzerland-between subsidiary structure and
Lucia M Lanfranconi1, Fabian Berger2, Jürgen Stremlow3
1Hochschule Luzern - Soziale Arbeit, Werftestraße 1, 2945, 6002, Luzern, Schweiz. lucia.lanfranconi@hslu.ch.
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|November 21, 2018
Summary
The first national study on self-help in Switzerland reveals significant regional disparities in support and development. Enhanced national-level funding and a legal framework are crucial for equitable self-help group accessibility.
Area of Science:
- Social Policy
- Health Services Research
- Community Health
Background:
- The Swiss welfare state emphasizes federalism and subsidiarity, particularly in social and health policies.
- Self-help groups play a role within this decentralized system, but national-level support structures are underdeveloped.
Purpose of the Study:
- To conduct the first national study on the self-help system in Switzerland.
- To analyze the current landscape, support structures, and regional disparities of self-help groups.
Main Methods:
- Oral and online surveys with management personnel of Self-help Switzerland and regional centers.
- Quantitative-descriptive evaluation of Self-help Switzerland's database (over 2500 groups).
- Semi-structured interviews with 12 experts from the social and health system.
Main Results:
- Limited national-level support for the self-help system, with promotion primarily at the regional level.
- Significant regional differences in the dissemination, development, and cooperation of self-help groups.
- Disparities exist in the collaboration between self-help groups and professionals/institutions within the social and health system.
Conclusions:
- Self-help in Switzerland reflects its federalist and subsidiary culture, with a regionally based and locally financed landscape.
- There is a substantial need for national-level development, including a legal basis and increased funding for self-help support.
- Initiatives promoting "self-help friendliness" are necessary to address current disparities.
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