de fr en

«Every diagnosis is actionable.» – Reimbursement of paediatric exome sequencing

A qualitative expert interview study from Germany and Switzerland

Johanna Eichinger
Anne-Sylvie Dupont
Anne-Sylvie Dupont
Stuart McLennan
Isabel Filges
Insa Koné
Bernice Elger

Proposition de citation: Johanna Eichinger / Anne-Sylvie Dupont / Stuart McLennan / Isabel Filges / Insa Koné / Bernice Elger, «Every diagnosis is actionable.» – Reimbursement of paediatric exome sequencing, in : Jusletter 28 août 2023

In our qualitative study on ethical considerations in paediatric genome-wide sequencing, the frequently lacking reimbursement by health insurers and related legal aspects were described as a significant problem. Insufficient social insurance regulations and an inconsistent or overly narrow interpretation of existing regulations in Switzerland appeared as decisive reasons. This article presents the results of this aspect of the study, analyses the legal framework, and examines underlying ethical concepts.


Table des matières

  • 1. Background
  • 2. Methods
  • 3. Results
    • 3.1. The problem of strict and inconsistent reimbursement of exome sequencing by health insurers
    • 3.2. The consequences of strict and inconsistent reimbursement of exome sequencing by health insurers
      • 3.2.1. Inequality
      • 3.2.2. Delays in diagnostic process
      • 3.2.3. Regulations out of step with advances in diagnostic possibilities
    • 3.3. The importance of taking a broader interpretation of therapeutic and social consequences
  • 4. Discussion
  • 5. Conclusion
Veuillez vous connecter pour lire le texte complet.
S'inscrire pour Campus? En savoir plus
Login Poster
Lenz & Staehelin (Zürich)
Anwältin/Anwalt (Immaterialgüterrecht) Lenz & Staehelin (Zürich)
Kanton St. Gallen (Amt für Handelsregister und Notariate - Amtsnotariat St. Gallen)
Amtsnotar*in und Fachperson [...] Kanton St. Gallen (Amt für [...]
SingleCase GmbH
Executive Sales – Legal Tech (Switzerland) SingleCase GmbH
Domenig & Partner Rechtsanwälte AG
Rechtsanwältin / Rechtsanwalt für [...] Domenig & Partner Rechtsanwälte AG
Domenig & Partner Rechtsanwälte AG
Career Start als Rechtsanwältin / [...] Domenig & Partner Rechtsanwälte AG
BGPartner AG (Bern)
Anwältin | Anwalt 80-100% BGPartner AG (Bern)
EMMENEGGER RECHTSANWÄLTE
Rechtsanwältin / Rechtsanwalt 60-100% EMMENEGGER RECHTSANWÄLTE
Prof. Giger & Partner Rechtsanwälte
Rechtsanwältin / Rechtsanwalt Prof. Giger & Partner Rechtsanwälte
/dam/jcr:0ed7ae66-e1c1-4249-9dea-27540e12da8d/unisg.webp
St.Galler Gesellschaftsrechtstag
/dam/jcr:b4a83ede-c2b1-42e7-b80f-60c5778d8901/ufl_logo.svg
Doktoratsstudium Rechtswissenschafte[...]
/dam/jcr:48e078d1-06c6-4c49-81c7-3704e8d9abf9/Uni_StGallen_irph_logo.webp
CAS Prozessführung – Civil Litigation
/dam/jcr:83f09d58-4a62-41b1-9c9c-02abeb440d40
12. Weblaw Forum LegalTech - AI für [...] Weblaw Academy
/dam/jcr:274399e0-95f5-417e-8939-fe54d7fbfc49/Uni_Basel_Recht_aktuell_Neues_Logo.webp
Art & Law 2026
/dam/jcr:e5a71336-e322-478a-bc1e-ec7f5bf6021a/VUR_logo.svg
Tagung Naturgefahrenrecht im Klimawandel
/dam/jcr:83f09d58-4a62-41b1-9c9c-02abeb440d40
Online-Kurs: AI für die juristische [...] Weblaw Academy
/dam/jcr:d85df556-4302-43d6-aece-94d632ee9245/uni_li_logo.jpg
Intensivkurs „Strafrecht und [...]
/dam/jcr:2513d656-4f19-4079-ac7b-20994bb9e76e/uzh%20logo.webp
CAS Safety in Healthcare
/dam/jcr:8a7f3354-213a-43de-a59d-a7475e221373
Rechtssicher mit KI - Kompaktseminar [...] Begrenzte Plätze.
/dam/jcr:2e9579bd-bc09-4fea-a327-9cd7e3831be2/HSLU_Logo_DE_Schwarz.jpg
MAS Economic Crime Investigation
/dam/jcr:0ed7ae66-e1c1-4249-9dea-27540e12da8d/unisg.webp
St.Galler Arbeitsrechtstagung
/dam/jcr:d85df556-4302-43d6-aece-94d632ee9245/uni_li_logo.jpg
Executive Master of Laws (LL.M.) in [...]
/dam/jcr:c2a09a2e-ee26-4225-a6e7-2d9825723fad
CAS Compliance in Financial Services Institut für Rechtswissenschaft und [...]
/dam/jcr:48e078d1-06c6-4c49-81c7-3704e8d9abf9/Uni_StGallen_irph_logo.webp
CAS Haftpflicht- und Versicherungsrec[...]
/dam/jcr:d85df556-4302-43d6-aece-94d632ee9245/uni_li_logo.jpg
Executive Master of Laws (LL.M.) im [...]
/dam/jcr:035facb2-bbcb-4286-8a34-0499af8dbf1a/uni_freiburg_logo_final.PNG
19. Schweizerischer Datenschutzrechts[...]
/dam/jcr:274399e0-95f5-417e-8939-fe54d7fbfc49/Uni_Basel_Recht_aktuell_Neues_Logo.webp
Praxis im Baurecht
/dam/jcr:d85df556-4302-43d6-aece-94d632ee9245/uni_li_logo.jpg
Executive Master of Laws (LL.M.) im [...]
/dam/jcr:8b6df4d5-09f7-430b-ba5c-c0f8fa36cf22/Paulus_Schriftzug_positiv_CMYK.png
Tagung der Fachgruppe «Reform im [...]
/dam/jcr:2e9579bd-bc09-4fea-a327-9cd7e3831be2/HSLU_Logo_DE_Schwarz.jpg
MAS Information & Cyber Security
/dam/jcr:274399e0-95f5-417e-8939-fe54d7fbfc49/Uni_Basel_Recht_aktuell_Neues_Logo.webp
Gutachten im Strafprozess
/dam/jcr:274399e0-95f5-417e-8939-fe54d7fbfc49/Uni_Basel_Recht_aktuell_Neues_Logo.webp
Recht aktuell: Basler ZPO-Tag 2026
/dam/jcr:8a7f3354-213a-43de-a59d-a7475e221373
Rechtssicher mit KI - Kompaktsemina[...] Begrenzte Plätze.
/dam/jcr:274399e0-95f5-417e-8939-fe54d7fbfc49/Uni_Basel_Recht_aktuell_Neues_Logo.webp
Recht aktuell: 10. Basler Sozialversi[...]
/dam/jcr:2e9579bd-bc09-4fea-a327-9cd7e3831be2/HSLU_Logo_DE_Schwarz.jpg
CAS Data Protection & Technology