Staatliche Governance-Kapazität für Nachhaltigkeit: Konzeptualisierung und Anwendung eines Messinstruments in Schweizer Kantonen

Regierungen und Verwaltungen richten ihr Handeln vermehrt auf Nachhaltigkeit aus. Doch wie erfolgreich sind sie dabei? Wir stellen ein Instrument zur Messung nachhaltigkeitsbezogener interner Governance-Kapazität vor. Die Anwendung auf Schweizer Kantone offenbart deutliche Kapazitätsunterschiede und zeigt Möglichkeiten zur Stärkung staatlicher Governance-Kapazität auf.Sustainability has become an important guiding principle that has not only found its way into numerous policies, but also into the “engine rooms” of governance. Governments and administrations have established diverse governance arrangements orienting state actions towards sustainability. How does this integration of sustainability into governmental and administrative activity succeed? This paper proposes an instrument for the measurement and comparison of sustainability-oriented internal governance capacity and operationalizes it in the context of Swiss cantons. The application of the measurement tool documents the diversity of governance arrangements and their different capacities. It shows where, and how, the sustainability governance of governments and administrations can be further strengthened.

Incidence of COVID-19 in patients treated with infliximab compared with patients treated with rituximab

ObjectiveTo determine whether patients with inflammatory autoimmune diseases treated with rituximab (RTX) have more severe forms of COVID-19 compared with patients treated with anticytokine therapies, such as Tumour Necrosis Factor (TNF) inhibitors.MethodsWe included all patients who were on either RTX or infliximab (IFX) in two Swiss cantons during the first wave of the COVID-19 pandemic. We collected self-reported symptoms compatible with COVID-19, PCR-confirmed diagnoses of COVID-19 and the evolution of COVID-19 infections. We computed the raw and propensity score-adjusted incidence of COVID-19 by treatment group.Results190 patients were enrolled, of whom 121 (64%) were in the RTX group and 69 (36%) were in the IFX group. Twenty-one patients (11%) reported symptoms compatible with COVID-19 (RTX: 10, IFX: 11, p=0.14). Among patients with COVID-19 symptoms, four developed severe forms of the disease, with life-threatening pulmonary manifestations requiring intensive mechanical ventilation (RTX: 4 of 10, IFX: 0 of 11, Fisher’s exact test p=0.04). The incidence rate of COVID-19 symptoms was 0.73 (95% CI 0.39 to 1.37) cases per 1000 patient-days on RTX vs 1.52 (95% CI 0.82 to 2.85) cases per 1000 patient-days on IFX (crude p=0.10, adjusted p=0.07). The incidence rate of severe COVID-19 was 0.28 (95% CI 0.08 to 0.7.2) cases per 1000 patient-days on RTX compared with null on IFX (95% CI 0.0 to 0.44) (p=0.13). A replication in an independent validation cohort confirmed these findings, with consistent results in the Swiss Clinical Quality Management registry.ConclusionWhile the incidence of symptoms compatible with COVID-19 was overall similar in patients receiving RTX or IFX, the incidence of severe COVID-19 tended to be higher in the RTX group.

Bureaucracies Under Judicial Control? Relational Discretion in the Implementation of Immigration Detention in Swiss Cantons

Based on interviews with bureaucrats and judges in several Swiss cantons, this article analyzes how bureaucrats decide to order immigration detention and how the judicial review shapes their decisions. The authors argue that discretionary decision-making regarding immigration detention is structured by the web of relationships in which decision-makers are embedded and affected by the practices of other street-level actors. The varying cantonal configurations result in heterogenous bureaucratic practices that affect the profiles and numbers of persons being detained. In particular, differences in judges’ interpretation of legal principles, as well as in their expectations, strongly affect bureaucratic decisions.

L'harmonisation des lois cantonales d'aide sociale - Une analyse des obligations internationales des droits humaines

The federal constitution gives the Swiss cantons a great deal of freedom to regulate their social welfare systems. There are still great differences in this area. People living in Switzerland, depending on their place of residence, do not all have access to the same benefits and therefore do not enjoy the same protection against poverty. This phenomenon has a significant impact on the enjoyment of human rights, which are the subject of international conventions ratified by Switzerland and which must be implemented throughout the country. In this context, this book examines whether these international guarantees require a harmonization of cantonal social welfare laws. In the light of the recent global pandemic of COVID-19, which does not stop at the cantonal borders and which severely affects the precarious populations of Switzerland, this question is very topical. The author responds to this question by demonstrating, according to several legal criteria, different concrete obligations of harmonization. This approach makes it possible to move towards a global response to a problem that affects and will affect in the future many individuals of the Swiss population, regardless of where they live: poverty. This doctoral thesis was defended on September 7, 2020 at the Faculty of Law of the University of Lausanne. The jury, composed of Professor Evelyne Schmid (thesis director), Professor Pascal Mahon, Professor Kurt Pärli, Professor Véronique Boillet and Professor Vincent Martenet, admitted this thesis with magna cum laude.

Reasons for not getting vaccinated against COVID-19 in German-speaking Switzerland: An online survey among vaccine hesitant 16-60 year olds

Background: Several research studies have examined the reasons why people are hesitant to be vaccinated against COVID-19. However, there is no published data to date on Switzerland. Identifying these reasons among the Swiss population who are vaccine hesitant may help inform campaigns to encourage vaccine confidence.Aims: The primary aim of this study is to identify the reasons for not getting vaccinated against COVID-19 among Swiss residents who are vaccine hesitant. The secondary aim is to examine whether reasons differ by age, gender, education, and likelihood of accepting a vaccination to better target campaigns and design interventions.Design: An online survey asked participants to indicate the reasons why they were hesitant to be vaccinated against COVID-19. Setting: German-speaking Swiss Cantons, the survey was administered online between 5 May 2021 and 16 May 2021.Participants: The participants in this analysis were a sample of (N=1191) Swiss residents age 16-60 years old from German-speaking Cantons, who could answer an online survey in German, who had yet not been vaccinated, who had not yet registered for a vaccination appointment, and who did not indicate that they would definitely be vaccinated if offered the chance.Findings: Among people who are vaccine hesitant in Switzerland, the most common reasons for being hesitant were side-effect, safety, and effectiveness concerns. It was also common for people to indicate that they were healthy/at low risk, would decide later, and that they wanted to build immunity naturally. Less common, but still prevalent concerns included wanting more information, thinking COVID-19 was not a real threat, and concerns that the vaccine may serve another purpose. Differences in reasons for being vaccine hesitant were found by age, gender, education, and likelihood of accepting a vaccination if offered.Conclusions: To increase the likelihood of accepting a vaccination, vaccination campaigns should address side-effect, safety, and effectiveness concerns. Campaigns could also consider informing people why it is necessary for people in lower risk groups to be vaccinated, and why vaccination is preferable to infection for building immunity. While campaigns may be effective in reaching some of the population, alternative strategies might be necessary to strengthen the trust relationship with vaccines and vaccine providers in some groups. Less prevalent concerns, such as not liking needles, could be addressed through individual level interventions.

Beyond the Rhetoric of Recognition or Separation: Two Swiss Cantons’ Attempts at Governing Religious Superdiversity

This text offers a careful description and sociological analysis of two legal innovations undertaken to govern religious diversity (in 2007 and 2019) in the neighboring Swiss cantons, Vaud and Geneva. Although the two cantons have very similar social and cultural conditions, they offer legally opposite solutions—one based on a notion of secularity implying separation, the other favoring recognition of religious diversity. The author argues that beyond an initial appreciation in terms of differences, the two cases are surprisingly similar in their logic of recognition, revealing a sense of deep suspicion towards religious diversity. Drawing on the concept of “recognition” as a multi-dimensional concept including legal, civic, and intimate/person levels and more importantly, on a Foucauldian perspective, this text concentrates on how control is involved at a practical level beyond the rhetoric of empowerment.

Intertemporal Labor Supply Substitution? Evidence from the Swiss Income Tax Holidays

This paper estimates intertemporal labor supply responses to two-year long income tax holidays staggered across Swiss cantons. Cantons shifted from an income tax system based on the previous two years’ income to a standard annual pay as you earn system, leaving two years of income untaxed. We find significant but quantitatively very small responses of wage earnings with an intertemporal elasticity of 0.025 overall. High wage income earners and especially the self-employed display larger responses with elasticities around 0.1 and 0.25, respectively, most likely driven by tax avoidance. We find no effects along the extensive margin at all. (JEL H24, H26, J22, J23, J31, R23)

On the road towards IPSAS with a maturity model: a Swiss case study

PurposeThe International Public Sector Accounting Standards (IPSAS) have driven the modernisation of public systems of financial information. The extent and pace of their implementation remain uneven. The goal of this study was to measure whether and how much governmental accounting standards converge towards IPSAS' true and fair approach.Design/methodology/approachThe empirical context of the 26 Swiss cantons was used to apply a simplified maturity model. Under two successive reforms (maturity stages), each canton's accounting standards was assessed and scored. The derived maturity levels indicate how close—or far—each canton has stood from a state of full IPSAS compliance (full maturity), at each stage of the process.FindingsAs Swiss cantons have a certain degree of autonomy in setting their own accounting standards, the evolving paths they followed when implementing IPSAS were heterogeneous. The maturity level attained by each canton within each stage thus varies. However, the results show that the two successive reforms had an overall favourable impact on Swiss cantonal accounting standards compliance with IPSAS, and fairly improved the faithfulness of reported financial information.Originality/valueThis research contributes to the international literature on public accounting standards and provides new insights for the assessment of convergence with IPSAS.