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Health Systems: France is 15th out of 195 countries, Andorra is Top

France comes in 15th place in the ranking of health systems established by a study published on Friday.  The gap between the most and least performing countries has widened since 1990.

Question: What ranking would you place Andorra at the top, France 15th and the Central African Republic last? The rankings in question is the one on health systems in the world. Published in the British medical journal The Lancet, this study is based on an indicator that measures the quality and accessibility of health systems.

The performance of each country was determined using the 32 disease mortality for which death can theoretically be avoided, provided quick access to effective care (tuberculosis, breast cancer, leukemia, cardiovascular diseases … ).

195 countries examined

195 countries were examined from 1990 to 2015 and scored from 0 to 100.

Andorra achieved a score of 95, followed by Iceland (94) and Switzerland (92). France has a total of 88.

Thirteen of the top fifteen countries in Western Europe. The other two are Australia (6th, 90) and Japan (11th, 89).

The United States will arrive at the 35th (81) and the UK on the 30th (85).

At the other end of the scale are Somalia (34), Afghanistan (32) and, finally, Central African Republic (29).

The gap widens

 The average results has increased significantly since 1990, from 40.7 to 53.7. “167 countries have seen the accessibility and quality of their health care system to increase significantly”, notes the study. However, inequalities have widened: the difference between the former and the latter was 66 points in 2015 against only 62 in 1990.

The study also addresses the gap between the actual performance of those countries and their level of development would normally trigger.

Thus, the US performance is lower by 10 points to what might be expected of them and this gap rises to 25 in the case of South Africa. Conversely, for the first country in the ranking, the difference is zero.

“These results sound like a warning: increasing the level of development does not necessarily lead to improved quality and access to health care” , commented lead researcher, Professor Christopher Murray American Institute measures and health assessments (IHME) at the University of Washington.

This study was funded by the Bill & Melinda Gates Foundation.

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