Canada’s healthcare system ranks 2nd worst among high-income countries

The analysis focused on workforce, operations, and financial stability

Canada’s healthcare system ranked among the worst of 11 high-income countries analyzed by the Commonwealth Fund.

The report, published Wednesday, looks at the efficiency in which healthcare systems operate – which its authors note is especially important after being thrust into a year-and-a-half-long stress test from COVID-19.

The Commonwealth Fund analysis focused on how healthcare systems managed their workforce, operations, and financial stability.
Data for this report were derived from several sources. Survey data are drawn from Commonwealth Fund International Health Policy Surveys fielded during 2017, 2019, and 2020

The report is based on an analysis of 71 performance measures across five domains — access to care, care process, administrative efficiency, equity, and health care outcomes.

That information was drawn from surveys conducted in each country and administrative data from the Organisation for Economic Co-operation and Development and the World Health Organization.

Norway, the Netherlands, and Australia were the top-performing countries overall, while Canada finished second last behind the United States.

The study’s authors found that universal coverage and the removal to cost
barriers set the top-performers apart from the US and Canada.

They also pointed out that the top-performers invested more in primary care systems, reduced administrative burdens, and invested more money into social services – especially for children and working-age adults.

MIRROR, MIRROR 2021 Reflecting Poorly: Health Care in the U.S.
Compared to Other High-Income Countries