The King's Fund compared the healthcare systems in different countries by doing three things:
- Reviewed the research literature and assessed previous attempts to rank and compare health care systems.
- Interviewed academic experts in international health care policy and experts who had extensive knowledge of the UK, German and Singaporean healthcare systems.
- Analysed the latest quantitative performance data for the UK health care system and the health systems of 18 higher-income peer countries.
They analysed data in three main domains:
- the context the health system operates in (eg, the health status and behaviours of the population)
- the resources a health system has (eg, levels of staffing, equipment and health care spending)
- how well the health care systems uses its resources and what it achieves as a result (eg, measures of efficiency in delivering services, quality of care, financial protection from the costs of ill health, and health care outcomes).
- The analysis found the UK healthcare system has fewer key resources than its peers. It performs relatively well on some measures of efficiency but waiting times for common procedures were ‘middle-of-the-pack’ before the Covid-19 pandemic and have deteriorated sharply since.
- The UK performs well on protecting people from some of the financial costs of ill health, but lags behind its peers on important healthcare outcomes, including life expectancy and deaths. The latter could have been avoided through timely and effective healthcare, and public health and preventive services.
- There is little evidence that one particular ‘type’ of health care system or model of health care funding produces systematically better results than another. Countries predominantly try to achieve better health outcomes by improving their existing model of healthcare, rather than by adopting a radically different model.
The King's Fund: How does the NHS compare to the healthcare systems of other countries? https://www.kingsfund.org.uk/publications/nhs-compare-health-care-systems-other-countries
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