"Our analysis is subject to limitations beyond those already described. First, any limitations in GBD 2016 cause-of-death estimation are also applicable to this study.27 For GBD 2016, we aimed to better account for cause-of-death data quality by developing a metric for well-certified deaths and using this measure to inform GBD data standardisation and correction processes. Nonetheless, establishing and maintaining high-quality vital registration systems is essential to improved cause-of-death estimation. For instance, abrupt or prolonged conflict can lead to cause-of-death data gaps or lags in reporting; subsequently, HAQ Index performance might not yet fully capture the ramifications of conflict on health…
HAQ Index: Rankings
Healthcare Access and Quality Index: Performance on the HAQ Index and 32 individual causes, by country or territory, in 2016. Click on thumbnails to view pages as individual image files (jpg format) or click on the link below to view a PDF of the data. 1 2 3 4 5 6 Healthcare Access and Quality Index 2016 from The Lancet (pdf)Download Source: GBD 2016 Healthcare Access and Quality Collaborators. “Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016.” Lancet (London, England) vol.…
Healthcare Access and Quality Index: Results
"The HAQ Index performance followed distinct geographical patterns in 2016 (figure 1), with most countries in the highest decile clustered in Europe or nearby (ie, Iceland), and almost all countries in the lowest decile located in sub-Saharan Africa. Exceptions to this pattern included Canada, Japan, Australia, and New Zealand in the tenth decile, and Afghanistan in the first decile. More heterogeneity emerged among the next deciles of performance (eg, USA, UK, Malta, Lebanon, Singapore, and South Korea, in the ninth decile; Cuba, Chile, Saudi Arabia, and Russia, in the eighth decile). Most Latin American countries scored between the fourth and…
Healthcare Access and Quality Index: Overview
"Measuring health-care access and quality has become an increasingly important priority alongside its ascent in global health policy. In particular, the use of amenable mortality—deaths from causes that should not occur in the presence of effective medical care—to approximate national levels of personal health-care access and quality has gained greater traction.6–15 Amenable mortality metrics are thought to provide a strong signal of what can or should be addressed by the receipt of effective health care, and thus performance on overall personal health-care access and quality. Combining such measures with those capturing avertable or preventable health outcomes (ie, burden that can…
WHO World Health Report 2000: Rankings
WHO World Health Report Annex Table 10: Health System Performance in all Member States, WHO Indexes. Click on thumbnails to view pages as individual image files (jpg format) or click on the link below to view a PDF of the data. whr2000-annex-table-10-1Download 1 2 3 4
WHO World Health Report: Results
"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 report finds. The United Kingdom, which spends just six percent of GDP on health services, ranks 18 th . Several small countries – San Marino, Andorra, Malta and Singapore are rated close behind second- placed Italy."WHO Director-General Dr Gro Harlem Brundtland says: "The main message from this report is that the health and well- being of people around the world depend critically on the performance of the health systems that serve…
WHO World Health Report 2000: Overview and Defense
"Differentiation between attainment and efficiency in health systems is crucial. Every society should be concerned about attainment of standards of health, responsiveness, inequalities in both of these, and fairness in financial contribution. What explains variation in these five key outcomes is an important scientific issue. Table 9 in the World Health Report 2000,9 contained the best available evidence on attainment of these outcomes. But, what was the contribution of the health system to these outcomes? And how efficiently have resources invested in the health system been used? Figure 3 shows the theory of overall efficiency. Country A could have achieved…
WHO World Health Report: Overview
"To assess a health system, one must measure five things: the overall level of health; the distribution of health in the population; the overall level of responsiveness; the distribution of responsiveness; and the distribution of financial contribution. For each one, WHO has used existing sources or newly generated data to calculate measures of attainment for the countries where information could be obtained. These data were also used to estimate values when particular numbers were judged unreliable, and to estimate attainment and performance for all other Member States. Several of these measures are novel and are explained in detail in the…
Waiting Time and Choice of Provider In Sweden
"A free choice of primary care provider and freedom of establishment for accredited primary care providers is nationally mandated in Sweden. There is no formal gatekeeping role in most regions and patients are free to contact specialists directly. Furthermore, a health care guarantee act stipulates maximum waiting times for a range of services. This is intended to strengthen the patient’s position in accessing services. The act describes a ‘0–7–90–90’ rule, meaning same day contact with the health care system; seeing a GP within seven days; consulting a specialist within 90 days; and waiting for no more than 90 days after…
Number of Physicians and Hospital Beds in Sweden
"As shown in Figure 7, the number of physicians and nurses per population in Sweden is well above the EU average with 4.2 practicing doctors per 1 000 population (compared with an EU average of 3.6) and 11.1 practicing nurses per 1 000 population (compared with an EU average of 8.4). Most physicians (70%) have a recognised specialisation, and almost one-quarter of them are specialists in general medicine."Since 1990, Sweden has reduced the number of acute care hospital beds and the ratio per population is now the lowest of all EU countries, with only 2.3 acute care beds per 1…
