# What the figures measure

Helpore compared billed long term nursing hours with billed household and social support hours for all provider types in every canton. Each canton counts the hours of providers based there, not where the client lives. The period is 2019 to 2024, the latest 6 calendar years available in the federal table.

The nursing hours are long term care hours under the health insurance rules (Art. 7 KLV), including basic care such as help with washing and dressing, but not acute and transitional care after a hospital stay.

Nursing hours are paid from a health insurance contribution per hour, a client share capped by law and residual financing under cantonal rules (Art. 25a KVG); household and social support hours are billed to the client, and the statistics record subsidies separately.

The figures describe recorded Spitex services. They do not measure the full household help market, unmet need or why the two services changed.

The figures use the federal table’s cantonal boundaries of 1 January 2023. The map uses swisstopo’s 2026 boundaries.

* Publisher: Swiss Federal Statistical Office
* Table status: 11 November 2025
* Coverage: Switzerland and all 26 provider cantons, all provider types, all ages and all sexes
* Measure: Billed hours in long term care and household and social support services
* Map boundaries: swisstopo, edition 2026

Explore the source table at the Swiss Federal Statistical Office: https://www.pxweb.bfs.admin.ch/pxweb/de/px-x-1404040000_102/px-x-1404040000_102/px-x-1404040000_102.px/

Household and social support: https://dam-api.bfs.admin.ch/hub/api/dam/assets/36348675/master

The study text, the datasets we built and the charts we drew are under [CC BY 4.0](https://creativecommons.org/licenses/by/4.0/), so you may reuse them with attribution. The official source material stays under its own terms.

https://www.helpore.com/research/spitex-household-support-2026/source-ledger.json

© swisstopo. https://www.swisstopo.admin.ch/en/landscape-model-swissboundaries3d-update-20260101

https://www.swisstopo.admin.ch/de/nutzungsbedingungen-kostenlose-geodaten-und-geodienste