Euro Health Consumer Index 2016 - Health Consumer Powerhouse

Jan 30, 2017 - RESULTS OF THE EURO HEALTH CONSUMER INDEX 2016 . ..... does not claim to measure which European state has the best healthcare.
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Euro Health Consumer Index

2016 i

Euro Health Consumer Index 2016

The Green countries on the map on the front cover are scoring >800 on the 1000-point scale. Red are countries scoring 60%. As there was a 16-month interval between the EHCI 2012 and EHCI 2013, fate arranged that Ferlay et al published a paper based on the same data for the year 2012 in time for this report. This means that the data in the graph below shows the situation in 2008 and 2012, i.e. two years “straddling” the financial crisis. Unfortunately, this data is still in 2016 the most recent comprehensive cancer mortality data. As this report has observed numerous times, it is very difficult to trace any effects of financial austerity on Outcomes of treatment of serious diseases! Cancer survival keeps improving, also in countries known to be hit particularly hard by austerity.

Sources of data: J. Ferlay et al., Annals of Oncology, 2010, J. Ferlay et al. European Journal of Cancer 49 (2013) 1374–1403. CUTS data.

3.5 Potential Years of Life Lost This indicator measures Years lost per 100.000 population 0-69, all causes of death. Potential Years of Life Lost (PYLL), used by the WHO and OECD, take into account the age at which deaths occurs by giving greater weight to deaths at younger age and lower weight to deaths at older age. Potential Years of Life Lost are calculated from the number of deaths multiplied by a standard life expectancy at the age at which death occurs. PYLL is preferred as an indicator for the EHCI over and above the popular “Healthcare Amenable Deaths”, as that indicator automatically gives low values to states with a low CVD death rate, such as the Mediterranean states, most obviously France.

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Euro Health Consumer Index 2016

Source of data: WHO Detailed Mortality Database, excerpt October 2016. Cut-offs between Green, Yellow and Red have been kept the same as in previous years for longitudinal comparison. CUTS data.

3.6 MRSA infections This indicator measures the percentage of hospital-acquired strains being resistant. The aim of this indicator is to assess the prevalence and spread of major invasive bacteria with clinically and epidemiologically relevant antimicrobial resistance. As in the previous year’s indexes, The European Antimicrobial Resistance Surveillance System (ECDC EARSnet) data is used. The data is collected by 800 public-health laboratories serving over 1300 hospitals in 31 European countries. The share of hospital infections being resistant has been uncannily stable over time in many countries, which is slightly surprising: One would think that either a country has the problem fairly well under control (such as the Nordics and The Netherlands) or one would expect fluctuation over time. Why countries like Germany and France could have this rate stable at just over or under 20 % remains a mystery. Since 2012, Germany does show a significant reduction. The real improvement has been achieved in the British Isles: through a very dedicated effort, both Ireland and the U.K. have brought their resistance rates down from 40 – 45 % in 2008 to less than 20 % (Ireland) and less than 15 % (UK).

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Euro Health Consumer Index 2016

Sources of data: http://ecdc.europa.eu/en/publications/Publications/antimicrobialresistance-europe-2014.pdf (most data 2014). CUTS data.

3.7 Abortion rates Introduced in the EHCI 2013. The scoring of this indicator is somewhat complex. The scores are fundamentally based on the principle that free, legally defined abortion should be available for women in any country17. At the same time, using abortion as a contraceptive must be regarded as very undesirable. This was illustrated by Russia, where the abortion rate in the early 1990’s was in excess of 200 abortions per 100 live births, but today is coming closer to the res