Countries with the best healthcare systems


Since 2019, the Johns Hopkins Center for Health Security, together with the Center for Nuclear Threat Initiative, has been conducting a study that results in the Global Health Security Index. Its goal is to identify countries with the most developed health care systems, evaluate their performance, note any strengths and weaknesses, and make a forecast for the near future.


Countries with the best healthcare systems

During the compilation of the rating, all countries were divided into three groups depending on the degree of their preparedness for various kinds of epidemics and pandemics, although the “triumphant march” of the coronavirus across the planet was not yet taken into account. As a result, it turned out that not a single state in the world is completely prepared for extraordinary events of this kind, despite the fact that many of them had a reputation that took decades, rather than years, to develop. This primarily applies to France, Switzerland, Germany and Spain, where the quality of medical care was considered the highest in Europe.


Top 20 countries in the Global Health Security Index

  • USA – 83.5
  • UK – 77.9
  • Netherlands -75.6
  • Australia -75.5
  • Canada – 75.3
  • Thailand – 73.2
  • Sweden – 72.1
  • Denmark – 70.4
  • South Korea – 70.2
  • Finland – 68.7
  • France – 68.2
  • Slovenia – 67.2
  • Switzerland – 67.0
  • Germany – 66.0
  • Spain – 65.9
  • Norway – 64.6
  • Latvia – 62.9
  • Malaysia – 62.2
  • Belgium – 61.0
  • Portugal – 60.3

The average rating is 40.2 points out of 100 possible. At the same time, 73% of the population lives in states whose rating does not reach 50 points. The DPRK, Somalia and Equatorial Guinea close the ranking.


Countries with the best healthcare systems

All of the above twenty countries have a high income level, with exceptions to the rule being Thailand and Malaysia (“above average”). Among the former Soviet republics that are not part of the EU, Georgia is highest in the ranking (sharing 42-43 places with the Czech Republic), followed by Armenia (44) and Kyrgyzstan (47). Russia shared 63-64 places with Uganda, Moldova ranks 78th, and Ukraine ranks 94th out of 195 countries, which corresponds to an average degree of preparedness.


Countries with the best healthcare systems

However, the study clearly demonstrated that even countries with traditionally high performance indicators of the national health care system are not prepared to adequately counteract outbreaks of diseases caused by new viruses or bacteria.


When developing the Global Health Security Index, 34 criteria were taken into account in 6 main categories:

  • prevention (preventing or identifying new pathogens);
  • early diagnosis (detection of epidemics and identification of their pathogens);
  • reaction speed (the time that passes from the beginning of the epidemic until the spread of the disease decreases);
  • compliance of the health care system with the standards established by WHO;
  • probability of risks (vulnerability in the presence of a biological threat and environmental conditions);
  • the degree of effectiveness of treating patients and protecting medical personnel from infections.

All data was taken from official sources that are publicly available – such as WHO, UN, World Organization for Animal Health and others.



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