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Euro Health Consumer Index

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Euro Health Consumer Index (EHCI) is a comparison of European health care systems based on waiting times, results, and generosity. The information is presented as a graphic index. EHCI was produced 2005–2009 and 2012–2016 by Health Consumer Powerhouse. The 2014 ranking included 37 countries measured by 48 indicators. It claims to measure the "consumer friendliness" of healthcare systems. It does not claim to measure which European state has the best healthcare system, but it does produce specialist Indexes on Diabetes, Cardiac Care, HIV, Headache and Hepatitis.[1]

In 2006 France was the champion with 768 points out of 1000. In the 2015 results the same performance would have given the 13th position among 35 countries because of the widespread improvements in standards.[2]

While no bias in favour of any health system was alleged, the index was criticised in the British Medical Journal by Martin McKee and others from the European Observatory on Health Systems and Policies in February 2016. Points they made included:[3]

  • The index is constructed by scoring performance as good, intermediary or not-so-good, based on arbitrary cut-off points.
  • There is no logic in how many points are allocated to each indicator. 225 points are allocated to accessibility, but only 250 to health outcomes.
  • The indicators are a mix of trends over time and cross-sectional rankings.

A survey by the Centre for Population Change in 2019 produced results consistent with the index.[4]

Euro Health Consumer Index 2018

Euro Health Consumer Index 2018[5]
Country Overall ranking Total score Patient rights and
information score		 Accessibility
(waiting times for
treatment) score		 Outcomes
score		 Range and reach of
services score		 Prevention score Pharmaceuticals score
  Switzerland 1 893 113 225 278 99 95 83
 Netherlands 2 883 125 175 256 125 113 89
 Norway 3 857 125 138 278 120 119 78
 Denmark 4 855 121 175 267 120 95 78
 Belgium 5 849 104 213 244 115 101 72
 Finland 6 839 113 150 278 120 101 78
 Luxembourg 7 809 100 188 244 109 95 72
 Sweden 8 800 117 113 267 125 101 78
 Austria 9 799 108 175 244 104 89 78
 Iceland 10 797 121 188 222 104 107 56
 France 11 796 104 188 233 104 83 83
 Germany 12 785 104 163 244 83 101 89
 Portugal 13 754 108 163 222 94 89 78
 Czech Republic 14 731 108 175 211 104 71 61
 Estonia 15 729 121 188 189 94 77 61
 United Kingdom 16 728 117 100 211 109 113 78
 Slovakia 17 722 113 188 200 78 77 67
 Serbia 18 699 108 200 189 57 83 61
 Spain 19 698 96 113 222 94 101 72
 Italy 20 687 92 138 233 73 101 50
 Slovenia 21 678 88 125 222 94 77 72
 Ireland 22 669 83 75 244 94 89 83
 Montenegro 23 668 96 188 189 52 71 72
 Croatia 24 644 104 125 200 94 71 50
 North Macedonia 25 638 113 163 156 63 83 61
 Cyprus 26 635 83 150 200 63 83 56
 Malta 27 631 88 150 156 104 95 39
 Lithuania 28 622 104 163 167 73 71 44
 Greece 29 615 67 163 200 52 83 50
 Latvia 30 605 100 138 178 68 77 44
 Bulgaria 31 591 79 200 167 47 60 39
 Poland 32 585 79 138 167 57 89 56
 Hungary 33 565 79 113 156 78 95 44
 Romania 34 549 96 175 133 52 54 39
 Albania 35 544 67 175 156 42 71 33

Euro Health Consumer Index 2016

Euro Health Consumer Index 2016[6]
Country Overall ranking Total score Patient rights and
information score		 Accessibility
(waiting times for
treatment) score		 Outcomes
score		 Range and reach of
services score		 Prevention score Pharmaceuticals score
 Netherlands 1 927 122 200 288 125 107 86
  Switzerland 2 904 111 225 288 94 101 86
 Norway 3 865 125 138 288 115 119 81
 Belgium 4 860 104 225 250 109 95 76
 Iceland 5 854 115 163 288 115 113 62
 Luxembourg 6 851 101 200 263 104 107 76
 Germany 7 849 104 188 288 83 101 86
 Finland 8 842 108 150 288 115 101 81
 Denmark 9 827 111 150 275 115 95 81
 Austria 10 826 108 200 238 99 101 81
 France 11 815 90 188 263 94 95 86
 Sweden 12 786 104 100 275 125 101 81
 Czech Republic 13 780 87 213 238 104 77 62
 Portugal 14 763 108 150 250 78 101 76
 United Kingdom 15 761 108 100 250 109 113 81
 Slovenia 16 740 104 125 263 89 83 76
 Estonia 17 729 108 163 238 94 65 62
 Spain 18 709 87 113 238 94 107 71
 Croatia 19 703 108 175 188 104 71 57
 Macedonia 20 699 118 225 138 68 89 62
 Ireland 21 689 80 100 250 78 95 86
 Italy 22 682 83 138 225 78 101 57
 Slovakia 23 678 97 163 175 89 83 71
 Serbia 24 670 111 188 163 57 89 62
 Malta 25 666 80 163 188 94 95 48
 Cyprus 26 623 73 125 213 68 83 62
 Lithuania 27 620 97 175 163 68 65 52
 Greece 28 593 63 125 213 52 83 57
 Latvia 29 589 87 113 188 73 77 52
 Hungary 30 575 73 125 163 73 89 52
 Poland 31 564 66 100 188 63 95 52
 Albania 32 551 73 163 175 42 65 33
 Bulgaria 33 526 66 150 150 47 65 48
 Montenegro 34 518 63 113 175 57 77 33
 Romania 35 497 80 150 125 52 48 43

Euro Health Consumer Index 2015

Euro Health Consumer Index 2015[7]
Country Overall ranking Total score Patient rights and
information score		 Accessibility
(waiting times for
treatment) score		 Outcomes
score		 Range and reach of
services score		 Prevention score Pharmaceuticals score
 Netherlands 1 916 146 200 240 144 101 86
  Switzerland 2 894 133 225 240 119 101 76
 Norway 3 854 146 138 240 138 113 81
 Finland 4 845 129 150 229 144 107 86
 Belgium 5 836 117 225 198 131 89 76
 Luxembourg 6 832 121 200 219 125 101 67
 Germany 7 828 125 188 229 94 107 86
 Iceland 8 825 133 163 240 125 107 57
 Denmark 9 793 133 138 219 138 89 76
 Sweden 10 786 125 100 229 144 107 81
 France 11 775 113 188 208 106 89 71
 Austria 12 774 121 188 188 119 83 76
 Czech Republic 13 760 96 213 177 125 83 67
 United Kingdom 14 736 129 100 188 131 107 81
 Slovenia 15 710 121 125 208 106 83 67
 Croatia 16 707 129 175 156 119 65 62
 Estonia 17 706 129 163 188 106 54 67
 Macedonia 18 704 142 213 104 81 107 57
 Spain 19 695 104 113 198 113 101 67
 Portugal 20 691 96 113 188 94 89 62
 Ireland 21 685 96 100 208 94 101 86
 Italy 22 667 96 138 188 88 101 57
 Malta 23 663 92 163 135 125 101 48
 Slovakia 24 653 113 163 135 94 77 71
 Lithuania 25 628 125 175 135 75 65 52
 Cyprus 26 595 88 125 177 81 71 52
 Hungary 27 578 88 125 125 94 89 57
 Greece 28 577 75 125 167 69 89 52
 Latvia 29 567 104 113 146 75 77 52
 Serbia 30 554 104 138 125 69 71 48
 Bulgaria 31 530 75 150 125 56 71 52
 Romania 32 527 96 150 104 63 71 43
 Albania 33 524 88 163 125 50 65 33
 Poland 34 523 79 100 146 63 83 52
 Montenegro 35 484 75 113 135 56 71 33

Euro Health Consumer Index 2014

Euro Health Consumer Index 2014[8]
Country Overall ranking Total score Patient rights and
information score		 Accessibility
(waiting times for
treatment) score		 Outcomes
score		 Range and reach of
services score		 Prevention score Pharmaceuticals score
 Netherlands 1 898 146 188 240 150 89 86
  Switzerland 2 855 117 225 229 113 95 76
 Norway 3 851 142 138 240 144 107 81
 Finland 4 846 133 175 219 138 95 86
 Denmark 5 836 142 200 198 131 89 76
 Belgium 6 820 100 225 198 138 83 76
 Iceland 7 818 138 163 229 125 107 57
 Luxembourg 8 814 108 188 219 131 101 67
 Germany 9 812 121 188 229 94 95 86
 Austria 10 780 125 200 177 119 83 76
 France 11 763 117 175 198 113 89 71
 Sweden 12 761 117 88 219 150 107 81
 Portugal 13 722 133 163 188 94 83 62
 England 14 718 129 100 177 131 95 86
 Czech Republic 15 715 100 175 177 119 71 71
 Scotland 16 710 108 125 177 125 89 86
 Macedonia 16 700 138 213 104 94 95 57
 Estonia 17 677 121 150 177 119 54 57
 Spain 18 670 96 100 188 113 107 67
 Slovenia 19 668 96 113 198 106 89 67
 Slovakia 20 665 113 175 135 88 83 71
 Italy 21 648 104 138 167 88 95 57
 Ireland 22 644 83 88 198 100 89 86
 Croatia 23 640 104 163 156 100 60 57
 Cyprus 24 619 83 150 177 75 71 62
 Hungary 25 601 96 163 115 88 83 57
 Latvia 26 593 113 150 125 81 71 52
 Malta 27 582 88 125 115 113 95 48
 Greece 28 561 58 138 156 69 83 57
 Bulgaria 29 547 79 163 125 56 71 52
 Albania 30 545 92 200 104 50 65 33
 Poland 31 511 96 100 104 88 71 52
 Lithuania 32 510 104 100 225 81 48 52
 Serbia 33 473 83 113 83 69 77 48
 Montenegro 34 463 71 113 125 56 65 33
 Romania 35 453 83 100 83 63 71 52
 Bosnia and Herzegovina 36 420 54 75 115 69 60 48

References

  1. ^ "Outcomes in EHCI 2015" (PDF). Health Consumer Powerhouse. 26 January 2016. Archived from the original (PDF) on 6 June 2017. Retrieved 27 January 2016.
  2. ^ "EHCI: European healthcare steadily improving". News Medical.net. 28 January 2016. Retrieved 28 January 2016.
  3. ^ Cylus, Jonathan; Nolte, Ellen; Figueras, Josep; McKee, Martin (9 February 2016). "What, if anything, does the EuroHealth Consumer Index actually tell us?". BMJ. Retrieved 9 February 2016.
  4. ^ Worstall, Tim (22 March 2019). "NHS Not Much Cop Say Those Who've Tried Other Health Care Systems". Continental Telegraph. Retrieved 25 March 2019.
  5. ^ "Euro Health Consumer Index 2018" (PDF). Health Consumer Powerhouse. Retrieved 26 February 2019.
  6. ^ "Euro Health Consumer Index 2016" (PDF). Health Consumer Powerhouse. Archived from the original (PDF) on 14 October 2017. Retrieved 8 April 2017.
  7. ^ "Euro Health Consumer Index 2015" (PDF). Health Consumer Powerhouse. Archived from the original (PDF) on 6 June 2017. Retrieved 8 April 2017.
  8. ^ "Euro Health Consumer Index 2014" (PDF). Health Consumer Powerhouse. Archived from the original (PDF) on 24 February 2016. Retrieved 7 April 2017.
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