In brief, the three most important differences between public and private Spitex are:
Public as well as private Spitex organizations must have a cantonal operating license and a ZSR number for the billing of the health insurance funds. As a rule, the public Spitex organizations also have in addition, a service obligation with the canton or a community. This includes the coverage obligation that will be financially compensated by the public sector. Tied into that is the obligation to accept every order.
When it comes to the qualification of personnel, public and private Spitex organizations must both fulfill the same standards. For working conditions and wages, public Spitex organizations are oriented toward the personnel rights of the public sector. The vocational training obligations vary from one canton to another and apply to both the public as well as the private organizations.
The prices for care services are the same throughout Switzerland. For housekeeping and for social support services, there are differences for the public as well as the private Spitex organizations. These will be subsidized in part by the public sector.