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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 2012-2015 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]

Whereas 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.
Euro Health Consumer Index 2014[4]
Country Overall ranking Patient rights and
information ranking		 Accessibility
(waiting times for
treatment) ranking		 Outcomes
ranking		 Range and reach of
services provided		 Prevention Pharmaceuticals
 Netherlands 1 1 7 1 1 13 1
  Switzerland 2 12 1 3 14 6 9
 Norway 3 22 22 1 3 1 7
 Finland 4 6 10 6 4 6 1
 Denmark 5 2 4 9 6 13 9
 Belgium 6 22 1 9 4 19 9
 Iceland 7 4 14 3 9 1 21
 Luxemburg 8 17 7 6 6 5 16
 Germany 9 10 7 3 21 6 1
 Austria 10 9 4 16 11 19 9
 France 11 12 10 9 14 13 13
 Sweden 12 12 35 6 1 1 7
 Portugal 13 6 14 14 21 19 19
 England 14 8 30 16 6 6 1
 Czech Republic 15 22 10 16 11 26 13
 Scotland 16 17 25 16 9 13 1
 Macedonia 17 4 3 33 21 6 21
 Estonia 18 10 19 16 11 36 21
 Spain 19 24 30 14 14 1 16
 Slovenia 20 24 27 9 18 13 16
 Slovakia 21 15 10 25 24 19 13
 Italy 22 19 22 22 24 6 21
 Ireland 23 30 35 9 19 13 1
 Croatia 24 19 14 23 19 34 21
 Cyprus 25 30 19 16 30 26 19
 Hungary 26 24 14 30 24 19 21
 Latvia 27 15 19 26 28 26 28
 Malta 28 29 25 30 14 6 33
 Greece 29 36 22 23 31 19 21
 Bulgaria 30 34 14 26 35 26 28
 Albania 31 28 4 33 37 32 36
 Poland 32 24 30 33 24 26 28
 Lithuania 33 19 30 26 28 37 28
 Serbia 34 30 27 36 31 25 33
 Montenegro 35 35 27 26 35 32 36
 Romania 36 30 30 36 34 26 28
 Bosnia and Herzegovina 37 37 37 30 31 34 33

References

  1. ^ "Outcomes in EHCI 2015" (PDF). Health Consumer Powerhouse. 26 January 2016. 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. ^ "Euro Health Consumer Index 2014". Health Consumer Powerhouse. Retrieved 31 January 2015.
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