Editorial

What is Your Country's Ranking?

Editorial
As the healthcare crisis in the US continues to grow and Americans are looking to overseas alternatives for treatment, many people are looking back to the World Health Report from the year 2000 that focuses on the performance of health systems, world wide. It assesses health systems and the 35 million or more people they employ. The report notes that the well-being of billions of people around the world, the quality, and length of their lives, depends on the performance of the health systems.

The WHO report came out as the first ever analysis of the performance of the health systems of WHO’s 191 Member States. The performance assessment of health systems is based on many country variables such as: socio-economic, political and technological. WHO rankings show that even countries with the same levels of income can have very different healthy life expectancies while many countries fall short of their potential for performance.

According to Dr Uton Muchtar Rafei, WHO’s Regional Director for South-East Asia, “This Report will hopefully provide a framework for the review of health sector reform in these countries, and will enable them to adopt various policy options in order to obtain higher levels of health.”

According to Dr Uton, “Choosing the right interventions and providing incentives to the providers is one way to improve the performance of the health system. WHO calls for a new ‘universalism’ – which means providing the simplest and most basic quality care for all, including the poor. Developing countries should rationalize their investment in human, physical and technological resources. The health ministries need to play a strong stewardship role, and should invite and regulate investment by other sectors, including the private sector into health.”

The following is the list provided in that report.  Where does your country rank?  Surprised?

1         France
2         Italy
3         San Marino
4         Andorra
5         Malta
6         Singapore
7         Spain
8         Oman
9         Austria
10        Japan
11        Norway
12        Portugal
13        Monaco
14        Greece
15        Iceland
16        Luxembourg
17        Netherlands
18        United  Kingdom
19        Ireland
20        Switzerland
21        Belgium
22        Colombia
23        Sweden
24        Cyprus
25        Germany
26        Saudi Arabia
27        United  Arab  Emirates
28        Israel
29        Morocco
30        Canada
31        Finland
32        Australia
33        Chile
34        Denmark
35        Dominica
36        Costa Rica
37        United  States  of  America
38        Slovenia
39        Cuba
40        Brunei
41        New Zealand
42        Bahrain
43        Croatia
44        Qatar
45        Kuwait
46        Barbados
47        Thailand
48        Czech Republic
49        Malaysia
50        Poland
51        Dominican Republic
52        Tunisia
53        Jamaica
54        Venezuela
55        Albania
56        Seychelles
57        Paraguay
58        South     Korea
59        Senegal
60        Philippines
61        Mexico
62        Slovakia
63        Egypt
64        Kazakhstan
65        Uruguay
66        Hungary
67        Trinidad and Tobago
68        Saint     Lucia
69        Belize
70        Turkey
71        Nicaragua
72        Belarus
73        Lithuania
74        Saint Vincent  and the   Grenadines
75        Argentina
76        Sri  Lanka
77        Estonia
78        Guatemala
79        Ukraine
80        Solomon   Islands
81        Algeria
82        Palau
83        Jordan
84        Mauritius
85        Grenada
86        Antigua   and Barbuda
87        Libya
88        Bangladesh
89        Macedonia
90        Bosnia-Herzegovina
91        Lebanon
92        Indonesia
93        Iran
94        Bahamas
95        Panama
96        Fiji
97        Benin
98        Nauru
99        Romania
100       Saint Kitts and Nevis
101       Moldova
102       Bulgaria
103       Iraq
104       Armenia
105       Latvia
106       Yugoslavia
107       Cook Islands
108       Syria
109       Azerbaijan
110       Suriname
111       Ecuador
112       India
113       Cape Verde
114       Georgia
115       El   Salvador
116       Tonga
117       Uzbekistan
118       Comoros
119       Samoa
120       Yemen
121       Niue
122       Pakistan
123       Micronesia
124       Bhutan
125       Brazil
126       Bolivia
127       Vanuatu
128       Guyana
129       Peru
130       Russia
131       Honduras
132       Burkina   Faso
133       Sao Tome and Principe
134       Sudan
135       Ghana
136       Tuvalu
137       Ivory Coast
138       Haiti
139       Gabon
140       Kenya
141       Marshall Islands
142       Kiribati
143       Burundi
144       China
145       Mongolia
146       Gambia
147       Maldives
148       Papua New Guinea
149       Uganda
150       Nepal
151       Kyrgystan
152       Togo
153       Turkmenistan
154       Tajikistan
155       Zimbabwe
156       Tanzania
157       Djibouti
158       Eritrea
159       Madagascar
160       Vietnam
161       Guinea
162       Mauritania
163       Mali
164       Cameroon
165       Laos
166       Congo
167       North Korea
168       Namibia
169       Botswana
170       Niger
171       Equatorial Guinea


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