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The quality of South Africa's healthcare vs the world

20 Mai 2017

The lowest is the Central African Republic, the landlocked country in the middle of the continent where violence by armed groups against the civilian population has broken out in recent days.

The U.S. performed particularly poorly, placing 35th on the index despite the country's large economy, noted Dr. Christopher Murray, the senior author of the study and the director of the Institute for Health Metrics and Evaluation at the University of Washington. These are lower respiratory infections, neonatal disorders, non-melanoma skin cancer, Hodgkin's lymphoma, ischemic heart disease, hypertensive heart disease, diabetes, chronic kidney disease and the adverse effects of medical treatment itself.

Taiwan has been ranked 45 in a global list of countries assessed for health care availability and quality (HAQ), while the tiny European nation of Andorra topped the list with an overall score of 95 out of 100, according to the latest report by the British medical journal The Lancet published on May 18.

The study is the first effort to assess services in 195 countries. "Having a strong economy does not guarantee good healthcare".

Virtually all countries improved over that period, but many - especially in Africa and Oceania - fell further behind others in providing basic care for their citizens. Having great medical technology doesn't either.

The study was published today in the worldwide medical journal The Lancet, and represents the first effort to assess access and quality of services in 195 countries from 1990 to 2015.

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The researchers' report, called the Healthcare Access and Quality Index, is based on death rates for 32 diseases and injuries that could be avoided or effectively treated with proper medical care.

Nations in much of sub-Saharan Africa, as well as in south Asia and several countries in Latin America and the Caribbean, experienced the lowest rankings.

Taiwan was listed 45th, with a score of 77.6, according to the study. China was ranked 60th with a score of 74.2.

"What we have found about healthcare access and quality is disturbing‚" said Murray.

"The gap between what the United Kingdom achieves and what it would be expected to is also wider than in other western European countries". IHME makes this information available so that policymakers, donors, practitioners, researchers, and local and global decision-makers have the evidence they need to make informed decisions about how to allocate resources to best improve population health.

The quality of South Africa's healthcare vs the world