Abstract
In January 2019, a new Swiss Federal Act on Gambling (Loi federal de jeux d’argent: LJAr) entered into force following a vote by the Swiss electorate. Intended to modernize and harmonize previous law and open the market for online casinos; the new regulations have highlighted the need for a comprehensive monitoring system. The present article outlines work undertaken by experts within the field to identify and elaborate the first steps towards developing such a monitoring system. This work includes the mapping of institutional actors and draft conceptualization of an impact model, including structural (i.e., prevention and intervention-based components), process (means), and outcomes (effect) indicators. Initial estimations of effective access to indicators and their perceived priority for data gathering are also described. Subsequent steps necessary for implementation of this public health approach for gambling are considered including grey areas for future action.
Highlights
Excessive Gambling Center, Addiction Medicine, Lausanne University Hospital (CHUV), Faculty of Medicine, Institute of Global Health, Chemin de Mines 9, CH-1202 Geneva, Switzerland
The cantons set up a supervisory body for sports betting and lottery operators, known as The Lottery and Betting Board (Comlot), which carries out its duties independently from the existing body for Casino regulation; The Federal Gaming Commission
(2) drafting an impact model, which defines structural, process, and outcome indicators, in order to build the foundations for an effective monitoring system
Summary
Cheryl Dickson 1 , Emilien Jeannot 1,2 , Fabio Peduzzi 3 , Jean-Félix Savary 4 , Jean-Michel Costes 5 and Olivier Simon 1, *.
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