International Comparisons

Commonwealth Fund

The United States compares very poorly to the rest of the developed world in both efficiency and effectiveness of health care delivery in rankings from the Commonwealth Fund, Bloomberg and the World health Organization. The 2017 Mirror, Mirror Interactive report can be used to probe the comparisons at a very detailed level.

  1. Commonwealth Funds 2017 Mirror, Mirror Interactive Report on the relative effectiveness and efficiency of the health care systems of 11 developed countries
    a. https://www.commonwealthfund.org/publications/fund-reports/2017/jul/mirror-mirror-2017-international-comparison-reflects-flaws-and
  2. Commonwealth Fund Comparisons of Healthcare Spending and Performance

Key findings: The U.S. ranked last on performance overall and ranked last or near last on the Access, Administrative Efficiency, Equity, and Health Care Outcomes domains. The top-ranked countries overall were the U.K., Australia, and the Netherlands. Based on a broad range of indicators, the U.S. health system is an outlier, spending far more but falling short of the performance achieved by other high-income countries. The results suggest the U.S. health care system should look at other countries’ approaches if it wants to achieve an affordable high-performing health care system that serves all Americans.

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Performance Rankings

Overall Rankings 2 9 10 8 3 4 4 6 6 1 11
Care Process 2 6 9 8 4 3 10 11 7 1 5
Access 4 10 9 2 1 7 5 6 8 3 11
Administrative Efficiency 1 6 11 6 9 2 4 5 8 3 10
Equity 7 9 10 6 2 8 5 3 4 1 11
Health Care Outcomes 1 9 5 8 6 7 3 2 4 10 11

World Health Organization (WHO)

World Health Organization (WHO) Ranking of the World’s 100 Best Health Systems “This (2010) report examines and compares aspects of health systems around the world. It provides conceptual insights into the complex factors that explain how health systems perform and offers practical advice on how to assess performance and achieve improvements with available resources."

View World Health Organization Rankings
  • 1 France
  • 2 Italian Health System
  • 3 San Marino
  • 4 Andorra
  • 5 Malta
  • 6 Singapore
  • 7 Spain
  • 8 Oman
  • 9 Austria
  • 10 Japanese Healthcare
  • 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 German Healthcare
  • 26 Saudi Arabia
  • 27 United Arab Emirates
  • 28 Israel
  • 29 Morocco
  • 30 Canada Healthcare
  • 31 Finland
  • 32 Australia
  • 33 Chile
  • 34 Denmark
  • 35 Dominica
  • 36 Costa Rica
  • 37 US HealthCare
  • 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 Healthcare
  • 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
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