View source for Medicine:Euro health consumer index

'''Euro Health Consumer Index''' ('''EHCI''') is 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 2012–2016 by [[Company:Health Consumer Powerhouse|Health Consumer Powerhouse]]. The 2014 ranking included 37 countries measured by 48 indicators.  It claims to measure the "consumer friendliness" of healthcare systems. It does not claim to measure which European state has the best healthcare system, but it does produce specialist Indexes on Diabetes, Cardiac Care, HIV, Headache and Hepatitis.<ref>{{cite news|title=Outcomes in EHCI 2015|url=http://www.healthpowerhouse.com/files/EHCI_2015/EHCI_2015_report.pdf|accessdate=27 January 2016|publisher=Health Consumer Powerhouse|date=26 January 2016|archive-url=https://web.archive.org/web/20170606082345/http://www.healthpowerhouse.com/files/EHCI_2015/EHCI_2015_report.pdf|archive-date=6 June 2017|url-status=dead}}</ref> 
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.<ref>{{cite news|title=EHCI: European healthcare steadily improving|url=http://www.news-medical.net/news/20160128/EHCI-European-healthcare-steadily-improving.aspx|accessdate=28 January 2016|publisher=News Medical.net|date=28 January 2016}}</ref>

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:<ref>{{cite journal|last1=Cylus|first1=Jonathan|last2=Nolte|first2=Ellen|last3=Figueras|first3=Josep|last4=McKee|first4=Martin|title=What, if anything, does the EuroHealth Consumer Index actually tell us?|journal=BMJ|date=9 February 2016|url=http://blogs.bmj.com/bmj/2016/02/09/what-if-anything-does-the-eurohealth-consumer-index-actually-tell-us/|accessdate=9 February 2016}}</ref> 
* 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.<ref>{{cite news |last1=Worstall |first1=Tim |title=NHS Not Much Cop Say Those Who’ve Tried Other Health Care Systems |url=https://www.continentaltelegraph.com/healthcare/nhs-not-much-cop-say-those-whove-tried-other-health-care-systems/ |accessdate=25 March 2019 |publisher=Continental Telegraph |date=22 March 2019}}</ref>

==Euro Health Consumer Index 2018==
{| class="wikitable sortable"
|+ Euro Health Consumer Index 2018<ref>{{cite web| url= https://healthpowerhouse.com/media/EHCI-2018/EHCI-2018-report.pdf| title=Euro Health Consumer Index 2018| publisher=Health Consumer Powerhouse| accessdate=26 February 2019}}</ref>	
! Country !! Overall ranking !! Total score !! Patient rights and<br /> information score !! Accessibility<br /> (waiting times for<br /> treatment) score !! Outcomes<br /> score !! Range and reach of<br /> services score !! Prevention score !! Pharmaceuticals score
|-
|	{{flag|Switzerland}} ||	1	||	893	||	113	||	225	||	278	||	99	||	95	||	83	
|-	
|	{{flag|Netherlands}} ||	2	||	883	||	125	||	175	||	256	||	125	||	113	||	89
|-	
|	{{flag|Norway}} ||	3	||	857	||	125	||	138	||	278	||	120	||	119	||	78
|-	
|	{{flag|Denmark}}||	4	||	855	||	121	||	175	||	267	||	120	||	95	||	78
|-	
|	{{flag|Belgium}}||	5	||	849	||	104	||	213	||	244	||	115	||	101	||	72
|-	
|	{{flag|Finland}}||	6	||	839	||	113	||	150	||	278	||	120	||	101	||	78
|-	
|	{{flag|Luxembourg}}||	7	||	809	||	100	||	188	||	244	||	109	||	95	||	72
|-	
|	{{flag|Sweden}}||	8	||	800	||	117	||	113	||	267	||	125	||	101	||	78
|-	
|	{{flag|Austria}}||	9	||	799	||	108	||	175	||	244	||	104	||	89	||	78
|-	
|	{{flag|Iceland}}||	10	||	797	||	121	||	188	||	222	||	104	||	107	||	56
|-	
|	{{flag|France}} ||	11	||	796	||	104	||	188	||	233	||	104	||	83	||	83
|-	
|	{{flag|Germany}}||	12	||	785	||	104	||	163	||	244	||	83	||	101	||	89
|-	
|	{{flag|Portugal}}||	13	||	754	||	108	||	163	||	222	||	94	||	89	||	78
|-	
|	{{flag|Czech Republic}}||	14	||	731	||	108	||	175	||	211	||	104	||	71	||	61
|-	
|	{{flag|Estonia}}||	15	||	729	||	121	||	188	||	189	||	94	||	77	||	61
|-	
|	{{flag|United Kingdom}}||	16	||	728	||	117	||	100	||	211	||	109	||	113	||	78
|-	
|	{{flag|Slovakia}}||	17	||	722	||	113	||	188	||	200	||	78	||	77	||	67
|-	
|	{{flag|Serbia}}||	18	||	699	||	108	||	200	||	189	||	57	||	83	||	61
|-	
|	{{flag|Spain}}||	19	||	698	||	96	||	113	||	222	||	94	||	101	||	72
|-	
|	{{flag|Italy}}||	20	||	687	||	92	||	138	||	233	||	73	||	101	||	50
|-	
|	{{flag|Slovenia}}||	21	||	678	||	88	||	125	||	222	||	94	||	77	||	72
|-	
|	{{flag|Ireland}}||	22	||	669	||	83	||	75	||	244	||	94	||	89	||	83
|-	
|	{{flag|Montenegro}}||	23	||	668	||	96	||	188	||	189	||	52	||	71	||	72
|-	
|	{{flag|Croatia}}||	24	||	644	||	104	||	125	||	200	||	94	||	71	||	50
|-	
|	{{flag|North Macedonia}}||	25	||	638	||	113	||	163	||	156	||	63	||	83	||	61
|-	
|	{{flag|Cyprus}} ||	26	||	635	||	83	||	150	||	200	||	63	||	83	||	56
|-	
|	{{flag|Malta}}||	27	||	631	||	88	||	150	||	156	||	104	||	95	||	39
|-	
|	{{flag|Lithuania}}||	28	||	622	||	104	||	163	||	167	||	73	||	71	||	44
|-	
|	{{flag|Greece}}||	29	||	615	||	67	||	163	||	200	||	52	||	83	||	50
|-	
|	{{flag|Latvia}}||	30	||	605	||	100	||	138	||	178	||	68	||	77	||	44
|-	
|	{{flag|Bulgaria}}||	31	||	591	||	79	||	200	||	167	||	47	||	60	||	39
|-	
|	{{flag|Poland}}||	32	||	585	||	79	||	138	||	167	||	57	||	89	||	56
|-	
|	{{flag|Hungary}}||	33	||	565	||	79	||	113	||	156	||	78	||	95	||	44
|-	
|	{{flag|Romania}}||	34	||	549	||	96	||	175	||	133	||	52	||	54	||	39
|-	
|	{{flag|Albania}}||	35	||	544	||	67	||	175	||	156	||	42	||	71	||	33
|-	
|}

==Euro Health Consumer Index 2016==
{| class="wikitable sortable"
|+ Euro Health Consumer Index 2016<ref>{{cite web| url=http://www.healthpowerhouse.com/files/EHCI_2016/EHCI_2016_report.pdf| title=Euro Health Consumer Index 2016| publisher=Health Consumer Powerhouse| accessdate=8 April 2017| archive-url=https://web.archive.org/web/20171014090901/https://healthpowerhouse.com/files/EHCI_2016/EHCI_2016_report.pdf| archive-date=14 October 2017| url-status=dead}}</ref>	
! Country !! Overall ranking !! Total score !! Patient rights and<br /> information score !! Accessibility<br /> (waiting times for<br /> treatment) score !! Outcomes<br /> score !! Range and reach of<br /> services score !! Prevention score !! Pharmaceuticals score
|-	
|	{{flag|Netherlands}} ||	1	||	927	||	122	||	200	||	288	||	125	||	107	||	86
|-	
|	{{flag|Switzerland}} ||	2	||	904	||	111	||	225	||	288	||	94	||	101	||	86
|-	
|	{{flag|Norway}} ||	3	||	865	||	125	||	138	||	288	||	115	||	119	||	81
|-	
|	{{flag|Belgium}} ||	4	||	860	||	104	||	225	||	250	||	109	||	95	||	76
|-	
|	{{flag|Iceland}} ||	5	||	854	||	115	||	163	||	288	||	115	||	113	||	62
|-	
|	{{flag|Luxembourg}} ||	6	||	851	||	101	||	200	||	263	||	104	||	107	||	76
|-	
|	{{flag|Germany}} ||	7	||	849	||	104	||	188	||	288	||	83	||	101	||	86
|-	
|	{{flag|Finland}} ||	8	||	842	||	108	||	150	||	288	||	115	||	101	||	81
|-	
|	{{flag|Denmark}} ||	9	||	827	||	111	||	150	||	275	||	115	||	95	||	81
|-	
|	{{flag|Austria}} ||	10	||	826	||	108	||	200	||	238	||	99	||	101	||	81
|-	
|	{{flag|France}} ||	11	||	815	||	90	||	188	||	263	||	94	||	95	||	86
|-	
|	{{flag|Sweden}} ||	12	||	786	||	104	||	100	||	275	||	125	||	101	||	81
|-	
|	{{flag|Czech Republic}} ||	13	||	780	||	87	||	213	||	238	||	104	||	77	||	62
|-	
|	{{flag|Portugal}} ||	14	||	763	||	108	||	150	||	250	||	78	||	101	||	76
|-	
|	{{flag|United Kingdom}} ||	15	||	761	||	108	||	100	||	250	||	109	||	113	||	81
|-	
|	{{flag|Slovenia}} ||	16	||	740	||	104	||	125	||	263	||	89	||	83	||	76
|-	
|	{{flag|Estonia}} ||	17	||	729	||	108	||	163	||	238	||	94	||	65	||	62
|-	
|	{{flag|Spain}} ||	18	||	709	||	87	||	113	||	238	||	94	||	107	||	71
|-	
|	{{flag|Croatia}} ||	19	||	703	||	108	||	175	||	188	||	104	||	71	||	57
|-	
|	{{flag|Macedonia}} ||	20	||	699	||	118	||	225	||	138	||	68	||	89	||	62
|-	
|	{{flag|Ireland}} ||	21	||	689	||	80	||	100	||	250	||	78	||	95	||	86
|-	
|	{{flag|Italy}} ||	22	||	682	||	83	||	138	||	225	||	78	||	101	||	57
|-	
|	{{flag|Slovakia}} ||	23	||	678	||	97	||	163	||	175	||	89	||	83	||	71
|-	
|	{{flag|Serbia}} ||	24	||	670	||	111	||	188	||	163	||	57	||	89	||	62
|-	
|	{{flag|Malta}} ||	25	||	666	||	80	||	163	||	188	||	94	||	95	||	48
|-	
|	{{flag|Cyprus}} ||	26	||	623	||	73	||	125	||	213	||	68	||	83	||	62
|-	
|	{{flag|Lithuania}} ||	27	||	620	||	97	||	175	||	163	||	68	||	65	||	52
|-	
|	{{flag|Greece}} ||	28	||	593	||	63	||	125	||	213	||	52	||	83	||	57
|-	
|	{{flag|Latvia}} ||	29	||	589	||	87	||	113	||	188	||	73	||	77	||	52
|-	
|	{{flag|Hungary}} ||	30	||	575	||	73	||	125	||	163	||	73	||	89	||	52
|-	
|	{{flag|Poland}} ||	31	||	564	||	66	||	100	||	188	||	63	||	95	||	52
|-	
|	{{flag|Albania}} ||	32	||	551	||	73	||	163	||	175	||	42	||	65	||	33
|-	
|	{{flag|Bulgaria}} ||	33	||	526	||	66	||	150	||	150	||	47	||	65	||	48
|-	
|	{{flag|Montenegro}} ||	34	||	518	||	63	||	113	||	175	||	57	||	77	||	33
|-	
|	{{flag|Romania}} ||	35	||	497	||	80	||	150	||	125	||	52	||	48	||	43
|-	
|}

==Euro Health Consumer Index 2015==
{| class="wikitable sortable"
|+ Euro Health Consumer Index 2015<ref>{{cite web| url=http://www.healthpowerhouse.com/files/EHCI_2015/EHCI_2015_report.pdf| title=Euro Health Consumer Index 2015| publisher=Health Consumer Powerhouse| accessdate=8 April 2017| archive-url=https://web.archive.org/web/20170606082345/http://www.healthpowerhouse.com/files/EHCI_2015/EHCI_2015_report.pdf| archive-date=6 June 2017| url-status=dead}}</ref>	
! Country !! Overall ranking !! Total score !! Patient rights and<br /> information score !! Accessibility<br /> (waiting times for<br /> treatment) score !! Outcomes<br /> score !! Range and reach of<br /> services score !! Prevention score !! Pharmaceuticals score
|-	
|	{{flag|Netherlands}} ||	1	||	916	||	146	||	200	||	240	||	144	||	101	||	86
|-	
|	{{flag|Switzerland}} ||	2	||	894	||	133	||	225	||	240	||	119	||	101	||	76
|-	
|	{{flag|Norway}} ||	3	||	854	||	146	||	138	||	240	||	138	||	113	||	81
|-	
|	{{flag|Finland}} ||	4	||	845	||	129	||	150	||	229	||	144	||	107	||	86
|-	
|	{{flag|Belgium}} ||	5	||	836	||	117	||	225	||	198	||	131	||	89	||	76
|-	
|	{{flag|Luxembourg}} ||	6	||	832	||	121	||	200	||	219	||	125	||	101	||	67
|-	
|	{{flag|Germany}} ||	7	||	828	||	125	||	188	||	229	||	94	||	107	||	86
|-	
|	{{flag|Iceland}} ||	8	||	825	||	133	||	163	||	240	||	125	||	107	||	57
|-	
|	{{flag|Denmark}} ||	9	||	793	||	133	||	138	||	219	||	138	||	89	||	76
|-	
|	{{flag|Sweden}} ||	10	||	786	||	125	||	100	||	229	||	144	||	107	||	81
|-	
|	{{flag|France}} ||	11	||	775	||	113	||	188	||	208	||	106	||	89	||	71
|-	
|	{{flag|Austria}} ||	12	||	774	||	121	||	188	||	188	||	119	||	83	||	76
|-	
|	{{flag|Czech Republic}} ||	13	||	760	||	96	||	213	||	177	||	125	||	83	||	67
|-	
|	{{flag|United Kingdom}} ||	14	||	736	||	129	||	100	||	188	||	131	||	107	||	81
|-	
|	{{flag|Slovenia}} ||	15	||	710	||	121	||	125	||	208	||	106	||	83	||	67
|-	
|	{{flag|Croatia}} ||	16	||	707	||	129	||	175	||	156	||	119	||	65	||	62
|-	
|	{{flag|Estonia}} ||	17	||	706	||	129	||	163	||	188	||	106	||	54	||	67
|-	
|	{{flag|Macedonia}} ||	18	||	704	||	142	||	213	||	104	||	81	||	107	||	57
|-	
|	{{flag|Spain}} ||	19	||	695	||	104	||	113	||	198	||	113	||	101	||	67
|-	
|	{{flag|Portugal}} ||	20	||	691	||	96	||	113	||	188	||	94	||	89	||	62
|-	
|	{{flag|Ireland}} ||	21	||	685	||	96	||	100	||	208	||	94	||	101	||	86
|-	
|	{{flag|Italy}} ||	22	||	667	||	96	||	138	||	188	||	88	||	101	||	57
|-	
|	{{flag|Malta}} ||	23	||	663	||	92	||	163	||	135	||	125	||	101	||	48
|-	
|	{{flag|Slovakia}} ||	24	||	653	||	113	||	163	||	135	||	94	||	77	||	71
|-	
|	{{flag|Lithuania}} ||	25	||	628	||	125	||	175	||	135	||	75	||	65	||	52
|-	
|	{{flag|Cyprus}} ||	26	||	595	||	88	||	125	||	177	||	81	||	71	||	52
|-	
|	{{flag|Hungary}} ||	27	||	578	||	88	||	125	||	125	||	94	||	89	||	57
|-	
|	{{flag|Greece}} ||	28	||	577	||	75	||	125	||	167	||	69	||	89	||	52
|-	
|	{{flag|Latvia}} ||	29	||	567	||	104	||	113	||	146	||	75	||	77	||	52
|-	
|	{{flag|Serbia}} ||	30	||	554	||	104	||	138	||	125	||	69	||	71	||	48
|-	
|	{{flag|Bulgaria}} ||	31	||	530	||	75	||	150	||	125	||	56	||	71	||	52
|-	
|	{{flag|Romania}} ||	32	||	527	||	96	||	150	||	104	||	63	||	71	||	43
|-	
|	{{flag|Albania}} ||	33	||	524	||	88	||	163	||	125	||	50	||	65	||	33
|-	
|	{{flag|Poland}} ||	34	||	523	||	79	||	100	||	146	||	63	||	83	||	52
|-	
|	{{flag|Montenegro}} ||	35	||	484	||	75	||	113	||	135	||	56	||	71	||	33
|-	
|}

==Euro Health Consumer Index 2014==
{| class="wikitable sortable"
|+ Euro Health Consumer Index 2014<ref>{{cite web| url=http://www.healthpowerhouse.com/files/EHCI_2014/EHCI_2014_report.pdf| title=Euro Health Consumer Index 2014| publisher=Health Consumer Powerhouse| accessdate=7 April 2017| archive-url=https://web.archive.org/web/20160224142447/http://www.healthpowerhouse.com/files/EHCI_2014/EHCI_2014_report.pdf| archive-date=24 February 2016| url-status=dead}}</ref>			
! Country !! Overall ranking !! Total score !! Patient rights and<br /> information score !! Accessibility<br /> (waiting times for<br /> treatment) score !! Outcomes<br /> score !! Range and reach of<br /> services score !! Prevention score !! Pharmaceuticals score
|-	
|	{{flag|Netherlands}} ||	1	||	898	||	146	||	188	||	240	||	150	||	89	||	86
|-	
|	{{flag|Switzerland}} ||	2	||	855	||	117	||	225	||	229	||	113	||	95	||	76
|-	
|	{{flag|Norway}} ||	3	||	851	||	142	||	138	||	240	||	144	||	107	||	81
|-	
|	{{flag|Finland}} ||	4	||	846	||	133	||	175	||	219	||	138	||	95	||	86
|-	
|	{{flag|Denmark}} ||	5	||	836	||	142	||	200	||	198	||	131	||	89	||	76
|-	
|	{{flag|Belgium}} ||	6	||	820	||	100	||	225	||	198	||	138	||	83	||	76
|-	
|	{{flag|Iceland}} ||	7	||	818	||	138	||	163	||	229	||	125	||	107	||	57
|-	
|	{{flag|Luxembourg}} ||	8	||	814	||	108	||	188	||	219	||	131	||	101	||	67
|-	
|	{{flag|Germany}} ||	9	||	812	||	121	||	188	||	229	||	94	||	95	||	86
|-	
|	{{flag|Austria}} ||	10	||	780	||	125	||	200	||	177	||	119	||	83	||	76
|-	
|	{{flag|France}} ||	11	||	763	||	117	||	175	||	198	||	113	||	89	||	71
|-	
|	{{flag|Sweden}} ||	12	||	761	||	117	||	88	||	219	||	150	||	107	||	81
|-	
|	{{flag|Portugal}} ||	13	||	722	||	133	||	163	||	188	||	94	||	83	||	62
|-	
|	{{flag|England}} ||	14	||	718	||	129	||	100	||	177	||	131	||	95	||	86
|-	
|	{{flag|Czech Republic}} ||	15	||	715	||	100	||	175	||	177	||	119	||	71	||	71
|-	
|	{{flag|Scotland}} ||	16	||	710	||	108	||	125	||	177	||	125	||	89	||	86
|-	
|	{{flag|Macedonia}} ||	16	||	700	||	138	||	213	||	104	||	94	||	95	||	57
|-	
|	{{flag|Estonia}} ||	17	||	677	||	121	||	150	||	177	||	119	||	54	||	57
|-	
|	{{flag|Spain}} ||	18	||	670	||	96	||	100	||	188	||	113	||	107	||	67
|-	
|	{{flag|Slovenia}} ||	19	||	668	||	96	||	113	||	198	||	106	||	89	||	67
|-	
|	{{flag|Slovakia}} ||	20	||	665	||	113	||	175	||	135	||	88	||	83	||	71
|-	
|	{{flag|Italy}} ||	21	||	648	||	104	||	138	||	167	||	88	||	95	||	57
|-	
|	{{flag|Ireland}} ||	22	||	644	||	83	||	88	||	198	||	100	||	89	||	86
|-	
|	{{flag|Croatia}} ||	23	||	640	||	104	||	163	||	156	||	100	||	60	||	57
|-	
|	{{flag|Cyprus}} ||	24	||	619	||	83	||	150	||	177	||	75	||	71	||	62
|-	
|	{{flag|Hungary}} ||	25	||	601	||	96	||	163	||	115	||	88	||	83	||	57
|-	
|	{{flag|Latvia}} ||	26	||	593	||	113	||	150	||	125	||	81	||	71	||	52
|-	
|	{{flag|Malta}} ||	27	||	582	||	88	||	125	||	115	||	113	||	95	||	48
|-	
|	{{flag|Greece}} ||	28	||	561	||	58	||	138	||	156	||	69	||	83	||	57
|-	
|	{{flag|Bulgaria}} ||	29	||	547	||	79	||	163	||	125	||	56	||	71	||	52
|-	
|	{{flag|Albania}} ||	30	||	545	||	92	||	200	||	104	||	50	||	65	||	33
|-	
|	{{flag|Poland}} ||	31	||	511	||	96	||	100	||	104	||	88	||	71	||	52
|-	
|	{{flag|Lithuania}} ||	32	||	510	||	104	||	100	||	225	||	81	||	48	||	52
|-	
|	{{flag|Serbia}} ||	33	||	473	||	83	||	113	||	83	||	69	||	77	||	48
|-	
|	{{flag|Montenegro}} ||	34	||	463	||	71	||	113	||	125	||	56	||	65	||	33
|-	
|	{{flag|Romania}} ||	35	||	453	||	83	||	100	||	83	||	63	||	71	||	52
|-	
|	{{flag|Bosnia and Herzegovina}} ||	36	||	420	||	54	||	75	||	115	||	69	||	60	||	48
|-
|}

==References==
{{Reflist}}

==External links==
* [http://www.healthpowerhouse.com/index.php?option=com_content&view=category&layout=blog&id=36&Itemid=55 EHCI 2005–2009]
* [https://healthpowerhouse.com/media/EHCI-2014/EHCI-2014-report.pdf EHCI 2014]
* [https://healthpowerhouse.com/media/EHCI-2015/EHCI-2015-report.pdf EHCI 2015]
* [https://healthpowerhouse.com/media/EHCI-2016/EHCI-2016-report.pdf EHCI 2016]
* [https://healthpowerhouse.com/media/EHCI-2017/EHCI-2017-report.pdf EHCI 2017]
* [https://healthpowerhouse.com/media/EHCI-2018/EHCI-2018-report.pdf EHCI 2018]


[[Category:Health care]]

{{Sourceattribution|Euro health consumer index|1}}