Skip to content
World Health Systems Facts

Healthcare Access and Quality Index 2019

Healthcare Access and Quality Index 2019: Overview

HAQ Index 2019: Results

HAQ Index 2019: Methodology

HAQ Index 2019: Limitations


“A small number of existing studies have compared countries using amenable mortality across the life course, although these only focus on a subset of countries and territories.15,22,32,40–42 Using amenable mortality, existing evidence suggests European countries improved health-care access and quality most for children and adolescents, with substantially bigger declines in amenable mortality estimated for these age groups as compared with older populations.15 Past studies on amenable mortality by age have engaged the debate about the possibility of convergence in mortality and life expectancy.38,43,44 Convergence in amenable mortality could be an indication of the diffusion of health-care technology (eg, pharmaceuticals and equipment) and know-how from health systems at the frontier of healthcare access and quality to those operating less effectively. Alternatively, wider trends in social and economic development might be more important drivers of improved health-care access and quality through improved ability to pay, investment in health, better education, and other factors.45–47

“This study extends previous research on the HAQ [Healthcare Access and Quality] Index and investigates health-care access and quality over the life course. Our research questions focused on: (1) how much does health-care access and quality differ across age, and (2) to what extent is there convergence or divergence in health-care access and quality over time by age? We address these questions by computing the HAQ Index separately for three select age groups: young (ages 0–14 years), working (ages 15–64 years), and post-working (65–74 years). We grouped populations on the basis of the Organisation for Economic Co-operation and Development (OECD) definition of working age population (15–64 years) and the age limit (75 years) beyond which deaths were not amenable to health care used by Nolte and McKee.25,26,48 With its expanded data inputs and methodological advances, the GBD [Global Burden of Disease] 2019 study enabled the improved estimation of the HAQ Index,5 allowing us to produce the HAQ Index for 204 countries and territories between 1990 and 2019 based on scaled MIRs [Mortality-to-Incidence Ratios] and RSDRs [Risk-Standardized Death Rates] for 32 causes of death that should not occur in the presence of timely, quality health care. We use the updated index to examine convergence stratified for each age group. For each age group, we considered: whether the HAQ Index grew faster in countries with lower 1990 scores; whether variation in the HAQ Index declined; and whether, between 1990 and 2019, average HAQ Index scores grew closer to scores in top-performing countries, as grouped by social and economic development. This manuscript was produced as part of the GBD Collaborator Network and in accordance with the GBD Protocol.49“

Source: GBD 2019 Healthcare Access and Quality Collaborators (2022). Assessing performance of the Healthcare Access and Quality Index, overall and by select age groups, for 204 countries and territories, 1990-2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet. Global health, 10(12), e1715–e1743. https://doi.org/10.1016/S2214-109X(22)00429-6


Health Systems Facts is a project of the Real Reporting Foundation. We provide reliable statistics and other data from authoritative sources regarding health systems in the US and sixteen other nations.


Page last updated March 24, 2023 by Doug McVay, Editor.

  • Home
  • About World Health Systems Facts
    • Contact Us
    • Join Our Email List
  • Breaking News & Opinion
  • Seventeen National Health Systems
    • Austria
    • Canada
    • Costa Rica
    • Czechia
    • Denmark
    • France
    • Germany
    • Hungary
    • Italy
    • Japan
    • Netherlands
    • South Korea
    • Spain
    • Sweden
    • Switzerland
    • United Kingdom
    • United States
  • Comparing National Health Systems
    • Healthcare Access and Quality Index
    • Sustainable Development Goals Health Index
    • Mirror Mirror 2021
    • World Health Report 2000
    • International Health Systems In Perspective
    • Lessons for US Health Reform
  • Aging
  • Coverage and Equitable Access
  • Health System Outcomes
  • Healthcare Spending
  • Healthcare Workforce
    • Healthcare Workers
    • Healthcare Workforce Education & Training
  • Information and Communication Technologies
  • Long-Term Services and Supports
  • People With Disabilities
  • Pharmaceutical Pricing and Regulation
  • Social Determinants & Health Equity
  • Best Practices
  • Wasteful Healthcare Spending
  • Various US Health System Proposals
    • Affordable Care Act
    • All Payer
    • Public Option
    • Single Payer / “Medicare For All”
    • Universal Health Coverage
  • Recommended Resources
  • Privacy Policy
    • Cookie Policy
  • Facebook
  • LinkedIn
  • Twitter

© 2019-2023 Real Reporting Foundation | Theme by WordPress Theme Detector

We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. By clicking “Accept”, you consent to the use of ALL the cookies.
.
Cookie SettingsAccept
Manage consent

Privacy Overview

This website uses cookies to improve your experience while you navigate through the website. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. We also use third-party cookies that help us analyze and understand how you use this website. These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience.
Necessary
Always Enabled
Necessary cookies are absolutely essential for the website to function properly. These cookies ensure basic functionalities and security features of the website, anonymously.
CookieDurationDescription
_GRECAPTCHA5 months 27 daysThis cookie is set by Google. In addition to certain standard Google cookies, reCAPTCHA sets a necessary cookie (_GRECAPTCHA) when executed for the purpose of providing its risk analysis.
cookielawinfo-checkbox-advertisement1 yearThe cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Advertisement".
cookielawinfo-checkbox-analytics11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Analytics".
cookielawinfo-checkbox-functional11 monthsThe cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional".
cookielawinfo-checkbox-necessary11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookies is used to store the user consent for the cookies in the category "Necessary".
cookielawinfo-checkbox-others11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other.
cookielawinfo-checkbox-performance11 monthsThis cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Performance".
viewed_cookie_policy11 monthsThe cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. It does not store any personal data.
Functional
Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features.
Performance
Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.
Analytics
Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc.
CookieDurationDescription
_ga2 yearsThis cookie is installed by Google Analytics. The cookie is used to calculate visitor, session, campaign data and keep track of site usage for the site's analytics report. The cookies store information anonymously and assign a randomly generated number to identify unique visitors.
_gat_UA-71314304-21 minuteThis is a pattern type cookie set by Google Analytics, where the pattern element on the name contains the unique identity number of the account or website it relates to. It appears to be a variation of the _gat cookie which is used to limit the amount of data recorded by Google on high traffic volume websites.
_gcl_au3 monthsThis cookie is used by Google Analytics to understand user interaction with the website.
_gid1 dayThis cookie is installed by Google Analytics. The cookie is used to store information of how visitors use a website and helps in creating an analytics report of how the website is doing. The data collected including the number visitors, the source where they have come from, and the pages visted in an anonymous form.
Advertisement
Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. These cookies track visitors across websites and collect information to provide customized ads.
CookieDurationDescription
IDE1 year 24 daysUsed by Google DoubleClick and stores information about how the user uses the website and any other advertisement before visiting the website. This is used to present users with ads that are relevant to them according to the user profile.
test_cookie15 minutesThis cookie is set by doubleclick.net. The purpose of the cookie is to determine if the user's browser supports cookies.
Others
Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet.
SAVE & ACCEPT
Powered by CookieYes Logo