No two countries are alike when it comes to organising and delivering health care for their people, creating an opportunity to learn about alternative approaches.

The goal of this report is to compare the performance of health care systems of 11 high-income countries.

Researchers analysed 71 performance measures across five domains — access to care, care process, administrative efficiency, equity, and health care outcomes — drawn from Commonwealth Fund international surveys conducted in each country and administrative data from the Organisation for Economic Co-operation and Development and the World Health Organization.

Key findings:

The top-performing countries overall are Norway, the Netherlands, and Australia. The United States ranks last overall, despite spending far more of its gross domestic product on health care. The U.S. ranks last on access to care, administrative efficiency, equity, and health care outcomes, but second on measures of care process.

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