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Euro Health Consumer Index

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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

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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
  Czechia 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

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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

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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

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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

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  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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