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World Health Report 2000: Ranking of Transition Economies

The World Health Organization (WHO) released on June 21 the World Health Report 2000—Health Systems Improving Performance. In the first ever analysis of the world’s health systems, WHO used five indicators: overall level of population health; health inequalities (or disparities) within the population; overall level of health system responsiveness (a combination of patient satisfaction and how well the system acts); distribution of responsiveness within the population (how well people of varying economic status find that they are served by the health system); and the distribution of the health system’s financial burden within the population (who pays the costs). The following table ranks the transition economies of Eastern Europe and Central Asia as well as the reforming economies of Asia based on this report. (For comparison, the ranking of the first three countries as well as that of the United States has been included.) The table also contains the latest data on life expectancies for both men and women as well as the proportion of those older than 60 years for each country.

 

Performance

Life expectancy at birth (years)a

 

 

On level of health

Overall
health

system
performance

Males

Females

Percentage of population aged 60+ yearsa

France

4

1

74.9

83.6

20.5

Italy

3

2

75.4

82.1

23.9

San Marino

5

3

75.3

82.0

21.7

United States of America

72

37

73.8

79.7

16.4

Slovenia

62

38

71.6

79.5

18.8

Cuba

36

39

73.5

77.4

13.4

Croatia

57

43

69.3

77.3

20.5

Czech Republic

81

48

71.3

78.2

18.0

Poland

89

50

67.9

76.6

16.3

Albania

64

55

65.1

72.7

9.0

Slovakia

88

62

68.9

76.7

15.3

Kazakhstan

135

64

58.8

69.9

11.2

Hungary

105

66

66.3

75.1

19.7

Belarus

116

72

62.4

74.8

19.1

Lithuania

93

73

67.0

77.0

18.3

Estonia

115

77

64.4

75.3

19.4

FYR Macedonia

69

89

69.8

74.1

14.4

Ukraine

101

79

64.4

74.4

20.7

Bosnia and Herzegovina

70

90

71.2

75.0

14.7

Romania

111

99

65.1

73.5

18.6

Moldova

106

101

64.8

71.9

14.1

Bulgaria

92

102

67.4

74.7

21.2

Armenia

56

104

72.3

77.1

12.9

Latvia

121

105

63.6

74.6

20.0

Yugoslavia

47

106

71.8

76.4

18.4

Azerbaijan

60

109

67.8

75.3

10.6

Georgia

84

114

69.4

76.7

18.1

Uzbekistan

112

117

65.8

71.2

6.9

Russian Federation

127

130

62.7

74.0

18.3

China

61

144

68.1

71.3

10.0

Mongolia

138

145

58.9

64.8

5.8

Kyrgyzstan

134

151

61.6

69.0

8.9

Turkmenistan

152

153

61.0

65.3

6.5

Tajikistan

145

154

65.1

70.1

7.5

Viet Nam

130

160

64.7

68.8

7.5

Lao People's Democratic Republic

155

165

54.0

56.6

5.2

Democratic People's Republic of Korea

153

167

58.0

60.6

7.9

Cambodia

157

174

52.2

55.4

4.8

Source: World Health Organization Report 2000.

a. As measured in 1999.

 

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