Saturday, October 1, 2011

Health Service Performance by Country

Jack Dikian
October 2011

In 2000 The World Health Organization carried an analysis of the world’s health systems using 5 performance indicators to measure health systems in 191 member states. 1

The five indicators:

  • Overall level of population health
  • Health inequalities or disparities within the population
  • Overall level of health system responsiveness
  • Distribution of responsiveness within the population
  • The distribution of the health system’s financial burden within the population

One key finding is that the impact of failures in health systems is most severe on the poor everywhere, who are driven deeper into poverty by lack of financial protection against ill- health. Also it seems that performance does not necessarily reflect the amount of money spent on health.

The U. S. health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance. The United Kingdom, which spends just six percent of gross domestic product on health services is ranked 18th.

1. The World Health Report 2000 – Health systems: Improving performance.
Published by the World Health Organization, Geneva, Switzerland
Price: 15 Swiss francs (10.50 Swiss francs in developing countries) 
ISBN 92 4 156198 X

The full report is available on www.who.int/whr

  1. France
  2. Italy
  3. San Marino
  4. Andorra
  5. Malta
  6. Singapore
  7. Spain
  8. Oman
  9. Austria
  10. Japan

32. Australia

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