EHCI: Which country is the best when it comes to healthcare?

Due to the financial crisis of 2008-2013, measures in healthcare were getting more strict, and costs were cut all over. Nevertheless, European Healthcare keeps producing better results. Survival rates of several diseases such as heart disease, stroke and cancer, are all increasing. Another thing that is increasing every year is the average age and life expectancy. This all despite of the fact that there are more and more worsening lifestyle factors, such as obesity, junk food consumption and less movement. The Health Consumer Powerhouse is doing research about the European Healthcare every year. They measure 35 countries on several points and give them a score. The end result in set into an index, called the Euro Health Consumer Index, or EHCI. In this article the results of 2018 will come across. Not all of the 35 countries will be discussed.

The last few years, the Netherlands has been the best when it comes to their healthcare system. With scores from 924/1000 the Netherlands was doing a great job every year. This year there is a new winner, Switzerland. The reason for this is that two indicators were changed. Because of these changes, the Netherlands scored 883 points in 2018. Switzerland scored 893 points. Spain is 19thin the list. They had a score of 698 points. In the picture below you can see the outcomes of the Index in colours, where green means a good outcome and red means a bad outcome.

Source: EHCI

Switzerland has enjoyed a solid reputation for excellence in healthcare for a long time. They put a lot of money in healthcare, so the outcome should be excellent.

The Netherlands is the only country which has consistently been in the top three in the total ranking in any European Index the Health Consumer Powerhouse has published. In 2016, the Netherlands scored a 927 points, which was by far the highest score ever seen in an HCP index. Because of the two replaced indicators, that were replaced by the indicators “ waiting time for paediatric psychiatry” and “ suicidal rates” the Netherlands scored lower. Two heavily weighted green scores are now red, which is unexpected as well as a dramatic result.

The reason why Spain is pretty low in the ranking, on the 19thplace,  is because of the very regionally decentralised character of the country. Another reason is that the Spanish healthcare system seems to rely on seeking private care a bit too much. The overall outcomes of the different indicators have improved.

All the indicators are based into six sub-disciplines. In the picture below you can see which countries score best on which sub-disciplines.

As you can see, the top countries are Switzerland, the Netherlands, Germany, Finland and Norway. These countries are all in the top of the ranking. The top end of the ranking is giving a more obvious outcome than in the previous editions when it comes to wealth. Really good outcomes are connected to financial resources in the countries. The more wealthy countries are in the top end of the ranking whereas countries with less financial resources are not. As seen in the picture, the more wealthy countries such as Switzerland, the Netherlands, Germany and Norway and Finland are scoring good on a lot of indicators.

Every year the HCP is doing this research again, to see if there are changes within the different countries, and also if there are differences in the ranking. It is important to do research about this every year to see where changes can be made to improve healthcare.




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