Health care system: access to care ranking of select countries worldwide 2021

According to a 2021 health care systems ranking among selected high-income countries, the U.S. came last in the overall ranking of its health care system performance. The overall ranking was based on five performance categories, including access to care, care process, administrative efficiency, equity, and health care outcomes. For the category access to care, which measures affordability and timeliness of health care, the U.S. also ranked last, whilst the Netherlands took first place. This statistic illustrates the access to care rankings of the United States' health care system compared to ten other high-income countries in 2021.

Access to healthcare ranking of the United States' health system compared to ten other high-income countries in 2021

Characteristic	Health care system performance ranking
Netherlands	1
Norway	2
Germany	3
United Kingdom	4
New Zealand	5
Sweden	6
France	7
Australia	8
Canada	9
Switzerland	10
United States	11

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Release date

August 2021

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Region

Worldwide

Survey time period

2021

Supplementary notes

Five performance categories include:
Access to care includes measures of health care’s affordability and timeliness.
Care process includes measures of preventive care, safe care, coordinated care, and engagement and patient preferences.
Administrative efficiency refers to how well health systems reduce documentation (paperwork) and other bureaucratic tasks that patients and clinicians frequently face during care.
Equity focuses on income-related disparities, based on standardized data across the 11 analyzed countries, in the access to care, care process, and administrative efficiency performance domains.
Health care outcomes reported here refer to those health outcomes that are most likely to be responsive to health care.

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