Euro Health Consumer Index

Euro Health Consumer Index (EHCI) was 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 2012–2018 by Health Consumer Powerhouse. The 2014 ranking included 37 countries measured by 48 indicators. It claimed to measure the "consumer friendliness" of healthcare systems. It did not claim to measure which European state had the best healthcare system, but it did 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]
CountryOverall rankingTotal scorePatient rights and
information score
Accessibility
(waiting times for
treatment) score
Outcomes
score
Range and reach of
services score
Prevention scorePharmaceuticals score
  Switzerland1893113225278999583
 Netherlands288312517525612511389
 Norway385712513827812011978
 Denmark48551211752671209578
 Belgium584910421324411510172
 Finland683911315027812010178
 Luxembourg78091001882441099572
 Sweden880011711326712510178
 Austria97991081752441048978
 Iceland1079712118822210410756
 France117961041882331048383
 Germany127851041632448310189
 Portugal13754108163222948978
 Czechia147311081752111047161
 Estonia15729121188189947761
 United Kingdom1672811710021110911378
 Slovakia17722113188200787767
 Serbia18699108200189578361
 Spain19698961132229410172
 Italy20687921382337310150
 Slovenia2167888125222947772
 Ireland226698375244948983
 Montenegro2366896188189527172
 Croatia24644104125200947150
 North Macedonia25638113163156638361
 Cyprus2663583150200638356
 Malta27631881501561049539
 Lithuania28622104163167737144
 Greece2961567163200528350
 Latvia30605100138178687744
 Bulgaria3159179200167476039
 Poland3258579138167578956
 Hungary3356579113156789544
 Romania3454996175133525439
 Albania3554467175156427133

Euro Health Consumer Index 2016

Euro Health Consumer Index 2016[6]
CountryOverall rankingTotal scorePatient rights and
information score
Accessibility
(waiting times for
treatment) score
Outcomes
score
Range and reach of
services score
Prevention scorePharmaceuticals score
 Netherlands192712220028812510786
  Switzerland29041112252889410186
 Norway386512513828811511981
 Belgium48601042252501099576
 Iceland585411516328811511362
 Luxembourg685110120026310410776
 Germany78491041882888310186
 Finland884210815028811510181
 Denmark98271111502751159581
 Austria108261082002389910181
 France1181590188263949586
 Sweden1278610410027512510181
 Czech Republic13780872132381047762
 Portugal147631081502507810176
 United Kingdom1576110810025010911381
 Slovenia16740104125263898376
 Estonia17729108163238946562
 Spain18709871132389410771
 Croatia197031081751881047157
 Macedonia20699118225138688962
 Ireland2168980100250789586
 Italy22682831382257810157
 Slovakia2367897163175898371
 Serbia24670111188163578962
 Malta2566680163188949548
 Cyprus2662373125213688362
 Lithuania2762097175163686552
 Greece2859363125213528357
 Latvia2958987113188737752
 Hungary3057573125163738952
 Poland3156466100188639552
 Albania3255173163175426533
 Bulgaria3352666150150476548
 Montenegro3451863113175577733
 Romania3549780150125524843

Euro Health Consumer Index 2015

Euro Health Consumer Index 2015[7]
CountryOverall rankingTotal scorePatient rights and
information score
Accessibility
(waiting times for
treatment) score
Outcomes
score
Range and reach of
services score
Prevention scorePharmaceuticals score
 Netherlands191614620024014410186
  Switzerland289413322524011910176
 Norway385414613824013811381
 Finland484512915022914410786
 Belgium58361172251981318976
 Luxembourg683212120021912510167
 Germany78281251882299410786
 Iceland882513316324012510757
 Denmark97931331382191388976
 Sweden1078612510022914410781
 France117751131882081068971
 Austria127741211881881198376
 Czech Republic13760962131771258367
 United Kingdom1473612910018813110781
 Slovenia157101211252081068367
 Croatia167071291751561196562
 Estonia177061291631881065467
 Macedonia187041422131048110757
 Spain1969510411319811310167
 Portugal2069196113188948962
 Ireland21685961002089410186
 Italy22667961381888810157
 Malta236639216313512510148
 Slovakia24653113163135947771
 Lithuania25628125175135756552
 Cyprus2659588125177817152
 Hungary2757888125125948957
 Greece2857775125167698952
 Latvia29567104113146757752
 Serbia30554104138125697148
 Bulgaria3153075150125567152
 Romania3252796150104637143
 Albania3352488163125506533
 Poland3452379100146638352
 Montenegro3548475113135567133

Euro Health Consumer Index 2014

Euro Health Consumer Index 2014[8]
CountryOverall rankingTotal scorePatient rights and
information score
Accessibility
(waiting times for
treatment) score
Outcomes
score
Range and reach of
services score
Prevention scorePharmaceuticals score
 Netherlands18981461882401508986
  Switzerland28551172252291139576
 Norway385114213824014410781
 Finland48461331752191389586
 Denmark58361422001981318976
 Belgium68201002251981388376
 Iceland781813816322912510757
 Luxembourg881410818821913110167
 Germany9812121188229949586
 Austria107801252001771198376
 France117631171751981138971
 Sweden127611178821915010781
 Portugal13722133163188948362
 England147181291001771319586
 Czech Republic157151001751771197171
 Scotland167101081251771258986
 Macedonia16700138213104949557
 Estonia176771211501771195457
 Spain186709610018811310767
 Slovenia19668961131981068967
 Slovakia20665113175135888371
 Italy21648104138167889557
 Ireland2264483881981008986
 Croatia236401041631561006057
 Cyprus2461983150177757162
 Hungary2560196163115888357
 Latvia26593113150125817152
 Malta27582881251151139548
 Greece2856158138156698357
 Bulgaria2954779163125567152
 Albania3054592200104506533
 Poland3151196100104887152
 Lithuania32510104100225814852
 Serbia334738311383697748
 Montenegro3446371113125566533
 Romania354538310083637152
 Bosnia and Herzegovina364205475115696048

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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