2024 edition based on Commonwealth Fund surveys from 2021, 2022, and 2023.
Supplementary notes
Five performance categories include: Access to care includes measures of health care’s affordability and timeliness. Care process includes measures of preventive care, safe care, coordinated care, and engagement and patient preferences. Administrative efficiency refers to how well health systems reduce documentation (paperwork) and other bureaucratic tasks that patients and clinicians frequently face during care. Equity focuses on income-related disparities, based on standardized data across the 10 analyzed countries, in the access to care, care process, and administrative efficiency performance domains. Health outcomes reported here refer to those health outcomes that are most likely to be responsive to health care.
Citation formats
Health care process ranking of 10 select countries' health care systems 2023
According to a 2024 health care systems ranking among selected high-income countries, the United States came last in the overall ranking of its health care system performance. The overall ranking was based on five performance categories, including access to care, care process, administrative efficiency, equity, and health care outcomes. For the category care process, which measures preventive care, safe and coordinated care, among others, the U.S. was ranked second, while New Zealand took first place.Â
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Commonwealth Fund. (August 4, 2021). Health care process ranking of the United States' health system compared to nine other high-income countries from 2021 to 2023 [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved July 28, 2026, from /statistics/1290422/health-care-system-care-process-ranking-of-select-countries/
Commonwealth Fund. "Health care process ranking of the United States' health system compared to nine other high-income countries from 2021 to 2023." Chart. August 4, 2021. ÌÇÐÄÆÆ½â°æ. Accessed July 28, 2026. /statistics/1290422/health-care-system-care-process-ranking-of-select-countries/
Commonwealth Fund. (2021). Health care process ranking of the United States' health system compared to nine other high-income countries from 2021 to 2023. ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: July 28, 2026. /statistics/1290422/health-care-system-care-process-ranking-of-select-countries/
Commonwealth Fund. "Health Care Process Ranking of The United States' Health System Compared to Nine Other High-income Countries from 2021 to 2023." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 4 Aug 2021, /statistics/1290422/health-care-system-care-process-ranking-of-select-countries/
Commonwealth Fund, Health care process ranking of the United States' health system compared to nine other high-income countries from 2021 to 2023 ÌÇÐÄÆÆ½â°æ, /statistics/1290422/health-care-system-care-process-ranking-of-select-countries/ (last visited July 28, 2026)
Health care process ranking of the United States' health system compared to nine other high-income countries from 2021 to 2023 [Graph], Commonwealth Fund, August 4, 2021. [Online]. Available: /statistics/1290422/health-care-system-care-process-ranking-of-select-countries/