Building a Sustainable Healthcare Model: A Cross-Country Analysis

This paper aims to advocate for a sustainable healthcare system and the need for pursuing a new set of goals in designing it, given the current challenges in European Union (EU28). The EU28 member states are in different phases of economic integration, and yet far from an authentic integrated market. Despite the real gains in other domains, such as commercial and competition, public health is very different across the EU28 space and lacks a common integrated and sustainable approach. Herein a sustainable healthcare model is introduced and is based on four components, two for the inputs and two for the outputs of the healthcare system, each component being further categorized into two factors. The method consists of the assessment of a new and suggestive common index of sustainable healthcare (ISH). The methodology consists of five steps: data gathering, data validation, normalization of data by applying the utilities theory, aggregation of data, and construction of the ISH index. The methodology allows the assessment of a composite ISH which captures the complexity of the national healthcare systems. The ISH is then applied to specific circumstances from different countries and is used in a cross-country analysis to determine the progress towards a sustainable healthcare.