EuroHealth Consumer Index 2013

Czech Republic FYR Macedonia Luxembourg Netherlands Switzerland

UK Scotland UK England

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Lithuania

Germany

Denmark

Romania

Slovenia

Portugal

Slovakia

Hungary

Bulgaria

Belgium

Sweden

Estonia

Norway

Albania

Finland

Croatia

Iceland

Cyprus

Austria

Greece

Poland

France

Ireland

Subdiscipline

Serbia

Latvia

Spain

Malta

Italy

Indicator
1.1 Healthcare law based on Patients' Rights 1.2 Patient organisation involvement 1.3 No-fault malpractice insurance

Euro Health Consumer Index at a glance:

Winner: Netherlands Runner-up: Switzerland Third place: Iceland

1.4 Right to second opinion

Sub-disciplines:
Patient rights and information: Denmark & The Netherlands Accessibility: Belgium, Switzerland Outcomes : Iceland Range and reach of services Netherlands Prevention : Luxembourg Pharmaceuticals : Germany

1. Patient rights and information

1.5 Access to own medical record 1.6 Registry of bona fide doctors 1.7 Web or 24/7 telephone HC info 1.8 Cross-border care seeking freely allowed 1.9 Provider catalogue with quality ranking 1.10 EPR penetration 1.11 On-line booking of appointments? 1.12 e-prescriptions

C F D F C F D
n.ap.

D D D D
83.3

C C C C C C C D D F F D C C F C F C F C F F F D F
117

C F D F C F D D D F F F C C C C C C
92

D C D F C C D D D C D D C F C F D C D D D D D D F D D D D D D D D
88

C C D C C C F D D C C C C D D F D C F F D F D C F C F C F F D F C
121

C D D C F D D D D F D D C D D C D F
75

C D D F C D D D F F D D C F F F F C F C F F F F F
79

C F C C C C C F C C C C C D C C F D C C F F C F C C C C C C F C F D C F F F F C D F C F F C F F
4 142

C C D C F C C D C C C C D F F F D F D C F D C D F F F F F F F C F F D F D D D D D D C D D D F C
22 129

C D C F C C C D D C F C D D F F F F F C C F C C C F F F F C C C C C F C C D F C F F C C F C F F
10 117

C C F C C C C D C F D D C F C C C D C C C F D F F F C C F F F F F F C C F C F F D
117

C D F F F D D
n.ap.

D C D C C D C C F D D D D F D F D
92

C C D C C C C D C C F F C C C C F F D C C F F C C
125

C D D F F D F D D D D D F C F D F D F C D F D C D D C D F D D D D
71

C D D C C F D D D C C D C F F D D F D F D D D D F D F D F D F F D C D D D C F D F
96

F F F F F C F n.ap. D n.ap. D C F D D C F D C D F C F C C C C C C C
125

C F F C C C C

C F F F C C F D F F F D C D F F D F C C F C D F D F F D D F D F D F C F C F F C F
104

C C C D F C C D D D F D D F D D D F D F D D F D D D F F D D D D F F D F D D F C C
100

C C F C C C F C F D C D F D D C F C D C D D F C D F D D C D F D F F D F D D F D F
121

F D D C C C D C D F F D C C C C F F F C C C D
96

C C C C C C F C n.ap. C D C F F D C F F D C D D
75

D F D D D C F D

C C C C C F F
n.ap.

C C C C F D F D D C C C C C C F C C C C F C F C C F F C C F C C D
138

C F F F C F D D D D D D C F D D D F
83

F F D C F C C D F C C C D D D F D C D C F F D C F D C C D C F F D C F F C C D C C F C F D F F C
16 117

C F D F C F D D D D F C D F F D D C D D D D D D D C D D D D D D D
92

C F F D F D F
n.ap.

D D D D F D D D D F D D D D D D D
79

F C D F C C F D C C C D C C D C F F F F F D D F F
113

C C F C C C F D D F F D C D D D D C
108

C D D F F D C D D F C F F D D F D F F C F C D F F
92

D F C F C F C D F C C C D F F D D D C C C C C D C
117

C F D C C C C
n.ap.

D C D F C C C C C C
113

C F F C F C C D C C C C F D F F F D F F F F F F F
129

C F F C C C C D C C F C F D C F D F C C F F F F D C F F C C F F F F F C D C F C D C C D C F D D
13 129

Subdiscipline weighted score

2.1 Family doctor same day access 2.2 Direct access to specialist

2. Accessibility (waiting times for treatment)

2.3 Major elective surgery <90 days 2.4 Cancer therapy < 21 days 2.5 CT scan < 7days 2.6 A&E waiting times

C C C F F C D D D F D F D

C D F F D F

92

C D C C F C F C F C C C C C C C C C C C C

142

Subdiscipline weighted score

3.1 Heart infarct case fatality 3.2 Infant deaths 3.3 Cancer deaths relative to incidence

200

200

3. Outcomes

3.4 Preventable Years of Life Lost 3.5 MRSA infections 3.6 Abortion rates 3.7 Depression

D C F F F C F F C C C F C F C

225

175

138

F C F C D M F D D F D F

138

175

163

125

125

188

163

200

138

138

150

F C C C D M C F D C C C F F F F F C F D C C F

138

138

100

150

F D F F D n.a. M C F D C C C F C n.a. C F D C C D F C C C C
131

200

125

188

125

C F D D D M F F F D D F D D D C D F D C D D D D D D C D C F
31

125

113

125

100

175

F C F F F C F F D D C F

125

113

100

F C C C F C C C C F F C C

225

125

138

C= F D

Subdiscipline weighted score

Good (3)

4.1 Equity of healthcare systems 4.2 Cataract operations per 100 000 age 65+

= Intermediary (2)

= Not-so-good (1)

n.a. = data not available (1) n.ap. = not applicable (2) M = abortion illegal

4. Range and reach of services provided

4.3 Kidney transplants per million pop. 4.4 Is dental care included in public healthcare? 4.5 Informal payments to doctors 4.6 Long term care for the elderly 4.7 % of dialysis done outside of clinic 4.8 Caesarean sections

D F n.a. C D C D F D F D F D F D F
50

107

167

179 95.2

155

C C F C D n.a. F C D D F
75

155

179

214

155

226

190

D F n.a. F D F C C D C D F D D F D
69

107

202

155

107

C C F D C C C C F C C C F C C D

250

179

179

107

143

C C C C C C

190

119

226

238

119

167 83.3 83.3

D D n.a. D D D F C D D n.a. F F D F F
69

143

F C C F C n.a. F D C C F
88

190

179

C F C F C C C C C C C C D C C D

226

C F C C C F n.a. C D F F C F F C F C D F C C F F F C
2
113

226

167

179

Subdiscipline weighted score

5.1 Infant 5-disease vaccination 5.2 Blood pressure 5.3 Smoking Prevention

5. Prevention

5.4 Alcohol 5.5 Physical activity 5.6 Undiagnosed diabetes 5.7 HPV vaccination 5.8 Sugar intake

C D C D C C n.a. D F F F C n.a. C F D D C D F F C D D D F F D C C n.a. C C D C D n.a. D C n.a. F F n.a. C D

33 542 29 81 750 12 6 68 73

113

131

F D D D D F C F

50

F C C D C D n.a. D D F F D D D D C D F D D C C C F
73 78

113

106

138

106

125

113

F F F D F C n.a. D D C F F n.a. F D F F F C C C F D F
78 78

100

69

75

131

113

75

69

81

F F C F D D C D

119

F C F C D F C D

150

138

69

100

D D F D D F C C D C D D D D D
33

63

F C F D D D n.a. F F F D D n.a. D C F C D D D C F D C
63 68

75

C C F F D D C C

125

138

F C C F C F C D C C D C F D D
13

131

119

Subdiscipline weighted score

6.1 Rx subsidy 6.2 Layman-adapted pharmacopoeia? 6.3 Novel cancer drugs deployment rate

99

6. Pharmaceuticals

6.4 Access to new drugs (time to subsidy) 6.5 Arthritis drugs 6.6 Schizophrenia drugs

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Health Consumer Powerhouse 2013

6.7 Antibiotics/capita

D D D F C C F C D D F F n.a. n.a. C D D D F D F C F C F F D C
52 528 30 57 656 19 62 582 24 15

68

73

83

52

99

F D C C D D C D F F F F C C C C C n.a. C D D C C F F n.a. C F D n.a. F D C n.a. F D D D C F C n.a. C D F F D D D n.a. C D C D D F

76 777 9 38 546 27 90 796 7 52 568 25 57 546 28 57 818 76 690 14

94

83

73

104

94

99

D D C D C F C C F C C C D D C n.a. F F n.a. n.a. n.a. n.a. F F D D F n.a. F C C F F n.a. D C C C D n.a. C D

62 516 32 57 615 23 67 794 8 43 559 26 76 870

78

63

109

78

89

99

68

104

73

D C F C C C C F D F F F n.a. F D D D D F F F C F F C F C D
57 451 34 76 649 21 71 666 17 18

83

94

F C F D C D C
11

104

94

99

89

Subdiscipline weighted score

71 797

71 683

76 815

57 624

81 773

57 651 20

76 813 5

57 521

71 671

43 478

62 663

71 756

81 851

67 718

67 719

Total score Rank

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