Vol. 15 No. 1 (2017)
Commentary

Canada versus the World: The Validity and Usefulness of Ranking Healthcare Systems by Country

Gabriel Cartman
McGill University

Published 2017-08-05

Keywords

  • healthcare system

How to Cite

1.
Cartman G. Canada versus the World: The Validity and Usefulness of Ranking Healthcare Systems by Country. McGill J Med [Internet]. 2017 Aug. 5 [cited 2025 Oct. 6];15(1). Available from: https://mjm.mcgill.ca/article/view/63

Abstract

Various organizations have attempted to formally evaluate and compare the performance of national healthcare systems. In this commentary, I argue that fundamental methodological issues annul many of their conclusions, and question the usefulness and implications of such rankings, before suggesting possible alternatives.

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References

  1. Deber R. Healthcare Quarterly [Internet]. Why Did the World Health Organization Rate Canada's Health System as 30th? Some Thoughts on League Tables :: Longwoods.com. [cited 2017Jan1]. Available from: http://www.longwoods.com/content/17238
  2. The world health report 2000 - Health systems: improving performance [Internet]. WHO. World Health Organization; [cited 2017Jan1]. Available from: http://www.who.int/whr/2000/en/
  3. Davis K, Stremikis K, Squires D, Schoen C. Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally [Internet]. The Commonwealth Fund. [cited 2017Jan1]. Available from: http://www.commonwealthfund.org/publications/fund-reports/2014/jun/mirror-mirror
  4. Du L, Lu W. U.S. Health-Care System Ranks as One of the Least-Efficient [Internet]. Bloomberg.com. Bloomberg; 2016 [cited 2017Jan1]. Available from: https://www.bloomberg.com/news/articles/2016-09-29/u-s-health-care-system-ranks-as-one-of-the-least-efficient
  5. Musgrove P. Judging health systems: reflections on WHO's methods. The Lancet. 2003;361(9371):1817–20.
  6. Almeida C, Braveman P, Gold MR, Szwarcwald CL, Ribeiro JM, Miglionico A, et al. Methodological concerns and recommendations on policy consequences of the World Health Report 2000. The Lancet. 2001;357(9269):1692–7.
  7. Navarro V. Assessment of the World Health Report 2000. The Lancet. 2000;356(9241):1598–601.
  8. Murray CJ, Frenk J. Ranking 37th — Measuring the Performance of the U.S. Health Care System. New England Journal of Medicine. 2010;362(2):98–9.
  9. Murray C, Frenk J. Authors reply to: Musgrove P. Health care system rankings. N Engl J Med. 2010 Apr 22;362(16):1546-7; author reply 1547. doi: 10.1056/NEJMc1001849.
  10. Canada Health Act (R.S.C., 1985, c. C-6) [Internet]. Legislative Services Branch. 2016 [cited 2017Jan1]. Available from: http://laws-lois.justice.gc.ca/eng/acts/c-6/
  11. Navarro V. The World Health Report 2000: Can Health Care Systems Be Compared Using a Single Measure of Performance? American Journal of Public Health. 2002;92(1):31–4.
  12. Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review - a new method of systematic review designed for complex policy interventions. Journal of Health Services Research & Policy. 2005;10(suppl 1):21–34.
  13. Brown CA, Lilford RJ. The stepped wedge trial design: a systematic review. BMC Medical Research Methodology. 2006Aug;6(1).