Sunday, November 23rd, 2014

World Health Organization’s Ranking of the World’s Health Systems

49

Some people fancy all health care debates to be a case of Canadian Health Care vs. American. Not so. According to the World Health Organization’s ranking of the world’s health systems, neither Canada nor the USA ranks in the top 25.

Improving the Canadian Healthcare System does not mean we must emulate the American system, but it may mean that perhaps we can learn from countries that rank better than both Canada and the USA at keeping their citizens healthy.

World Health Organization Ranking; The World’s Health Systems
1 France
2 Italy
3 San Marino
4 Andorra
5 Malta
6 Singapore
7 Spain
8 Oman
9 Austria
10 Japan
11 Norway
12 Portugal
13 Monaco
14 Greece
15 Iceland
16 Luxembourg
17 Netherlands
18 United Kingdom
19 Ireland
20 Switzerland
21 Belgium
22 Colombia
23 Sweden
24 Cyprus
25 Germany
26 Saudi Arabia
27 United Arab Emirates
28 Israel
29 Morocco
30 Canada
31 Finland
32 Australia
33 Chile
34 Denmark
35 Dominica
36 Costa Rica
37 USA
38 Slovenia
39 Cuba
40 Brunei
41 New Zealand
42 Bahrain
43 Croatia
44 Qatar
45 Kuwait
46 Barbados
47 Thailand
48 Czech Republic
49 Malaysia
50 Poland
51 Dominican Republic
52 Tunisia
53 Jamaica
54 Venezuela
55 Albania
56 Seychelles
57 Paraguay
58 South Korea
59 Senegal
60 Philippines
61 Mexico
62 Slovakia
63 Egypt
64 Kazakhstan
65 Uruguay
66 Hungary
67 Trinidad and Tobago
68 Saint Lucia
69 Belize
70 Turkey
71 Nicaragua
72 Belarus
73 Lithuania
74 Saint Vincent and the Grenadines
75 Argentina
76 Sri Lanka
77 Estonia
78 Guatemala
79 Ukraine
80 Solomon Islands
81 Algeria
82 Palau
83 Jordan
84 Mauritius
85 Grenada
86 Antigua and Barbuda
87 Libya
88 Bangladesh
89 Macedonia
90 Bosnia-Herzegovina
91 Lebanon
92 Indonesia
93 Iran
94 Bahamas
95 Panama
96 Fiji
97 Benin
98 Nauru
99 Romania
100 Saint Kitts and Nevis
101 Moldova
102 Bulgaria
103 Iraq
104 Armenia
105 Latvia
106 Yugoslavia
107 Cook Islands
108 Syria
109 Azerbaijan
110 Suriname
111 Ecuador
112 India
113 Cape Verde
114 Georgia
115 El Salvador
116 Tonga
117 Uzbekistan
118 Comoros
119 Samoa
120 Yemen
121 Niue
122 Pakistan
123 Micronesia
124 Bhutan
125 Brazil
126 Bolivia
127 Vanuatu
128 Guyana
129 Peru
130 Russia
131 Honduras
132 Burkina Faso
133 Sao Tome and Principe
134 Sudan
135 Ghana
136 Tuvalu
137 Ivory Coast
138 Haiti
139 Gabon
140 Kenya
141 Marshall Islands
142 Kiribati
143 Burundi
144 China
145 Mongolia
146 Gambia
147 Maldives
148 Papua New Guinea
149 Uganda
150 Nepal
151 Kyrgystan
152 Togo
153 Turkmenistan
154 Tajikistan
155 Zimbabwe
156 Tanzania
157 Djibouti
158 Eritrea
159 Madagascar
160 Vietnam
161 Guinea
162 Mauritania
163 Mali
164 Cameroon
165 Laos
166 Congo
167 North Korea
168 Namibia
169 Botswana
170 Niger
171 Equatorial Guinea
172 Rwanda
173 Afghanistan
174 Cambodia
175 South Africa
176 Guinea-Bissau
177 Swaziland
178 Chad
179 Somalia
180 Ethiopia
181 Angola
182 Zambia
183 Lesotho
184 Mozambique
185 Malawi
186 Liberia
187 Nigeria
188 Democratic Republic of the Congo
189 Central African Republic
190 Myanmar

Source: World Health Organization

Comments

49 Responses to “World Health Organization’s Ranking of the World’s Health Systems”
  1. Blake Taylor says:

    France’s excellence in health care delivery is probably due to two major factors: 1) it is extraordinarily open and communicative with patients and families which reaps significant patient safety benefits; and 2) it has far more doctors per capita so physicians want patients and patients get a choice.

    • J Squared says:

      I lived in France and you can go to a pharmacist and be diagnosed for common ailments and walk out with an Rx in 15 mins. Bad ass!

    • Dr. Mobasheri says:

      French have a real Universal Healthcare System and unlike we Americans are not stupid to call it Socialistic Healthcare System. As much as military industrial complex for its own benefits unjustly frightened us from Socialism, Private Insurance Industry for same goal, with using same tactic an same word, frightening us from Universal Healthcare System, and as much as we were stupid in believing MIC bull shits, we are stupid in believing PII bull shits. Of course a corrupt and criminal party like Republican Party in harmony with a do nothing but talk too much, but as much corrupt party like Democratic Party helping them as much as they can, but main factor is our own absolute ignorance and stupidity.

      • Heather says:

        Universal health care is socialized medicine.

        • George says:

          And why exactly is that bad? Sorry, when the US is ranked so low, despite the highest health expenditure in the world, maybe you need to let go of ideology and actually look at some evidence.

          • Heather says:

            Under socialized medicine population health and minimizing public health care costs always trump what’s best for individual patients. It’s one thing for a person to voluntarily give up their freedom to a health care collective promising free health care for all. But it’s a whole different thing if that person or group of persons summons the power of government to forcibly remove the freedom of others.

        • Steve says:

          No true… these are just political terms… the question and debate is deeper than politics. notably, is healthcare a basic human “right” or a “privilege?” I’m an american living in France and can tell you the french system works because the french see healthcare as a human rights issue. Right or wrong, good or bad, this is the french mentality. This debate in the US will only be resolved when we can answer this question. Free market capitalism favors healthcare as privilege and its in the blood of every American (republican, democrat, etc.) Like it or not, this is who we are… This is how our society was built. The french see paying taxes to support their healthcare system as totally reasonable. Taxes are an anathema to almost every American.

    • andy1555 says:

      The World Health Organization said that Columbia has one of the worst health care systems in the world yet, they ranked them #22 because they had equal access to that terrible system. The USA was ranked number 1 in quality but was ranked #37 because quality only counts 10% toward the rating. Typical of liberal think.

  2. Paolla says:

    Do you have a source of this ranking? Thanks.

    • admin says:

      Paolla,
      This information is available on the World Health Organization’s website at http://www.who.int/whr/2000/en/
      The ranking is contained in Annex Table 10 available here http://www.who.int/whr/2000/annex/en/index.html

      • April says:

        Admin – This is not the source for the data you cite. On the “Annex 10 Table” Canada ranks 30th and the United States is 72nd. There are a variety of tables in the WHO report which rank the countries on different criteria, thus moving the order around. Which table are you citing here, as it is not the “Over All Performance” table. Thanks.

        • admin says:

          April,
          The citation is correct. Perhaps you read the table too quickly.

          • Adam says:

            Hi Admin,
            How the HELL is NZ behind America? NZ has GREAT healthcare. We don’t require insurance and we have free care paid for by taxes in emergency situations, or if you need an operation. The only drawback is the waiting time for surgeries but, beyond that, at least we don’t have to pay insurance companies a cent.

            America, on the other hand, are slaves to the healthcare system(although I’m looking forward to see what the ACA does).

            Looking forward to learning something new,
            - Adam

        • andy1555 says:

          The World Health Organization said that Columbia has one of the worst health care systems in the world yet, they ranked them #22 because they had equal access to that terrible system. The USA was ranked number 1 in quality but was ranked #37 because quality only counts 10% toward the rating. Typical of liberal think.

      • Lillian Gayhardt says:

        This is from the year 2000. Anything a little more ‘current’?

        • Klm says:

          Why? Has our system, or any other, changed much? ( dont say ours has, ACa isnt active yet.)

          • Taliashire says:

            Oh yes it is…..just wait until the employer mandate kicks in January 2015. Talk about all hell breaking loose. Then you will understand that the ACA has very little to do with health care.

  3. CARL REVINE says:

    Of course everyone thinks they are as or more important than the next guy. We are a fast food society which expects everything now, regardless of how hungry you are. As someone who has experienced both health care systems (the US and Canada) first hand I can tell you, the wait times are not much different. However, in the US if you have private insurance, you will be greeted with open arms like your checking into the Hyatt Regency. In Canada you are greeted with disdain and told to sit down. In the US the floors are shinny buffed with an expensive machine daily using some kind of toxic cleaner and wax. In Canada the floors are dull but clean having been cleaned with some environmentally safe cleaner but without the special polymer based coating. Canadians are mostly treated like cattle. The quality of health care is not much different depending on your condition. The US has centers of excellence which do advanced research and are well funded. In Canada there is advanced research on a much smaller scale. In the US if you don’t have insurance you avoid seeing the doctor unless your on your death bed, in Canada people fill Emergency rooms with relatively minor complaints, or you see you GP on a regular basis. The treatments in Canada are more standard and well tested and endorsed by Health Canada, even stricter then the FDA. As for the so called rationing, it’s not really rationing, it’s prioritizing based on the urgency for treatment, if it can wait it will while the resources are committed to the people who can’t wait. in the US resources are committed to the people who can pay others are directed to free clinics.

    • Wrabbit007 says:

      This is all true – but only for the wealthy Americans. I’ve been to free clinics, and they are nothing like what you describe here. In Canada, at least everyone has a fair and equal chance to seek treatment. You don’t have to be nobility or a lottery winner to get health care like you do in the U.S.

    • colin says:

      garbage- if they live just as long and have infinitely less money issues concerning healthcare costs.. then that makes us worse. WE all know should know whats so moronic about your points. Lets follow your logic and give some examples 1. Because in America we have wide roads, so we all have must have great cars. 2. Because there are more big house in America than most countries, then we all must have decent housing, 3. Since we have the most doctors, we all must have decent healthcare. 4. We have the biggest buildings then we must all be doing great. Weak argument 5. since we have the longest penises , the women in america have the best sex. ( sounds ignorant doesn’t it.) 6. Since we have more freedoms, then there must be less people breaking the laws and less people per capita in jail. 7. Since we have more people, we should have more tax revenue. 8. We believe in god, so therefore we must be right.

      • Heather says:

        When Canadian politicians and bureaucrats leave the country to seek medical care they go to the United States.

        • mary says:

          When politicians and bureaucrats in the USA seek medical care, they go to the best facilities and doctor’s available. One has to be a very wealthy Canadian to seek care in the USA. Those who have no health insurance in the USA go to ER when they are often in dire situation and would never get a knee replacement if needed. No one in Canada goes without health care.. Everyone gets what they need though elective requires wait.

          • Heather says:

            Mary,
            When Canadian politicians leave the country to access free market medicine they go to the USA. Many Canadian patients, who are not wealthy, are forced to leave Canada to access medical care in the USA. Everyone in Canada has government health insurance but not access to medical care. Right now close to 20,000 patients in Saskatchewan are being forced to wait on lists for medically necessary surgery.

  4. AndreaH says:

    This report was published in 2000 with source data from 1997, so the data is now 14 years old. I wonder when they will publish more current rankings and how/if they will differ?
    I had a look and see that there has been another World Health Report, published in 2010, but I did not find any world-wide rankings for health systems.

    • admin says:

      Andrea,
      Each of the WHO’s reports covers a specific subject. Their 2010 report is about the financing of health systems. Their next report will cover health research. I’m not sure if or when they will revisit health system performance but you’re right it would be interesting to see how current rankings would compare. Let me know if you come across any current studies or reports covering health system performance.

  5. BrunoM says:

    Well I say that I had bad experience in Canada or Ontario with the healthcare, it’s free but I have to say it’s not the best. I had to get stiches done and I had to wait for 13 hours to get myself treated by a doctor, and the nurses basically ignored me during that time and told me to sit down. And I basically waited for 13 hours by the doctor. Once I got thru the doctor, he was rude, same as the nurse that was standing by him. Well I got my sitches, but I had to pay for the medication and cruches. Finally I can’t find any family doctor, that I can go reguarly the once a year thing, or if I have some illness I can’t have a family doctor.

    Now I’ve been living in Brazil for 3 years now, and we have here two systems the private and public. Now I went thru both, the private I say was excellent no wait times nothing. Doctor treated me with respect and looked after me. Now for the public which people complained about it, well I had a biking accident nothing serious, but had to get also stiches. I was actuall closer to a public place than a private, so I went there. Didn’t have to have any ID just showed up, and as soon as I got there the nurse told me to go to the doctor’s office. I waited there for 2 minutes and the nurse showed up and looked at my knee, well he cleaned it up, and said the doctor will come and see you shortly, 10 minutes later the doctor showed up, and said well we have to give you anesthetic to your knee so we can remove all the small debrees in it, then also stich it up. Well he did it, and after stiching me up he bandaged my knee, and said to go to the other room to get a tetanus shot. He was really friendly, and told me some jokes. Finally on the other room the nurse showed up right away and gave me the shot. And told me to come back tommorow to change the bandage, and I went there for 7 days, to change it and after the 10th day they removed the stiches. I say I was impressed, and I don’t know why people complained about it, and I even told the doctor how it was in Canada, and he just chuckled. Well I know now where I can go and where I don’t have to spend a dime on medicines shots and doctors consultation.

    • admin says:

      Bruno,
      It’s interesting to note that Brazil has both a private and public health care system. Public health care, whether it’s in Canada or Brazil, is not free. At least in Brazil you can exercise your freedom of choice in health care and pay to access medical services in the private system. Thanks for sharing your experiences.

    • Klm says:

      Reverse comparisons, with the US being slow, inattentive and rude but Canada being prompt cheerful and efficient are easily found. This is why statistics matter.

  6. Carl says:

    this information is dead wrong… Brazil is on 125 place? How come? They have socialized universal health care and Brazilians never had any problem reaching for doctors or treatment of any kind without being charged for… USA should the on the very bottom of the list, since besides being awfully expensive, they have all the technology but no experience or touch.

    • Vanessa says:

      I am Brazilian and I have to say you people had great experiences with our health care that do not correspond to the true thing. Indeed we have a universal health care system that is amazing in theory, but does not work how it should.

  7. Becky says:

    This list is somewhat BS…….but aside from that….lol……I dont have healthcare, and I live in the U.S.A. …..I go to Canada…….I have healthcare!!!…….Any questions?……. Something is better than nothing at all!!!

  8. Sal G. says:

    Why is Taiwan NOT on this list ? I’ve been treated all over the world. Ok, Taiwan is not as good as France but better than USA and just as good as Japan.

  9. Taylor says:

    Taiwan is not a part of the United Nations. The W.H.O. (World Health Organization) only rated members of the U.N.

  10. jordanian says:

    if saudi arabia is better than jordan, y are all saudis coming to jordan when they can be treated in their country for free!!!!

  11. Shawn says:

    “Improving the Canadian Healthcare System does not mean we must emulate the American system” thank you for saying this. Canadians have a tendancy to obsessively make comparisons with the U.S., especially on the topic of healthcare. both systems have their flaws, no doubt, but what bothers mw the most about the Canadian system is that you have NO CHOICE in how you are treated. You only have what the government is offering, and it’s often mediocre at best. Canada is supposedly of free country, we have the freedom to purchase whatever house, car, etc we want, but we have NO CHOICE on how our health will be managed. This essentially means that the government owns our bodies and decides how we will be cared for, this is exactly how the soviet union healthcare system was managed. To my knowledge there are only 3 countries in the world where you have no private options of health care: Cuba, North Korea, and Canada!

  12. P.B.Staunton says:

    It is problematic that we are talking about the “Canadian Health Care” system, when in fact there is no such thing. With notable exceptions where health care pertains to First Nations treaty guarantees, the federal government has a very limited involvement in health care.

    I have lived in several provinces, and can tell you from experience that Ontario has, by far, the best system within Canada. Living in Saskatchewan, well, I frankly have more confidence in the health care system of Zambia, where I also lived for a time. It’s a weird mix of socialism (no second opinions!), Baptist morality (my wife was actually asked why she wanted a routine ultrasound and questioned upon what conditions she would terminate her pregnancy), incompetence (botched test results, nurses overriding medical procedures ordered by physicians), and negligence (Ativan is perfectly safe for the first trimester baby!).

    It’s unfair to everyone that Canada is clustered all together, when incompetent provinces drag those numbers down.

  13. George Hossfeld MD says:

    Evertime I hear this quoted- that the US is anything but number one in national healthcare systems- I have to wonder about the judgement of most people. WHO puts these tables together by asking each country to fill out the statistics and takes them as reported without any effort to confirm. Therefore, when Uzbakistan reports a lower infant mortality than the US, WHO accepts that. Never mind that what the US calls a low birth weight infant (subject to many complications and high mortality) most of the world calls a stillbirth. In other words, these tables are not just worthless, but they are dangerously wrong. As an emergency physician of 32 years, I have cared for thousands of international people who have come to my ED from the airport. They vote with their feet. I know of people going abroad to have elective procedures done cheaper than in the US- all that government regulation does add much to the cost after all- but I never have heard of anyone who went outside the US for better healthcare. When elected officials and monarchs worldwide need medical care, they come to the US. It is expensive being number one. The first in technology, pharmaceuticals, etc comes with a big price tag.
    When someone reads reports like the WHO put out, they must exercise a little common sense and ask a few questions rather than blindly accept ridiculous statements. Incidentally, this same rubbish was used to argue for a national healthcare reform that has become a shameful boondoggle.

    • Heather says:

      The objective of the World Health Organization, as stated in their constitution, is health for all. They will “…take all necessary action to attain the objective of the Organization.” Since 1948 they have been working to socialize medicine worldwide.

  14. Question from Europe says:

    I see that Canadian healthcare is on a relatively high position in the WHO ranking. I am interested if the healthcare system in Canada is founded only on a private basis or it is a social healthcare system. Are the doctors and hospitals merchants under the laws of Canada or they are a part of the state apparatus? Are the doctors state (civil) servants or they are private persons/merchants? My personal opinion is that it is not ethic to commercialise the healthcare and to transform the healthcare into commercial activity. According me the state has to guarantee optimal health services in favour to its citizens. I am from Eastern Europe (Bulgaria) where the healthcare is just a commerce and the life of the patients is not appreciated at all. The doctors and the hospitals in Bulgaria are commercial entities. Some of them are commercial entities with state (public) share but this cannot change the commercial essence. There is a big corruption in the healthcare of my country and the quality of the service is at the lowest point. Many people die because of lack of therapy or bad and incorrect therapy. So can you describe in brief is the healthcare of Canada commerce or it is in the state dominated public sector?

    • Heather says:

      Canada has universal health care which is socialized medicine. By way of legislation and regulations the government controls access to doctors and hospitals. Doctors are prohibited from setting their own prices and charging for medically necessary services. Patients are prohibited from paying doctors directly for medically necessary services. The government, as single-payer, decides the quantity and quality of medical services patients will receive. Certain individuals, groups and corporations are granted special privileges and benefits under socialized medicine.

      I believe that every individual should have the freedom to pursue their own health care interests. I believe that every individual should have the freedom to spend their own money on their own health care.

  15. Greg says:

    The WHO 2000 study is a hilarious piece of data construction. I like how part of their data comes from health surveys passed out to WHO employees. Something that any statistician knows can completely contaminate the data.

    People should really just stop using this study.

  16. Colleen says:

    The WHO report ranking health systems was widely criticized – and I believe even the WHO acknowledged it was flawed. The Wall Street Journal reported “Few people who cite the ranking are aware that some public-health officials were skeptical of the report from the outset. The ranking was faulted because it judges health-care systems for problems — cultural, behavioral, economic — that aren’t controlled by health care.” This is true.

    Both domestic and international evidence shows that parallel private systems cause longer wait times for patients in the public queue – because doctors have higher incentives to treat patients paying more in private clinics than the fees medical associations negotiate with public payers. Access to care in the private sector is based on ability to pay rather than need.

    Canada’s public system has challenges, especially in regard to non-hospital and non-physician services which are too costly for many people. And wait times for some services are too long. However a study in Alberta found that nearly 30% of the patients on wait lists for knee and hip replacements were no longer waiting – many had already had the surgery or had been able to address their problems with alternative treatments (eg., physiotherapy). The point here is that surgeons are not known to be good wait list managers. They have an obligation to refer patients who may want faster access to another surgeon but seldom do. And patients often don’t exercise the options available to them in the public system – for example, asking to see another surgeon.

    The wait list is a good issue to stir people’s sense of injustice but unfortunately the “solutions” identified by groups like the Fraser Institute and CIMCA lead us over a cliff. These are not “government wait lists” – they are the doctors’ wait lists.

    • Heather says:

      Access to medical care in the public system is not based on need. Which patients on surgical waiting lists don’t need surgery? Who decides need in the public health care system? Under a single-payer system the government controls the doctor/patient relationship. Politicians and bureaucrats decide how many surgeries will be performed annually, how many OR hours will be allocated to each doctors, etc. Waiting lists are wrong. Preventing people from paying for their own health care needs is wrong.

  17. Pam says:

    You are forgetting to list TAIWAN which has an excellent healthcare system, much better than most of the top 10 countries of your list. Or is it that out of ignorance you included in the Chinese’s system?

  18. Rogue Naturopath.com says:

    The rankings are more than just socialized vs non-socialized medicine. The type of medicine practiced has a huge factor into this. If people are not going to the doctor because they are in a state of wellness, then you are not burdening the system.

    Fact is, any health care system will work just fine if its funded appropriately. Socialized medicine comes down to how much the government allocates and how efficient they are. It could work just fine, however, most governments really don’t care about the citizen.

    Some of the countries which rank higher than the USA use different remedies to treat ailments and their perspective on health is much different. France, the largest consumer of homeopathy, ranks 1st. The Netherlands, where 45% of the practicing physicians believe in homeopathy, ranks 17th. Some of these places use natural therapies which work to strengthen and tonify the body rather than suppress symptoms.

    The philsophy of what disease is and how to treat it play a greater role in the ranking than whether or not socialized medicine is best. Also, the system in the USA would just fine if Big Pharma wasn’t involved and people were ethical.

Trackbacks

Check out what others are saying about this post...
  1. [...] licences to doctors who haven’t been trained in Canada puts patients at risk. Problem is, the World Health Organization ranks our health-care system 30th in the world, behind places like Colombia and Saudi Arabia. Also, if you’re sick and need a doctor, would you [...]

  2. [...] Cuba. Please provide your data that shows we have the best health care in the world. Here's mine: World Health Organization’s Ranking of the World’s Health Systems | thepatientfactor.com The 36 Best Healthcare Systems In The World – Business Insider Here's a part from that article [...]



Speak Your Mind

I have read, understood, and agree to the Terms of Service and Privacy Policy of The Patient Factor website, and I am posting this content in accordance with the terms and conditions set out in the Terms of Service. I accept full responsibility for any content I post, and hereby consent to the publication of this content and its disclosure to the public on The Patient Factor website.



webdesign by Linda Caroll Copyright © 2009 Chapman Communication Sitemap / Privacy / Terms of Use
Canadian Health Care; News, Views and Commentary