{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:45:28Z","timestamp":1787028328142,"version":"build-2736575974"},"reference-count":26,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In January 2019, a new Swiss Federal Act on Gambling (Loi federal de jeux d\u2019argent: 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.<\/jats:p>","DOI":"10.3390\/ijerph18126575","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T11:19:20Z","timestamp":1624015160000},"page":"6575","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A New Swiss Federal Act on Gambling: From Missed Opportunities towards a Public Health Approach?"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0461-976X","authenticated-orcid":false,"given":"Cheryl","family":"Dickson","sequence":"first","affiliation":[{"name":"Excessive Gambling Center, Addiction Medicine, Lausanne University Hospital (CHUV), Avenue de Morges 10, CH-1004 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilien","family":"Jeannot","sequence":"additional","affiliation":[{"name":"Excessive Gambling Center, Addiction Medicine, Lausanne University Hospital (CHUV), Avenue de Morges 10, CH-1004 Lausanne, Switzerland"},{"name":"Faculty of Medicine, Institute of Global Health, Chemin de Mines 9, CH-1202 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Peduzzi","sequence":"additional","affiliation":[{"name":"Independent Researcher, MPH, CH-1023 Crissier, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-F\u00e9lix","family":"Savary","sequence":"additional","affiliation":[{"name":"Groupement Romande d\u2018\u00c9tudes des Addictions (GREA), CH-1002 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Costes","sequence":"additional","affiliation":[{"name":"Observatoire des Jeux, Minist\u00e8re des Finances, 120 rue de Bercy, CEDEX 12, 75572 Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Simon","sequence":"additional","affiliation":[{"name":"Excessive Gambling Center, Addiction Medicine, Lausanne University Hospital (CHUV), Avenue de Morges 10, CH-1004 Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1516","DOI":"10.1111\/add.13445","article-title":"The World of Gambling: The National Gambling Experiences Series: Editorial","volume":"111","author":"Hodgins","year":"2016","journal-title":"Addiction"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.puhe.2020.03.018","article-title":"Moving on from Responsible Gambling: A New Discourse Is Needed to Prevent and Minimise Harm from Gambling","volume":"184","author":"Livingstone","year":"2020","journal-title":"Public Health"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1111\/j.1360-0443.2008.02414.x","article-title":"A question of balance: Prioritizing public health responses to harm from gambling","volume":"104","author":"Adams","year":"2009","journal-title":"Addiction"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Bowden-Jones, H., Dickson, C., Dunand, C., and Simon, O. 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