Health care system: administrative efficiency ranking of select countries worldwide 2023| ��ƽ��

Administrative efficiency ranking of the United States' health system compared to nine other high-income countries from 2021 to 2023

Characteristic	Administrative efficiency ranking
United Kingdom	1
Australia	2
New Zealand	3
France	4
Canada	5
Netherlands	6
Sweden	7
Germany	8
United States	9
Switzerland	10

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Release date

September 2024

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Region

Worldwide

Survey time period

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

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 of administrative efficiency, which measures the amount of paperwork for providers and patients in the health system, the U.S. was ranked last again, while the UK took first place. A single-payer health system in the UK likely has more simplified documentation and billing tasks compared to the multi-payer system in the U.S.