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EPCI 2014
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Euro Health Consumer Index Sverige-bild riktig, säger SKL

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Last Updated (Monday, 15 June 2015 13:59) Written by Administrator Monday, 15 June 2015 13:36

SKL:s studie bekräftar på det hela taget vad Health Consumer Powerhouse påvisat sedan tio år, d v s att den medicinska kvaliteten i svensk sjukvård internationellt sett är hög men att tillgänglighet, bemötande och service är dålig. (Euro Health Consumer Index är också en del av SKL:s bedömningsunderlag).

SKL tycks mena att den svenska effektiviteten är hög medan HCP hävdar att detta mått bör visa relationen kostnad - resultat och att långa väntetider och missnöjda kunder/patienter pekar på brister i effektiviteten. Vad vi förhoppningsvis ser gemensamt är att det tar lång tid och stora ansträngningar att uppnå höga medicinska resultat medan det borde vara betydligt lättare att åtgärda väntetider och bemötande. Här finns m a o en stor svensk potential.

De svenska svagheterna kan inte förklaras av brist på resurser, t ex läkare och sköterskor , utan beror på fel politik och fel attityd i sjukvården. Har man betydligt högre personaltäthet än i omvärlden är problemet knappast resurserna, utan hur sjukvården organiserar och tar tillvara medarbetarnas kompetens.

Huruvida SKL är en del av problemet eller lösningen av den svenska sjukvårdens utmaningar är värt att diskutera.

Läs debattartikel från SKL (

Johan Hjertqvist lectures at inaugural medical travelling summit, IMTJ in London, April 15-16, 2015.

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Last Updated (Saturday, 18 April 2015 04:43) Written by Administrator Thursday, 16 April 2015 15:33

Medical travelling meets a lot of expectations among patients and care providers. Yet, there has been tons of marketing but little real action. One explanation is the lack of user-friendly, reliable information, claims HCP President Johan Hjertqvist in this presentation at the International Medical Travelling Summit, April 15-16 in London.

Click here to download the presentation from the lecture (pdf).

With NCP:s a dead end, cross-border care still an EU illusion?

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Last Updated (Thursday, 16 April 2015 16:07) Written by Administrator Wednesday, 01 April 2015 12:40

The National Contacts Points (NCP) are a flop. The NCP:s were intended to be the patient entrance to medical treatment in another EU country, according to the cross-border care directive. A new HCP study shows that with a few exceptions, these websites lack most of the information necessary for practical guidance. Is the European Commission really satisfied with this poor show?

Since 2013, every member state of the EU is obliged to support its citizens to move cross borders to access healthcare that, for various reasons, look more attractive than in the country of citizenship. Practically, this obligation means putting together the necessary information allowing consumers and patients to form an opinion, make a choice and go abroad for a treatment.

In fact, every government also has made available at the Internet what the Cross-border Care Directive named "National Contact Point", or NCP. This obligation, in power since October 2013, looks fine at first sight - but when you take a more thorough, professional look you get deeply disappointed. And less Internet- or information proficient users have even better reasons for frustration.

Click here to read the full article


Speeches from the launch of the 2014 Euro Health Consumer Index

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Last Updated (Monday, 09 February 2015 17:39) Written by Administrator Wednesday, 28 January 2015 18:35

Keynote speech: “Health System Performance Assessment: reconciling the measurable with the meaningful”
Dr. Vytenis Andriukaitis, EU Health commissioner

The EHCI 2014 outcomes
Dr. Arne Bjornberg, Health Consumer Powerhouse

"What is the secret behind the rapid growth of Macedonian healthcare performance?"
Nikola Todorov, Minister of Health of the Republic of Macedonia


The 2014 Euro Health Consumer Index

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Last Updated (Thursday, 26 February 2015 12:34) Written by Administrator Tuesday, 27 January 2015 06:59

In spite of financial crisis, European healthcare keeps improving – but the equity gap widens

The Netherlands stays on top, with many surprising moves among the 36 ranked countries

In spite of financial crisis-induced austerity measures, such as restrictions on the increase of healthcare spend, European healthcare keeps producing better results. Survival rates of heart disease, stroke and cancer are all increasing, even though there is much talk about worsening lifestyle factors such as obesity, junk food consumption and sedentary life. Infant mortality, perhaps the most descriptive single indicator, also keeps going down, and this can be observed in countries such as the Baltic states, which were severely affected by the financial crisis.

What is less encouraging is that the tendency of an increasing equity gap between wealthy and less wealthy European countries noted in the EHCI 2013 shows with increased clarity in the 2014 edition. A record of nine countries, all Western European, are scoring above 800 points of the maximum 1000. These are followed at some little distance by three more affluent countries (Austria, France and Sweden) “not quite making it” for different reasons. After those, there is a clearly visible gap to the next group of countries, where the first CEE and Mediterranean countries start appearing. This stratification is clearer in the EHCI 2014 than in any previous edition.

The ranking

The EHCI 2014 total ranking shows The Netherlands again widening the gap to country #2 from 19 points in 2013 to 43 points in 2014, (in 2012, the margin was 50 points), scoring 898 points out of 1000, an EHCI all time high. Beginning from Switzerland (855 points) down, the EHCI 2014 shows competition at the top getting much harder.

Bronze medallists are Norway at 851 points; the very high per capita spend on healthcare services finally paying off! Finland (4th, 846 points) has made a remarkable advance, and seems to have rectified its traditional waiting time problems! Denmark (5th, 836 points) has shown a continuous rise since the start of the comparisons.

Some eastern European EU member systems are doing surprisingly well, particularly the Czech Republic and Estonia, considering their much smaller healthcare spend. The FYR Macedonia is making the most remarkable advance in the EHCI scoring of any country in the history of the Index, from 27th to 16th place, largely due to more or less eliminating waiting lists by implementing their real time e-Booking system!

Some key conclusions

Consumer and patient rights are improving. In a growing number of European countries there is healthcare legislation explicitly based on patient rights and a functional access to your own medical record is becoming standard. Hospital/clinic catalogues with quality ranking used to be confined to two – three countries for years; the 2014 number of nine countries hopefully is a sign that something is happening in this area, supporting active consumer choice. Medical travel supported by the new EU patient mobility directive can accelerate the demand for performance transparency.

  • The financial crisis has resulted in a slight but noticeable increase of inequity of healthcare services across Europe
  • There is a widening performance gap between wealthy and poor European countries
  • Overall, medical treatment results keep improving
  • Delays and/or restrictiveness have been common on the introduction of novel pharmaceuticals.

About the EHCI

The Euro Health Consumer Index (EHCI), the independent monitoring of healthcare in 36 countries, published its 8th edition January 27, 2015. Since 2006 this comparison of key values in healthcare, taking the patient and consumer point of view, has improved the understanding of European healthcare, empowered patients and helped addressing weaknesses. EHCI, and a wide range of disease-specific studies produced by the Health Consumer Powerhouse Ltd. (HCP) set standards for what could and should be achieved by modern, well-serving healthcare. The 50 Index productions are freely available at

The EHCI 2014 has been supported by unrestricted grants from Medicover S.A., Belgium, and New Direction Foundation, Belgium.


Local press releases (docx):
Belgium (fr, fl)
Czech Republic
Macedonia [FYR of]
United Kingdom

Please feel free to use this material, referring to the source:
Euro Health Consumer Index 2014.



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