Compare Data
Compare Severe Asthma Across Countries
Select different countries to see how they scored across each of the 5 categories and overall
Select country to compare
United Arab Emirates
Strong infrastructure and telemedicine, but weak national coordination and limited biologic coverage.
Policy Context
52
Access and Care Coverage
52
Health System Characteristics
60
Disease Burden
59
Environment
51
Index Score
58
/100
Rank
39
/45
Kingdom of Saudi Arabia
Strong clinical care but no national plan; air pollution and obesity heighten asthma risks.
Policy Context
60
Access and Care Coverage
60
Health System Characteristics
59
Disease Burden
70
Environment
66
Index Score
58
/100
Rank
36
/45
Mexico
Good guidelines and low mortality, yet underdiagnosis, poor data, and high obesity rates remain.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
45
Disease Burden
80
Environment
76
Index Score
60
/100
Rank
31
/45
Peru
Few guidelines and limited data; pollution and care inequities drive asthma burden.
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
61
Disease Burden
83
Environment
79
Index Score
58
/100
Rank
37
/45
Brazil
Strong national guidelines and tobacco control, but uneven care access and poor indoor air quality persist.
Policy Context
61
Access and Care Coverage
61
Health System Characteristics
43
Disease Burden
81
Environment
60
Index Score
61
/100
Rank
26
/45
Israel
Excellent access to treatment and diagnostics, but regional inequities and lack of national coordination.
Policy Context
48
Access and Care Coverage
48
Health System Characteristics
60
Disease Burden
71
Environment
66
Index Score
64
/100
Rank
21
/45
India
National strategy and tobacco laws in place, but pollution, underdiagnosis, and limited specialist access persist.
Policy Context
79
Access and Care Coverage
79
Health System Characteristics
41
Disease Burden
76
Environment
75
Index Score
62
/100
Rank
24
/45
Costa Rica
Strong policies and low mortality, yet poor inhaler use, non-adherence, and obesity hinder control.
Policy Context
63
Access and Care Coverage
63
Health System Characteristics
43
Disease Burden
82
Environment
72
Index Score
58
/100
Rank
38
/45
China
Advanced diagnostics and national strategy exist, but high pollution and uneven biologic access remain issues.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
41
Disease Burden
83
Environment
66
Index Score
61
/100
Rank
28
/45
Cyprus
Policy Context
19
Access and Care Coverage
19
Health System Characteristics
65
Disease Burden
57
Environment
72
Index Score
52
/100
Rank
44
/45
Colombia
Universal coverage but major regional inequities and administrative delays limit access to severe asthma care.
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
42
Disease Burden
85
Environment
70
Index Score
60
/100
Rank
29
/45
Egypt
Growing policy focus but limited rural access to diagnostics, biologics, and specialist care.
Policy Context
38
Access and Care Coverage
38
Health System Characteristics
53
Disease Burden
70
Environment
74
Index Score
51
/100
Rank
45
/45
South Africa
Strong guidelines but poor access to biologics and high pollution lead to inequitable outcomes.
Policy Context
55
Access and Care Coverage
55
Health System Characteristics
50
Disease Burden
74
Environment
59
Index Score
54
/100
Rank
41
/45
Chile
Robust asthma program ensures basic care, though biologics are limited and winter pollution worsens outcomes.
Policy Context
62
Access and Care Coverage
62
Health System Characteristics
43
Disease Burden
68
Environment
68
Index Score
60
/100
Rank
30
/45
Romania
Policy Context
73
Access and Care Coverage
73
Health System Characteristics
66
Disease Burden
70
Environment
52
Index Score
62
/100
Rank
25
/45
Argentina
Fragmented health system and limited access to diagnostics and biologics; lacks a national asthma strategy.
Policy Context
72
Access and Care Coverage
72
Health System Characteristics
36
Disease Burden
72
Environment
76
Index Score
53
/100
Rank
42
/45
United Kingdom
The UK ranks highest in the Access and Care Coverage category with strong treatment and drug access.
Policy Context
44
Access and Care Coverage
44
Health System Characteristics
51
Disease Burden
55
Environment
66
Index Score
70
/100
Rank
3
/45
Switzerland
While Switzerland reports low unmet healthcare needs, it currently has no comprehensive strategy for asthma.
Policy Context
85
Access and Care Coverage
85
Health System Characteristics
57
Disease Burden
62
Environment
61
Index Score
64
/100
Rank
17
/45
Sweden
Sweden ranks well across Index categories, including excellent drug and treatment access and coverage.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
63
Disease Burden
63
Environment
65
Index Score
70
/100
Rank
5
/45
Spain
Spain could further improve its score with a comprehensive asthma strategy.
Policy Context
84
Access and Care Coverage
84
Health System Characteristics
61
Disease Burden
71
Environment
48
Index Score
63
/100
Rank
22
/45
South Korea
South Korea reports a comparatively low rate of asthma-related deaths; tobacco use and control could be addressed to improve the country’s overall score.
Policy Context
45
Access and Care Coverage
45
Health System Characteristics
45
Disease Burden
77
Environment
63
Index Score
56
/100
Rank
40
/45
Slovenia
Improving alignment with international best practices and implementing an asthma strategy could improve Slovenia’s score.
Policy Context
29
Access and Care Coverage
29
Health System Characteristics
65
Disease Burden
69
Environment
49
Index Score
66
/100
Rank
14
/45
Slovakia
Portugal has low Access and Care Coverage and has among the highest levels of DALYs attributable to asthma.
Policy Context
59
Access and Care Coverage
59
Health System Characteristics
62
Disease Burden
79
Environment
68
Index Score
65
/100
Rank
16
/45
Portugal
Portugal has low Access and Care Coverage and has among the highest levels of DALYs attributable to asthma.
Policy Context
41
Access and Care Coverage
41
Health System Characteristics
66
Disease Burden
63
Environment
63
Index Score
65
/100
Rank
15
/45
Poland
Poland’s score is undercut by the absence of severe asthma guidelines, and limited tobacco control laws.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
63
Disease Burden
70
Environment
54
Index Score
68
/100
Rank
6
/45
Norway
Norway has a high level of access to biologics-based treatment, specialist care and inflammatory-phenotyping-based diagnostics.
Policy Context
72
Access and Care Coverage
72
Health System Characteristics
49
Disease Burden
63
Environment
60
Index Score
68
/100
Rank
9
/45
New Zealand
New Zealand has a strong national asthma strategy, severe asthma guidelines and reports to severe asthma registries.
Policy Context
88
Access and Care Coverage
88
Health System Characteristics
58
Disease Burden
60
Environment
76
Index Score
68
/100
Rank
8
/45
Netherlands
The Netherlands has the second highest score in Access and Care Coverage, though limited access to specialist care.
Policy Context
85
Access and Care Coverage
85
Health System Characteristics
54
Disease Burden
65
Environment
76
Index Score
63
/100
Rank
23
/45
Lithuania
Lithuania has a strong national asthma strategy, though there is a lack of reporting data to severe asthma registries.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
63
Disease Burden
73
Environment
71
Index Score
67
/100
Rank
10
/45
Latvia
Latvia is the lowest ranking in terms of Policy Context with no asthma strategy or severe asthma guidelines.
Policy Context
21
Access and Care Coverage
21
Health System Characteristics
48
Disease Burden
72
Environment
70
Index Score
52
/100
Rank
43
/45
Japan
Japan has the lowest Access and Care Coverage score, primarily due to limited access to treatments, diagnostics and digital therapeutics.
Policy Context
41
Access and Care Coverage
41
Health System Characteristics
56
Disease Burden
80
Environment
77
Index Score
59
/100
Rank
33
/45
Italy
Italy has the best alignment of national care guidelines with international guidelines among the 29 OECD countries included in the Index.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
68
Disease Burden
75
Environment
68
Index Score
71
/100
Rank
1
/45
Ireland
Ireland has high levels of asthma-related hospitalisations but lower than average time spent in hospital due to asthma.
Policy Context
87
Access and Care Coverage
87
Health System Characteristics
53
Disease Burden
50
Environment
76
Index Score
64
/100
Rank
20
/45
Hungary
Hungary ranks highly in Access and Care Coverage with relatively high access to diagnostic, specialist and remote care.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
57
Disease Burden
70
Environment
77
Index Score
66
/100
Rank
12
/45
Greece
Greece implements strong tobacco control laws alongside comprehensive severe asthma guidelines.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
71
Disease Burden
68
Environment
72
Index Score
66
/100
Rank
13
/45
Germany
A high average number of asthma-related days spent in hospital means Germany scores relatively low on Health System Characteristic
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
46
Disease Burden
71
Environment
69
Index Score
61
/100
Rank
27
/45
France
France ranks highest in Policy Context with comprehensive policies, strategies and guidelines for severe asthma care.
Policy Context
90
Access and Care Coverage
90
Health System Characteristics
56
Disease Burden
64
Environment
59
Index Score
70
/100
Rank
4
/45
Finland
Finland could improve its Policy Context score with a more comprehensive asthma strategy and guidelines for severe asthma care.
Policy Context
76
Access and Care Coverage
76
Health System Characteristics
56
Disease Burden
66
Environment
74
Index Score
64
/100
Rank
19
/45
Estonia
Estonia has the highest level of reported unmet health care needs in asthma care.
Policy Context
44
Access and Care Coverage
44
Health System Characteristics
60
Disease Burden
76
Environment
68
Index Score
60
/100
Rank
32
/45
Denmark
Severe asthma care in Denmark could benefit from the development and implementation of a national asthma strategy.
Policy Context
66
Access and Care Coverage
66
Health System Characteristics
54
Disease Burden
73
Environment
70
Index Score
68
/100
Rank
7
/45
Czechia
Czechia is among the lower scorers due to a lack of national strategy and alignment with best practices for severe asthma care.
Policy Context
46
Access and Care Coverage
46
Health System Characteristics
48
Disease Burden
66
Environment
66
Index Score
59
/100
Rank
34
/45
Canada
Canada has a comparatively comprehensive asthma strategy and good alignment with best practices for severe asthma care.
Policy Context
59
Access and Care Coverage
59
Health System Characteristics
67
Disease Burden
73
Environment
73
Index Score
64
/100
Rank
18
/45
Belgium
National asthma strategies and alignment with international best practices for asthma care could improve Belgium’s score.
Policy Context
26
Access and Care Coverage
26
Health System Characteristics
61
Disease Burden
68
Environment
74
Index Score
58
/100
Rank
35
/45
Austria
Austria has a relatively high Access and Care Coverage score, with relatively high access to treatment, diagnostics, digital therapeutics and telemedicine.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
54
Disease Burden
70
Environment
73
Index Score
67
/100
Rank
11
/45
Australia
Australia ranks high because of excellent access to treatments, diagnostics and specialist care.
Policy Context
88
Access and Care Coverage
88
Health System Characteristics
55
Disease Burden
55
Environment
82
Index Score
71
/100
Rank
2
/45
Select country to compare
United Arab Emirates
Strong infrastructure and telemedicine, but weak national coordination and limited biologic coverage.
Policy Context
52
Access and Care Coverage
52
Health System Characteristics
60
Disease Burden
59
Environment
51
Index Score
58
/100
Rank
39
/45
Kingdom of Saudi Arabia
Strong clinical care but no national plan; air pollution and obesity heighten asthma risks.
Policy Context
60
Access and Care Coverage
60
Health System Characteristics
59
Disease Burden
70
Environment
66
Index Score
58
/100
Rank
36
/45
Mexico
Good guidelines and low mortality, yet underdiagnosis, poor data, and high obesity rates remain.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
45
Disease Burden
80
Environment
76
Index Score
60
/100
Rank
31
/45
Peru
Few guidelines and limited data; pollution and care inequities drive asthma burden.
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
61
Disease Burden
83
Environment
79
Index Score
58
/100
Rank
37
/45
Brazil
Strong national guidelines and tobacco control, but uneven care access and poor indoor air quality persist.
Policy Context
61
Access and Care Coverage
61
Health System Characteristics
43
Disease Burden
81
Environment
60
Index Score
61
/100
Rank
26
/45
Israel
Excellent access to treatment and diagnostics, but regional inequities and lack of national coordination.
Policy Context
48
Access and Care Coverage
48
Health System Characteristics
60
Disease Burden
71
Environment
66
Index Score
64
/100
Rank
21
/45
India
National strategy and tobacco laws in place, but pollution, underdiagnosis, and limited specialist access persist.
Policy Context
79
Access and Care Coverage
79
Health System Characteristics
41
Disease Burden
76
Environment
75
Index Score
62
/100
Rank
24
/45
Costa Rica
Strong policies and low mortality, yet poor inhaler use, non-adherence, and obesity hinder control.
Policy Context
63
Access and Care Coverage
63
Health System Characteristics
43
Disease Burden
82
Environment
72
Index Score
58
/100
Rank
38
/45
China
Advanced diagnostics and national strategy exist, but high pollution and uneven biologic access remain issues.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
41
Disease Burden
83
Environment
66
Index Score
61
/100
Rank
28
/45
Cyprus
Policy Context
19
Access and Care Coverage
19
Health System Characteristics
65
Disease Burden
57
Environment
72
Index Score
52
/100
Rank
44
/45
Colombia
Universal coverage but major regional inequities and administrative delays limit access to severe asthma care.
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
42
Disease Burden
85
Environment
70
Index Score
60
/100
Rank
29
/45
Egypt
Growing policy focus but limited rural access to diagnostics, biologics, and specialist care.
Policy Context
38
Access and Care Coverage
38
Health System Characteristics
53
Disease Burden
70
Environment
74
Index Score
51
/100
Rank
45
/45
South Africa
Strong guidelines but poor access to biologics and high pollution lead to inequitable outcomes.
Policy Context
55
Access and Care Coverage
55
Health System Characteristics
50
Disease Burden
74
Environment
59
Index Score
54
/100
Rank
41
/45
Chile
Robust asthma program ensures basic care, though biologics are limited and winter pollution worsens outcomes.
Policy Context
62
Access and Care Coverage
62
Health System Characteristics
43
Disease Burden
68
Environment
68
Index Score
60
/100
Rank
30
/45
Romania
Policy Context
73
Access and Care Coverage
73
Health System Characteristics
66
Disease Burden
70
Environment
52
Index Score
62
/100
Rank
25
/45
Argentina
Fragmented health system and limited access to diagnostics and biologics; lacks a national asthma strategy.
Policy Context
72
Access and Care Coverage
72
Health System Characteristics
36
Disease Burden
72
Environment
76
Index Score
53
/100
Rank
42
/45
United Kingdom
The UK ranks highest in the Access and Care Coverage category with strong treatment and drug access.
Policy Context
44
Access and Care Coverage
44
Health System Characteristics
51
Disease Burden
55
Environment
66
Index Score
70
/100
Rank
3
/45
Switzerland
While Switzerland reports low unmet healthcare needs, it currently has no comprehensive strategy for asthma.
Policy Context
85
Access and Care Coverage
85
Health System Characteristics
57
Disease Burden
62
Environment
61
Index Score
64
/100
Rank
17
/45
Sweden
Sweden ranks well across Index categories, including excellent drug and treatment access and coverage.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
63
Disease Burden
63
Environment
65
Index Score
70
/100
Rank
5
/45
Spain
Spain could further improve its score with a comprehensive asthma strategy.
Policy Context
84
Access and Care Coverage
84
Health System Characteristics
61
Disease Burden
71
Environment
48
Index Score
63
/100
Rank
22
/45
South Korea
South Korea reports a comparatively low rate of asthma-related deaths; tobacco use and control could be addressed to improve the country’s overall score.
Policy Context
45
Access and Care Coverage
45
Health System Characteristics
45
Disease Burden
77
Environment
63
Index Score
56
/100
Rank
40
/45
Slovenia
Improving alignment with international best practices and implementing an asthma strategy could improve Slovenia’s score.
Policy Context
29
Access and Care Coverage
29
Health System Characteristics
65
Disease Burden
69
Environment
49
Index Score
66
/100
Rank
14
/45
Slovakia
Portugal has low Access and Care Coverage and has among the highest levels of DALYs attributable to asthma.
Policy Context
59
Access and Care Coverage
59
Health System Characteristics
62
Disease Burden
79
Environment
68
Index Score
65
/100
Rank
16
/45
Portugal
Portugal has low Access and Care Coverage and has among the highest levels of DALYs attributable to asthma.
Policy Context
41
Access and Care Coverage
41
Health System Characteristics
66
Disease Burden
63
Environment
63
Index Score
65
/100
Rank
15
/45
Poland
Poland’s score is undercut by the absence of severe asthma guidelines, and limited tobacco control laws.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
63
Disease Burden
70
Environment
54
Index Score
68
/100
Rank
6
/45
Norway
Norway has a high level of access to biologics-based treatment, specialist care and inflammatory-phenotyping-based diagnostics.
Policy Context
72
Access and Care Coverage
72
Health System Characteristics
49
Disease Burden
63
Environment
60
Index Score
68
/100
Rank
9
/45
New Zealand
New Zealand has a strong national asthma strategy, severe asthma guidelines and reports to severe asthma registries.
Policy Context
88
Access and Care Coverage
88
Health System Characteristics
58
Disease Burden
60
Environment
76
Index Score
68
/100
Rank
8
/45
Netherlands
The Netherlands has the second highest score in Access and Care Coverage, though limited access to specialist care.
Policy Context
85
Access and Care Coverage
85
Health System Characteristics
54
Disease Burden
65
Environment
76
Index Score
63
/100
Rank
23
/45
Lithuania
Lithuania has a strong national asthma strategy, though there is a lack of reporting data to severe asthma registries.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
63
Disease Burden
73
Environment
71
Index Score
67
/100
Rank
10
/45
Latvia
Latvia is the lowest ranking in terms of Policy Context with no asthma strategy or severe asthma guidelines.
Policy Context
21
Access and Care Coverage
21
Health System Characteristics
48
Disease Burden
72
Environment
70
Index Score
52
/100
Rank
43
/45
Japan
Japan has the lowest Access and Care Coverage score, primarily due to limited access to treatments, diagnostics and digital therapeutics.
Policy Context
41
Access and Care Coverage
41
Health System Characteristics
56
Disease Burden
80
Environment
77
Index Score
59
/100
Rank
33
/45
Italy
Italy has the best alignment of national care guidelines with international guidelines among the 29 OECD countries included in the Index.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
68
Disease Burden
75
Environment
68
Index Score
71
/100
Rank
1
/45
Ireland
Ireland has high levels of asthma-related hospitalisations but lower than average time spent in hospital due to asthma.
Policy Context
87
Access and Care Coverage
87
Health System Characteristics
53
Disease Burden
50
Environment
76
Index Score
64
/100
Rank
20
/45
Hungary
Hungary ranks highly in Access and Care Coverage with relatively high access to diagnostic, specialist and remote care.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
57
Disease Burden
70
Environment
77
Index Score
66
/100
Rank
12
/45
Greece
Greece implements strong tobacco control laws alongside comprehensive severe asthma guidelines.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
71
Disease Burden
68
Environment
72
Index Score
66
/100
Rank
13
/45
Germany
A high average number of asthma-related days spent in hospital means Germany scores relatively low on Health System Characteristic
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
46
Disease Burden
71
Environment
69
Index Score
61
/100
Rank
27
/45
France
France ranks highest in Policy Context with comprehensive policies, strategies and guidelines for severe asthma care.
Policy Context
90
Access and Care Coverage
90
Health System Characteristics
56
Disease Burden
64
Environment
59
Index Score
70
/100
Rank
4
/45
Finland
Finland could improve its Policy Context score with a more comprehensive asthma strategy and guidelines for severe asthma care.
Policy Context
76
Access and Care Coverage
76
Health System Characteristics
56
Disease Burden
66
Environment
74
Index Score
64
/100
Rank
19
/45
Estonia
Estonia has the highest level of reported unmet health care needs in asthma care.
Policy Context
44
Access and Care Coverage
44
Health System Characteristics
60
Disease Burden
76
Environment
68
Index Score
60
/100
Rank
32
/45
Denmark
Severe asthma care in Denmark could benefit from the development and implementation of a national asthma strategy.
Policy Context
66
Access and Care Coverage
66
Health System Characteristics
54
Disease Burden
73
Environment
70
Index Score
68
/100
Rank
7
/45
Czechia
Czechia is among the lower scorers due to a lack of national strategy and alignment with best practices for severe asthma care.
Policy Context
46
Access and Care Coverage
46
Health System Characteristics
48
Disease Burden
66
Environment
66
Index Score
59
/100
Rank
34
/45
Canada
Canada has a comparatively comprehensive asthma strategy and good alignment with best practices for severe asthma care.
Policy Context
59
Access and Care Coverage
59
Health System Characteristics
67
Disease Burden
73
Environment
73
Index Score
64
/100
Rank
18
/45
Belgium
National asthma strategies and alignment with international best practices for asthma care could improve Belgium’s score.
Policy Context
26
Access and Care Coverage
26
Health System Characteristics
61
Disease Burden
68
Environment
74
Index Score
58
/100
Rank
35
/45
Austria
Austria has a relatively high Access and Care Coverage score, with relatively high access to treatment, diagnostics, digital therapeutics and telemedicine.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
54
Disease Burden
70
Environment
73
Index Score
67
/100
Rank
11
/45
Australia
Australia ranks high because of excellent access to treatments, diagnostics and specialist care.
Policy Context
88
Access and Care Coverage
88
Health System Characteristics
55
Disease Burden
55
Environment
82
Index Score
71
/100
Rank
2
/45
Select country to compare
United Arab Emirates
Strong infrastructure and telemedicine, but weak national coordination and limited biologic coverage.
Policy Context
52
Access and Care Coverage
52
Health System Characteristics
60
Disease Burden
59
Environment
51
Index Score
58
/100
Rank
39
/45
Kingdom of Saudi Arabia
Strong clinical care but no national plan; air pollution and obesity heighten asthma risks.
Policy Context
60
Access and Care Coverage
60
Health System Characteristics
59
Disease Burden
70
Environment
66
Index Score
58
/100
Rank
36
/45
Mexico
Good guidelines and low mortality, yet underdiagnosis, poor data, and high obesity rates remain.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
45
Disease Burden
80
Environment
76
Index Score
60
/100
Rank
31
/45
Peru
Few guidelines and limited data; pollution and care inequities drive asthma burden.
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
61
Disease Burden
83
Environment
79
Index Score
58
/100
Rank
37
/45
Brazil
Strong national guidelines and tobacco control, but uneven care access and poor indoor air quality persist.
Policy Context
61
Access and Care Coverage
61
Health System Characteristics
43
Disease Burden
81
Environment
60
Index Score
61
/100
Rank
26
/45
Israel
Excellent access to treatment and diagnostics, but regional inequities and lack of national coordination.
Policy Context
48
Access and Care Coverage
48
Health System Characteristics
60
Disease Burden
71
Environment
66
Index Score
64
/100
Rank
21
/45
India
National strategy and tobacco laws in place, but pollution, underdiagnosis, and limited specialist access persist.
Policy Context
79
Access and Care Coverage
79
Health System Characteristics
41
Disease Burden
76
Environment
75
Index Score
62
/100
Rank
24
/45
Costa Rica
Strong policies and low mortality, yet poor inhaler use, non-adherence, and obesity hinder control.
Policy Context
63
Access and Care Coverage
63
Health System Characteristics
43
Disease Burden
82
Environment
72
Index Score
58
/100
Rank
38
/45
China
Advanced diagnostics and national strategy exist, but high pollution and uneven biologic access remain issues.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
41
Disease Burden
83
Environment
66
Index Score
61
/100
Rank
28
/45
Cyprus
Policy Context
19
Access and Care Coverage
19
Health System Characteristics
65
Disease Burden
57
Environment
72
Index Score
52
/100
Rank
44
/45
Colombia
Universal coverage but major regional inequities and administrative delays limit access to severe asthma care.
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
42
Disease Burden
85
Environment
70
Index Score
60
/100
Rank
29
/45
Egypt
Growing policy focus but limited rural access to diagnostics, biologics, and specialist care.
Policy Context
38
Access and Care Coverage
38
Health System Characteristics
53
Disease Burden
70
Environment
74
Index Score
51
/100
Rank
45
/45
South Africa
Strong guidelines but poor access to biologics and high pollution lead to inequitable outcomes.
Policy Context
55
Access and Care Coverage
55
Health System Characteristics
50
Disease Burden
74
Environment
59
Index Score
54
/100
Rank
41
/45
Chile
Robust asthma program ensures basic care, though biologics are limited and winter pollution worsens outcomes.
Policy Context
62
Access and Care Coverage
62
Health System Characteristics
43
Disease Burden
68
Environment
68
Index Score
60
/100
Rank
30
/45
Romania
Policy Context
73
Access and Care Coverage
73
Health System Characteristics
66
Disease Burden
70
Environment
52
Index Score
62
/100
Rank
25
/45
Argentina
Fragmented health system and limited access to diagnostics and biologics; lacks a national asthma strategy.
Policy Context
72
Access and Care Coverage
72
Health System Characteristics
36
Disease Burden
72
Environment
76
Index Score
53
/100
Rank
42
/45
United Kingdom
The UK ranks highest in the Access and Care Coverage category with strong treatment and drug access.
Policy Context
44
Access and Care Coverage
44
Health System Characteristics
51
Disease Burden
55
Environment
66
Index Score
70
/100
Rank
3
/45
Switzerland
While Switzerland reports low unmet healthcare needs, it currently has no comprehensive strategy for asthma.
Policy Context
85
Access and Care Coverage
85
Health System Characteristics
57
Disease Burden
62
Environment
61
Index Score
64
/100
Rank
17
/45
Sweden
Sweden ranks well across Index categories, including excellent drug and treatment access and coverage.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
63
Disease Burden
63
Environment
65
Index Score
70
/100
Rank
5
/45
Spain
Spain could further improve its score with a comprehensive asthma strategy.
Policy Context
84
Access and Care Coverage
84
Health System Characteristics
61
Disease Burden
71
Environment
48
Index Score
63
/100
Rank
22
/45
South Korea
South Korea reports a comparatively low rate of asthma-related deaths; tobacco use and control could be addressed to improve the country’s overall score.
Policy Context
45
Access and Care Coverage
45
Health System Characteristics
45
Disease Burden
77
Environment
63
Index Score
56
/100
Rank
40
/45
Slovenia
Improving alignment with international best practices and implementing an asthma strategy could improve Slovenia’s score.
Policy Context
29
Access and Care Coverage
29
Health System Characteristics
65
Disease Burden
69
Environment
49
Index Score
66
/100
Rank
14
/45
Slovakia
Portugal has low Access and Care Coverage and has among the highest levels of DALYs attributable to asthma.
Policy Context
59
Access and Care Coverage
59
Health System Characteristics
62
Disease Burden
79
Environment
68
Index Score
65
/100
Rank
16
/45
Portugal
Portugal has low Access and Care Coverage and has among the highest levels of DALYs attributable to asthma.
Policy Context
41
Access and Care Coverage
41
Health System Characteristics
66
Disease Burden
63
Environment
63
Index Score
65
/100
Rank
15
/45
Poland
Poland’s score is undercut by the absence of severe asthma guidelines, and limited tobacco control laws.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
63
Disease Burden
70
Environment
54
Index Score
68
/100
Rank
6
/45
Norway
Norway has a high level of access to biologics-based treatment, specialist care and inflammatory-phenotyping-based diagnostics.
Policy Context
72
Access and Care Coverage
72
Health System Characteristics
49
Disease Burden
63
Environment
60
Index Score
68
/100
Rank
9
/45
New Zealand
New Zealand has a strong national asthma strategy, severe asthma guidelines and reports to severe asthma registries.
Policy Context
88
Access and Care Coverage
88
Health System Characteristics
58
Disease Burden
60
Environment
76
Index Score
68
/100
Rank
8
/45
Netherlands
The Netherlands has the second highest score in Access and Care Coverage, though limited access to specialist care.
Policy Context
85
Access and Care Coverage
85
Health System Characteristics
54
Disease Burden
65
Environment
76
Index Score
63
/100
Rank
23
/45
Lithuania
Lithuania has a strong national asthma strategy, though there is a lack of reporting data to severe asthma registries.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
63
Disease Burden
73
Environment
71
Index Score
67
/100
Rank
10
/45
Latvia
Latvia is the lowest ranking in terms of Policy Context with no asthma strategy or severe asthma guidelines.
Policy Context
21
Access and Care Coverage
21
Health System Characteristics
48
Disease Burden
72
Environment
70
Index Score
52
/100
Rank
43
/45
Japan
Japan has the lowest Access and Care Coverage score, primarily due to limited access to treatments, diagnostics and digital therapeutics.
Policy Context
41
Access and Care Coverage
41
Health System Characteristics
56
Disease Burden
80
Environment
77
Index Score
59
/100
Rank
33
/45
Italy
Italy has the best alignment of national care guidelines with international guidelines among the 29 OECD countries included in the Index.
Policy Context
75
Access and Care Coverage
75
Health System Characteristics
68
Disease Burden
75
Environment
68
Index Score
71
/100
Rank
1
/45
Ireland
Ireland has high levels of asthma-related hospitalisations but lower than average time spent in hospital due to asthma.
Policy Context
87
Access and Care Coverage
87
Health System Characteristics
53
Disease Burden
50
Environment
76
Index Score
64
/100
Rank
20
/45
Hungary
Hungary ranks highly in Access and Care Coverage with relatively high access to diagnostic, specialist and remote care.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
57
Disease Burden
70
Environment
77
Index Score
66
/100
Rank
12
/45
Greece
Greece implements strong tobacco control laws alongside comprehensive severe asthma guidelines.
Policy Context
78
Access and Care Coverage
78
Health System Characteristics
71
Disease Burden
68
Environment
72
Index Score
66
/100
Rank
13
/45
Germany
A high average number of asthma-related days spent in hospital means Germany scores relatively low on Health System Characteristic
Policy Context
50
Access and Care Coverage
50
Health System Characteristics
46
Disease Burden
71
Environment
69
Index Score
61
/100
Rank
27
/45
France
France ranks highest in Policy Context with comprehensive policies, strategies and guidelines for severe asthma care.
Policy Context
90
Access and Care Coverage
90
Health System Characteristics
56
Disease Burden
64
Environment
59
Index Score
70
/100
Rank
4
/45
Finland
Finland could improve its Policy Context score with a more comprehensive asthma strategy and guidelines for severe asthma care.
Policy Context
76
Access and Care Coverage
76
Health System Characteristics
56
Disease Burden
66
Environment
74
Index Score
64
/100
Rank
19
/45
Estonia
Estonia has the highest level of reported unmet health care needs in asthma care.
Policy Context
44
Access and Care Coverage
44
Health System Characteristics
60
Disease Burden
76
Environment
68
Index Score
60
/100
Rank
32
/45
Denmark
Severe asthma care in Denmark could benefit from the development and implementation of a national asthma strategy.
Policy Context
66
Access and Care Coverage
66
Health System Characteristics
54
Disease Burden
73
Environment
70
Index Score
68
/100
Rank
7
/45
Czechia
Czechia is among the lower scorers due to a lack of national strategy and alignment with best practices for severe asthma care.
Policy Context
46
Access and Care Coverage
46
Health System Characteristics
48
Disease Burden
66
Environment
66
Index Score
59
/100
Rank
34
/45
Canada
Canada has a comparatively comprehensive asthma strategy and good alignment with best practices for severe asthma care.
Policy Context
59
Access and Care Coverage
59
Health System Characteristics
67
Disease Burden
73
Environment
73
Index Score
64
/100
Rank
18
/45
Belgium
National asthma strategies and alignment with international best practices for asthma care could improve Belgium’s score.
Policy Context
26
Access and Care Coverage
26
Health System Characteristics
61
Disease Burden
68
Environment
74
Index Score
58
/100
Rank
35
/45
Austria
Austria has a relatively high Access and Care Coverage score, with relatively high access to treatment, diagnostics, digital therapeutics and telemedicine.
Policy Context
64
Access and Care Coverage
64
Health System Characteristics
54
Disease Burden
70
Environment
73
Index Score
67
/100
Rank
11
/45
Australia
Australia ranks high because of excellent access to treatments, diagnostics and specialist care.
Policy Context
88
Access and Care Coverage
88
Health System Characteristics
55
Disease Burden
55
Environment
82
Index Score
71
/100
Rank
2
/45
Compare COPD Across Countries
Select different countries to see how they scored across each of the 5 categories and overall
Select country to compare
Romania
Policy Context
66
Access and Care Coverage
68
Health System Characteristics
57
Disease Burden
87
Environment
61
Index Score
68
/100
Rank
13
/45
Peru
Policy Context
36
Access and Care Coverage
62
Health System Characteristics
52
Disease Burden
70
Environment
67
Index Score
57
/100
Rank
39
/45
United Arab Emirates
The UAE reports good access to telemedicine and remote care, as well as strong conditions for digital therapeutics
Policy Context
33
Access and Care Coverage
72
Health System Characteristics
60
Disease Burden
78
Environment
63
Index Score
61
/100
Rank
33
/45
South Africa
Policy Context
64
Access and Care Coverage
47
Health System Characteristics
32
Disease Burden
57
Environment
68
Index Score
53
/100
Rank
44
/45
India
India has tobacco control policies in place, and greater implementation and monitoring would further improve its overall score
Policy Context
42
Access and Care Coverage
61
Health System Characteristics
41
Disease Burden
62
Environment
44
Index Score
50
/100
Rank
45
/45
Israel
Policy Context
45
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
76
Environment
70
Index Score
64
/100
Rank
25
/45
Mexico
Saudi Arabia scores above average in the Policy Context category, with relatively good adherence to COPD care guidelines and tobacco control policies
Policy Context
52
Access and Care Coverage
78
Health System Characteristics
54
Disease Burden
57
Environment
72
Index Score
63
/100
Rank
30
/45
Saudi Arabia
Saudi Arabia scores above average in the Policy Context category, with relatively good adherence to COPD care guidelines and tobacco control policies
Policy Context
32
Access and Care Coverage
58
Health System Characteristics
52
Disease Burden
68
Environment
71
Index Score
56
/100
Rank
41
/45
Cyprus
Policy Context
35
Access and Care Coverage
87
Health System Characteristics
50
Disease Burden
69
Environment
68
Index Score
62
/100
Rank
32
/45
Egypt
Policy Context
36
Access and Care Coverage
56
Health System Characteristics
37
Disease Burden
83
Environment
58
Index Score
54
/100
Rank
42
/45
China
China scores relatively high in the Policy Context category due to a strong national COPD strategy.
Policy Context
75
Access and Care Coverage
51
Health System Characteristics
56
Disease Burden
54
Environment
34
Index Score
54
/100
Rank
43
/45
Colombia
Policy Context
93
Access and Care Coverage
75
Health System Characteristics
49
Disease Burden
79
Environment
71
Index Score
74
/100
Rank
3
/45
Brazil
Relatively good conditions for access to telemedicine, but there remain significant gaps in access to and coverage for COPD diagnosis and care
Policy Context
54
Access and Care Coverage
64
Health System Characteristics
53
Disease Burden
77
Environment
69
Index Score
63
/100
Rank
27
/45
Costa Rica
Policy Context
78
Access and Care Coverage
60
Health System Characteristics
53
Disease Burden
82
Environment
73
Index Score
69
/100
Rank
6
/45
Chile
Policy Context
91
Access and Care Coverage
68
Health System Characteristics
60
Disease Burden
74
Environment
75
Index Score
74
/100
Rank
2
/45
Argentina
Policy Context
53
Access and Care Coverage
66
Health System Characteristics
50
Disease Burden
73
Environment
74
Index Score
63
/100
Rank
29
/45
United Kingdom
The United Kingdom (UK) is the second-highest scorer in the COPD Index, due in large part to its comprehensive implementation of strong tobacco control policies, and a relatively robust strategy for COPD prevention and care.
Policy Context
89
Access and Care Coverage
85
Health System Characteristics
49
Disease Burden
60
Environment
76
Index Score
72
/100
Rank
4
/45
Switzerland
Switzerland presents a slightly above-average score in the COPD Index, attributable to its high score in the Environmental Factors category and good performance in the Access and Care Coverage category.
Policy Context
61
Access and Care Coverage
72
Health System Characteristics
59
Disease Burden
67
Environment
74
Index Score
67
/100
Rank
14
/45
Sweden
Sweden presents the highest score in the Environmental Factors category and a strong Access and Care Coverage category, which contributes to Sweden’s position as the tenth highest-performing country in the COPD Index
Policy Context
55
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
59
Environment
84
Index Score
66
/100
Rank
21
/45
Spain
Spain is the third highest scorer in the Policy Context category, with strong care guidelines, a robust tobacco policy, and a national COPD strategy.
Policy Context
81
Access and Care Coverage
76
Health System Characteristics
63
Disease Burden
49
Environment
71
Index Score
68
/100
Rank
10
/45
Slovenia
Slovenia has relatively good access to treatment and drugs, good conditions for diagnosis, and robust universal health care service coverage.
Policy Context
39
Access and Care Coverage
68
Health System Characteristics
50
Disease Burden
70
Environment
69
Index Score
59
/100
Rank
38
/45
South Korea
South Korea is among the highest scorers in the Health System Characteristics category, with a low number of annual COPD hospitalizations and good conditions for health data collection and recording.
Policy Context
61
Access and Care Coverage
62
Health System Characteristics
65
Disease Burden
69
Environment
68
Index Score
65
/100
Rank
24
/45
Norway
Norway scores high in the Access and Care Coverage category, mainly due to good conditions for access to diagnosis, treatments, and drugs, as well as high universal health care coverage.
Policy Context
44
Access and Care Coverage
55
Health System Characteristics
49
Disease Burden
86
Environment
65
Index Score
60
/100
Rank
36
/45
Slovakia
Slovakia scores high in the Access and Care Coverage category, mainly due to high access to diagnostic and treatment services, and care referral pathways.
Policy Context
73
Access and Care Coverage
76
Health System Characteristics
55
Disease Burden
71
Environment
71
Index Score
69
/100
Rank
8
/45
Portugal
Portugal has the highest Health System Characteristics score, primarily due to low annual COPD hospitalisations, good conditions for health data collection and reporting, and the highest primary care physician density.
Policy Context
58
Access and Care Coverage
76
Health System Characteristics
46
Disease Burden
59
Environment
68
Index Score
61
/100
Rank
35
/45
Latvia
Latvia scores above average in the Environmental Factors category, with relatively low occupational exposure to COPD risk factors
Policy Context
35
Access and Care Coverage
70
Health System Characteristics
56
Disease Burden
66
Environment
70
Index Score
59
/100
Rank
37
/45
Poland
Poland has a low annual COPD hospitalisation rate, good conditions for health data collection and recording, and a high number of respiratory specialists.
Policy Context
41
Access and Care Coverage
74
Health System Characteristics
70
Disease Burden
64
Environment
71
Index Score
64
/100
Rank
26
/45
New Zealand
New Zealand has the strongest tobacco control policies in the COPD index
Policy Context
66
Access and Care Coverage
82
Health System Characteristics
47
Disease Burden
59
Environment
84
Index Score
68
/100
Rank
12
/45
Netherlands
The Netherlands’ score in the Access and Care Coverage category is high, with good conditions for access to treatment, drugs, and diagnosis
Policy Context
64
Access and Care Coverage
71
Health System Characteristics
48
Disease Burden
67
Environment
81
Index Score
66
/100
Rank
18
/45
Lithuania
Lithuania scores above average in the Health System Characteristics category, with a low number of annual COPD hospitalisations, good conditions for health data collection and reporting, and one of the highest numbers of respiratory specialists.
Policy Context
78
Access and Care Coverage
65
Health System Characteristics
53
Disease Burden
82
Environment
67
Index Score
69
/100
Rank
9
/45
Japan
Japan scores high in the Policy Context category due to strong adherence to COPD guidelines and a well-implemented national strategy
Policy Context
68
Access and Care Coverage
67
Health System Characteristics
55
Disease Burden
67
Environment
71
Index Score
66
/100
Rank
20
/45
Italy
Italy scores very high in Health System Characteristics, mainly due to a low number of annual COPD hospitalisations, a high number of respiratory specialists and good health data reporting. Italy would benefit from slightly more primary care physicians.
Policy Context
57
Access and Care Coverage
73
Health System Characteristics
66
Disease Burden
62
Environment
69
Index Score
65
/100
Rank
22
/45
Ireland
Policy Context
66
Access and Care Coverage
83
Health System Characteristics
45
Disease Burden
63
Environment
77
Index Score
67
/100
Rank
15
/45
Hungary
Hungary scores above average in the Access and Care Coverage category, with good conditions for diagnosis, treatment, and drug access, strong care referral pathways, and telemedicine access.
Policy Context
67
Access and Care Coverage
77
Health System Characteristics
55
Disease Burden
50
Environment
68
Index Score
63
/100
Rank
28
/45
Greece
Greece is among the top scorers in the Health System Characteristics category, with the highest number of respiratory specialists, good conditions for health data recording, and a low 365-day readmission for COPD.
Policy Context
66
Access and Care Coverage
71
Health System Characteristics
68
Disease Burden
62
Environment
73
Index Score
68
/100
Rank
11
/45
Germany
Germany scores above average in the Environmental Factors category, mainly due to good indoor air quality and low occupational exposure to COPD risk factors.
Policy Context
59
Access and Care Coverage
75
Health System Characteristics
53
Disease Burden
54
Environment
71
Index Score
63
/100
Rank
31
/45
France
France scores relatively high in the Health System Characteristics category, mainly due to high-quality health data reporting, an average number of respiratory specialists, and a slightly above-average density of primary care physicians.
Policy Context
51
Access and Care Coverage
78
Health System Characteristics
60
Disease Burden
63
Environment
74
Index Score
65
/100
Rank
23
/45
Finland
Finland has the third highest score in the Environmental Factors category, boasting the highest indoor air quality and the lowest level of environmental exposure to COPD risk factors.
Policy Context
81
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
63
Environment
80
Index Score
71
/100
Rank
5
/45
Estonia
Estonia is among the top overall scorers in the COPD Index, with strong tobacco control policies, COPD guidelines and practices, and a relatively strong COPD strategy.
Policy Context
78
Access and Care Coverage
70
Health System Characteristics
56
Disease Burden
70
Environment
72
Index Score
69
/100
Rank
7
/45
Denmark
Denmark has the highest score in the Access and Care Coverage category, primarily due to good diagnostic conditions, robust care referral pathways, and access to telemedicine.
Policy Context
73
Access and Care Coverage
84
Health System Characteristics
48
Disease Burden
51
Environment
77
Index Score
67
/100
Rank
16
/45
Czechia
Czechia has the 5th highest score in the Access and Care Coverage category, with good conditions for COPD diagnosis, universal health care coverage, and strong care referral pathways.
Policy Context
59
Access and Care Coverage
78
Health System Characteristics
42
Disease Burden
58
Environment
69
Index Score
61
/100
Rank
34
/45
Canada
Canada scores significantly above average in the Policy Context category, with strong tobacco control policies and relatively strong COPD care guidelines and practices.
Policy Context
66
Access and Care Coverage
71
Health System Characteristics
54
Disease Burden
66
Environment
74
Index Score
66
/100
Rank
17
/45
Belgium
Belgium’s has highly accessible universal health care coverage, treatment and drug access, however it has several gaps in care referral pathways and conditions for COPD diagnosis
Policy Context
34
Access and Care Coverage
61
Health System Characteristics
59
Disease Burden
60
Environment
73
Index Score
57
/100
Rank
40
/45
Austria
Access and Care Coverage in Austria is relatively high, due to strong conditions for COPD diagnosis, universal health care coverage, and telemedicine.
Policy Context
58
Access and Care Coverage
78
Health System Characteristics
57
Disease Burden
64
Environment
72
Index Score
66
/100
Rank
19
/45
Australia
Australia is the second highest scorer in the Policy Context category, due to the implementation of a comprehensive COPD strategy, care guidelines, and tobacco control laws.
Policy Context
87
Access and Care Coverage
80
Health System Characteristics
57
Disease Burden
67
Environment
76
Index Score
74
/100
Rank
1
/45
Select country to compare
Romania
Policy Context
66
Access and Care Coverage
68
Health System Characteristics
57
Disease Burden
87
Environment
61
Index Score
68
/100
Rank
13
/45
Peru
Policy Context
36
Access and Care Coverage
62
Health System Characteristics
52
Disease Burden
70
Environment
67
Index Score
57
/100
Rank
39
/45
United Arab Emirates
The UAE reports good access to telemedicine and remote care, as well as strong conditions for digital therapeutics
Policy Context
33
Access and Care Coverage
72
Health System Characteristics
60
Disease Burden
78
Environment
63
Index Score
61
/100
Rank
33
/45
South Africa
Policy Context
64
Access and Care Coverage
47
Health System Characteristics
32
Disease Burden
57
Environment
68
Index Score
53
/100
Rank
44
/45
India
India has tobacco control policies in place, and greater implementation and monitoring would further improve its overall score
Policy Context
42
Access and Care Coverage
61
Health System Characteristics
41
Disease Burden
62
Environment
44
Index Score
50
/100
Rank
45
/45
Israel
Policy Context
45
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
76
Environment
70
Index Score
64
/100
Rank
25
/45
Mexico
Saudi Arabia scores above average in the Policy Context category, with relatively good adherence to COPD care guidelines and tobacco control policies
Policy Context
52
Access and Care Coverage
78
Health System Characteristics
54
Disease Burden
57
Environment
72
Index Score
63
/100
Rank
30
/45
Saudi Arabia
Saudi Arabia scores above average in the Policy Context category, with relatively good adherence to COPD care guidelines and tobacco control policies
Policy Context
32
Access and Care Coverage
58
Health System Characteristics
52
Disease Burden
68
Environment
71
Index Score
56
/100
Rank
41
/45
Cyprus
Policy Context
35
Access and Care Coverage
87
Health System Characteristics
50
Disease Burden
69
Environment
68
Index Score
62
/100
Rank
32
/45
Egypt
Policy Context
36
Access and Care Coverage
56
Health System Characteristics
37
Disease Burden
83
Environment
58
Index Score
54
/100
Rank
42
/45
China
China scores relatively high in the Policy Context category due to a strong national COPD strategy.
Policy Context
75
Access and Care Coverage
51
Health System Characteristics
56
Disease Burden
54
Environment
34
Index Score
54
/100
Rank
43
/45
Colombia
Policy Context
93
Access and Care Coverage
75
Health System Characteristics
49
Disease Burden
79
Environment
71
Index Score
74
/100
Rank
3
/45
Brazil
Relatively good conditions for access to telemedicine, but there remain significant gaps in access to and coverage for COPD diagnosis and care
Policy Context
54
Access and Care Coverage
64
Health System Characteristics
53
Disease Burden
77
Environment
69
Index Score
63
/100
Rank
27
/45
Costa Rica
Policy Context
78
Access and Care Coverage
60
Health System Characteristics
53
Disease Burden
82
Environment
73
Index Score
69
/100
Rank
6
/45
Chile
Policy Context
91
Access and Care Coverage
68
Health System Characteristics
60
Disease Burden
74
Environment
75
Index Score
74
/100
Rank
2
/45
Argentina
Policy Context
53
Access and Care Coverage
66
Health System Characteristics
50
Disease Burden
73
Environment
74
Index Score
63
/100
Rank
29
/45
United Kingdom
The United Kingdom (UK) is the second-highest scorer in the COPD Index, due in large part to its comprehensive implementation of strong tobacco control policies, and a relatively robust strategy for COPD prevention and care.
Policy Context
89
Access and Care Coverage
85
Health System Characteristics
49
Disease Burden
60
Environment
76
Index Score
72
/100
Rank
4
/45
Switzerland
Switzerland presents a slightly above-average score in the COPD Index, attributable to its high score in the Environmental Factors category and good performance in the Access and Care Coverage category.
Policy Context
61
Access and Care Coverage
72
Health System Characteristics
59
Disease Burden
67
Environment
74
Index Score
67
/100
Rank
14
/45
Sweden
Sweden presents the highest score in the Environmental Factors category and a strong Access and Care Coverage category, which contributes to Sweden’s position as the tenth highest-performing country in the COPD Index
Policy Context
55
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
59
Environment
84
Index Score
66
/100
Rank
21
/45
Spain
Spain is the third highest scorer in the Policy Context category, with strong care guidelines, a robust tobacco policy, and a national COPD strategy.
Policy Context
81
Access and Care Coverage
76
Health System Characteristics
63
Disease Burden
49
Environment
71
Index Score
68
/100
Rank
10
/45
Slovenia
Slovenia has relatively good access to treatment and drugs, good conditions for diagnosis, and robust universal health care service coverage.
Policy Context
39
Access and Care Coverage
68
Health System Characteristics
50
Disease Burden
70
Environment
69
Index Score
59
/100
Rank
38
/45
South Korea
South Korea is among the highest scorers in the Health System Characteristics category, with a low number of annual COPD hospitalizations and good conditions for health data collection and recording.
Policy Context
61
Access and Care Coverage
62
Health System Characteristics
65
Disease Burden
69
Environment
68
Index Score
65
/100
Rank
24
/45
Norway
Norway scores high in the Access and Care Coverage category, mainly due to good conditions for access to diagnosis, treatments, and drugs, as well as high universal health care coverage.
Policy Context
44
Access and Care Coverage
55
Health System Characteristics
49
Disease Burden
86
Environment
65
Index Score
60
/100
Rank
36
/45
Slovakia
Slovakia scores high in the Access and Care Coverage category, mainly due to high access to diagnostic and treatment services, and care referral pathways.
Policy Context
73
Access and Care Coverage
76
Health System Characteristics
55
Disease Burden
71
Environment
71
Index Score
69
/100
Rank
8
/45
Portugal
Portugal has the highest Health System Characteristics score, primarily due to low annual COPD hospitalisations, good conditions for health data collection and reporting, and the highest primary care physician density.
Policy Context
58
Access and Care Coverage
76
Health System Characteristics
46
Disease Burden
59
Environment
68
Index Score
61
/100
Rank
35
/45
Latvia
Latvia scores above average in the Environmental Factors category, with relatively low occupational exposure to COPD risk factors
Policy Context
35
Access and Care Coverage
70
Health System Characteristics
56
Disease Burden
66
Environment
70
Index Score
59
/100
Rank
37
/45
Poland
Poland has a low annual COPD hospitalisation rate, good conditions for health data collection and recording, and a high number of respiratory specialists.
Policy Context
41
Access and Care Coverage
74
Health System Characteristics
70
Disease Burden
64
Environment
71
Index Score
64
/100
Rank
26
/45
New Zealand
New Zealand has the strongest tobacco control policies in the COPD index
Policy Context
66
Access and Care Coverage
82
Health System Characteristics
47
Disease Burden
59
Environment
84
Index Score
68
/100
Rank
12
/45
Netherlands
The Netherlands’ score in the Access and Care Coverage category is high, with good conditions for access to treatment, drugs, and diagnosis
Policy Context
64
Access and Care Coverage
71
Health System Characteristics
48
Disease Burden
67
Environment
81
Index Score
66
/100
Rank
18
/45
Lithuania
Lithuania scores above average in the Health System Characteristics category, with a low number of annual COPD hospitalisations, good conditions for health data collection and reporting, and one of the highest numbers of respiratory specialists.
Policy Context
78
Access and Care Coverage
65
Health System Characteristics
53
Disease Burden
82
Environment
67
Index Score
69
/100
Rank
9
/45
Japan
Japan scores high in the Policy Context category due to strong adherence to COPD guidelines and a well-implemented national strategy
Policy Context
68
Access and Care Coverage
67
Health System Characteristics
55
Disease Burden
67
Environment
71
Index Score
66
/100
Rank
20
/45
Italy
Italy scores very high in Health System Characteristics, mainly due to a low number of annual COPD hospitalisations, a high number of respiratory specialists and good health data reporting. Italy would benefit from slightly more primary care physicians.
Policy Context
57
Access and Care Coverage
73
Health System Characteristics
66
Disease Burden
62
Environment
69
Index Score
65
/100
Rank
22
/45
Ireland
Policy Context
66
Access and Care Coverage
83
Health System Characteristics
45
Disease Burden
63
Environment
77
Index Score
67
/100
Rank
15
/45
Hungary
Hungary scores above average in the Access and Care Coverage category, with good conditions for diagnosis, treatment, and drug access, strong care referral pathways, and telemedicine access.
Policy Context
67
Access and Care Coverage
77
Health System Characteristics
55
Disease Burden
50
Environment
68
Index Score
63
/100
Rank
28
/45
Greece
Greece is among the top scorers in the Health System Characteristics category, with the highest number of respiratory specialists, good conditions for health data recording, and a low 365-day readmission for COPD.
Policy Context
66
Access and Care Coverage
71
Health System Characteristics
68
Disease Burden
62
Environment
73
Index Score
68
/100
Rank
11
/45
Germany
Germany scores above average in the Environmental Factors category, mainly due to good indoor air quality and low occupational exposure to COPD risk factors.
Policy Context
59
Access and Care Coverage
75
Health System Characteristics
53
Disease Burden
54
Environment
71
Index Score
63
/100
Rank
31
/45
France
France scores relatively high in the Health System Characteristics category, mainly due to high-quality health data reporting, an average number of respiratory specialists, and a slightly above-average density of primary care physicians.
Policy Context
51
Access and Care Coverage
78
Health System Characteristics
60
Disease Burden
63
Environment
74
Index Score
65
/100
Rank
23
/45
Finland
Finland has the third highest score in the Environmental Factors category, boasting the highest indoor air quality and the lowest level of environmental exposure to COPD risk factors.
Policy Context
81
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
63
Environment
80
Index Score
71
/100
Rank
5
/45
Estonia
Estonia is among the top overall scorers in the COPD Index, with strong tobacco control policies, COPD guidelines and practices, and a relatively strong COPD strategy.
Policy Context
78
Access and Care Coverage
70
Health System Characteristics
56
Disease Burden
70
Environment
72
Index Score
69
/100
Rank
7
/45
Denmark
Denmark has the highest score in the Access and Care Coverage category, primarily due to good diagnostic conditions, robust care referral pathways, and access to telemedicine.
Policy Context
73
Access and Care Coverage
84
Health System Characteristics
48
Disease Burden
51
Environment
77
Index Score
67
/100
Rank
16
/45
Czechia
Czechia has the 5th highest score in the Access and Care Coverage category, with good conditions for COPD diagnosis, universal health care coverage, and strong care referral pathways.
Policy Context
59
Access and Care Coverage
78
Health System Characteristics
42
Disease Burden
58
Environment
69
Index Score
61
/100
Rank
34
/45
Canada
Canada scores significantly above average in the Policy Context category, with strong tobacco control policies and relatively strong COPD care guidelines and practices.
Policy Context
66
Access and Care Coverage
71
Health System Characteristics
54
Disease Burden
66
Environment
74
Index Score
66
/100
Rank
17
/45
Belgium
Belgium’s has highly accessible universal health care coverage, treatment and drug access, however it has several gaps in care referral pathways and conditions for COPD diagnosis
Policy Context
34
Access and Care Coverage
61
Health System Characteristics
59
Disease Burden
60
Environment
73
Index Score
57
/100
Rank
40
/45
Austria
Access and Care Coverage in Austria is relatively high, due to strong conditions for COPD diagnosis, universal health care coverage, and telemedicine.
Policy Context
58
Access and Care Coverage
78
Health System Characteristics
57
Disease Burden
64
Environment
72
Index Score
66
/100
Rank
19
/45
Australia
Australia is the second highest scorer in the Policy Context category, due to the implementation of a comprehensive COPD strategy, care guidelines, and tobacco control laws.
Policy Context
87
Access and Care Coverage
80
Health System Characteristics
57
Disease Burden
67
Environment
76
Index Score
74
/100
Rank
1
/45
Select country to compare
Romania
Policy Context
66
Access and Care Coverage
68
Health System Characteristics
57
Disease Burden
87
Environment
61
Index Score
68
/100
Rank
13
/45
Peru
Policy Context
36
Access and Care Coverage
62
Health System Characteristics
52
Disease Burden
70
Environment
67
Index Score
57
/100
Rank
39
/45
United Arab Emirates
The UAE reports good access to telemedicine and remote care, as well as strong conditions for digital therapeutics
Policy Context
33
Access and Care Coverage
72
Health System Characteristics
60
Disease Burden
78
Environment
63
Index Score
61
/100
Rank
33
/45
South Africa
Policy Context
64
Access and Care Coverage
47
Health System Characteristics
32
Disease Burden
57
Environment
68
Index Score
53
/100
Rank
44
/45
India
India has tobacco control policies in place, and greater implementation and monitoring would further improve its overall score
Policy Context
42
Access and Care Coverage
61
Health System Characteristics
41
Disease Burden
62
Environment
44
Index Score
50
/100
Rank
45
/45
Israel
Policy Context
45
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
76
Environment
70
Index Score
64
/100
Rank
25
/45
Mexico
Saudi Arabia scores above average in the Policy Context category, with relatively good adherence to COPD care guidelines and tobacco control policies
Policy Context
52
Access and Care Coverage
78
Health System Characteristics
54
Disease Burden
57
Environment
72
Index Score
63
/100
Rank
30
/45
Saudi Arabia
Saudi Arabia scores above average in the Policy Context category, with relatively good adherence to COPD care guidelines and tobacco control policies
Policy Context
32
Access and Care Coverage
58
Health System Characteristics
52
Disease Burden
68
Environment
71
Index Score
56
/100
Rank
41
/45
Cyprus
Policy Context
35
Access and Care Coverage
87
Health System Characteristics
50
Disease Burden
69
Environment
68
Index Score
62
/100
Rank
32
/45
Egypt
Policy Context
36
Access and Care Coverage
56
Health System Characteristics
37
Disease Burden
83
Environment
58
Index Score
54
/100
Rank
42
/45
China
China scores relatively high in the Policy Context category due to a strong national COPD strategy.
Policy Context
75
Access and Care Coverage
51
Health System Characteristics
56
Disease Burden
54
Environment
34
Index Score
54
/100
Rank
43
/45
Colombia
Policy Context
93
Access and Care Coverage
75
Health System Characteristics
49
Disease Burden
79
Environment
71
Index Score
74
/100
Rank
3
/45
Brazil
Relatively good conditions for access to telemedicine, but there remain significant gaps in access to and coverage for COPD diagnosis and care
Policy Context
54
Access and Care Coverage
64
Health System Characteristics
53
Disease Burden
77
Environment
69
Index Score
63
/100
Rank
27
/45
Costa Rica
Policy Context
78
Access and Care Coverage
60
Health System Characteristics
53
Disease Burden
82
Environment
73
Index Score
69
/100
Rank
6
/45
Chile
Policy Context
91
Access and Care Coverage
68
Health System Characteristics
60
Disease Burden
74
Environment
75
Index Score
74
/100
Rank
2
/45
Argentina
Policy Context
53
Access and Care Coverage
66
Health System Characteristics
50
Disease Burden
73
Environment
74
Index Score
63
/100
Rank
29
/45
United Kingdom
The United Kingdom (UK) is the second-highest scorer in the COPD Index, due in large part to its comprehensive implementation of strong tobacco control policies, and a relatively robust strategy for COPD prevention and care.
Policy Context
89
Access and Care Coverage
85
Health System Characteristics
49
Disease Burden
60
Environment
76
Index Score
72
/100
Rank
4
/45
Switzerland
Switzerland presents a slightly above-average score in the COPD Index, attributable to its high score in the Environmental Factors category and good performance in the Access and Care Coverage category.
Policy Context
61
Access and Care Coverage
72
Health System Characteristics
59
Disease Burden
67
Environment
74
Index Score
67
/100
Rank
14
/45
Sweden
Sweden presents the highest score in the Environmental Factors category and a strong Access and Care Coverage category, which contributes to Sweden’s position as the tenth highest-performing country in the COPD Index
Policy Context
55
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
59
Environment
84
Index Score
66
/100
Rank
21
/45
Spain
Spain is the third highest scorer in the Policy Context category, with strong care guidelines, a robust tobacco policy, and a national COPD strategy.
Policy Context
81
Access and Care Coverage
76
Health System Characteristics
63
Disease Burden
49
Environment
71
Index Score
68
/100
Rank
10
/45
Slovenia
Slovenia has relatively good access to treatment and drugs, good conditions for diagnosis, and robust universal health care service coverage.
Policy Context
39
Access and Care Coverage
68
Health System Characteristics
50
Disease Burden
70
Environment
69
Index Score
59
/100
Rank
38
/45
South Korea
South Korea is among the highest scorers in the Health System Characteristics category, with a low number of annual COPD hospitalizations and good conditions for health data collection and recording.
Policy Context
61
Access and Care Coverage
62
Health System Characteristics
65
Disease Burden
69
Environment
68
Index Score
65
/100
Rank
24
/45
Norway
Norway scores high in the Access and Care Coverage category, mainly due to good conditions for access to diagnosis, treatments, and drugs, as well as high universal health care coverage.
Policy Context
44
Access and Care Coverage
55
Health System Characteristics
49
Disease Burden
86
Environment
65
Index Score
60
/100
Rank
36
/45
Slovakia
Slovakia scores high in the Access and Care Coverage category, mainly due to high access to diagnostic and treatment services, and care referral pathways.
Policy Context
73
Access and Care Coverage
76
Health System Characteristics
55
Disease Burden
71
Environment
71
Index Score
69
/100
Rank
8
/45
Portugal
Portugal has the highest Health System Characteristics score, primarily due to low annual COPD hospitalisations, good conditions for health data collection and reporting, and the highest primary care physician density.
Policy Context
58
Access and Care Coverage
76
Health System Characteristics
46
Disease Burden
59
Environment
68
Index Score
61
/100
Rank
35
/45
Latvia
Latvia scores above average in the Environmental Factors category, with relatively low occupational exposure to COPD risk factors
Policy Context
35
Access and Care Coverage
70
Health System Characteristics
56
Disease Burden
66
Environment
70
Index Score
59
/100
Rank
37
/45
Poland
Poland has a low annual COPD hospitalisation rate, good conditions for health data collection and recording, and a high number of respiratory specialists.
Policy Context
41
Access and Care Coverage
74
Health System Characteristics
70
Disease Burden
64
Environment
71
Index Score
64
/100
Rank
26
/45
New Zealand
New Zealand has the strongest tobacco control policies in the COPD index
Policy Context
66
Access and Care Coverage
82
Health System Characteristics
47
Disease Burden
59
Environment
84
Index Score
68
/100
Rank
12
/45
Netherlands
The Netherlands’ score in the Access and Care Coverage category is high, with good conditions for access to treatment, drugs, and diagnosis
Policy Context
64
Access and Care Coverage
71
Health System Characteristics
48
Disease Burden
67
Environment
81
Index Score
66
/100
Rank
18
/45
Lithuania
Lithuania scores above average in the Health System Characteristics category, with a low number of annual COPD hospitalisations, good conditions for health data collection and reporting, and one of the highest numbers of respiratory specialists.
Policy Context
78
Access and Care Coverage
65
Health System Characteristics
53
Disease Burden
82
Environment
67
Index Score
69
/100
Rank
9
/45
Japan
Japan scores high in the Policy Context category due to strong adherence to COPD guidelines and a well-implemented national strategy
Policy Context
68
Access and Care Coverage
67
Health System Characteristics
55
Disease Burden
67
Environment
71
Index Score
66
/100
Rank
20
/45
Italy
Italy scores very high in Health System Characteristics, mainly due to a low number of annual COPD hospitalisations, a high number of respiratory specialists and good health data reporting. Italy would benefit from slightly more primary care physicians.
Policy Context
57
Access and Care Coverage
73
Health System Characteristics
66
Disease Burden
62
Environment
69
Index Score
65
/100
Rank
22
/45
Ireland
Policy Context
66
Access and Care Coverage
83
Health System Characteristics
45
Disease Burden
63
Environment
77
Index Score
67
/100
Rank
15
/45
Hungary
Hungary scores above average in the Access and Care Coverage category, with good conditions for diagnosis, treatment, and drug access, strong care referral pathways, and telemedicine access.
Policy Context
67
Access and Care Coverage
77
Health System Characteristics
55
Disease Burden
50
Environment
68
Index Score
63
/100
Rank
28
/45
Greece
Greece is among the top scorers in the Health System Characteristics category, with the highest number of respiratory specialists, good conditions for health data recording, and a low 365-day readmission for COPD.
Policy Context
66
Access and Care Coverage
71
Health System Characteristics
68
Disease Burden
62
Environment
73
Index Score
68
/100
Rank
11
/45
Germany
Germany scores above average in the Environmental Factors category, mainly due to good indoor air quality and low occupational exposure to COPD risk factors.
Policy Context
59
Access and Care Coverage
75
Health System Characteristics
53
Disease Burden
54
Environment
71
Index Score
63
/100
Rank
31
/45
France
France scores relatively high in the Health System Characteristics category, mainly due to high-quality health data reporting, an average number of respiratory specialists, and a slightly above-average density of primary care physicians.
Policy Context
51
Access and Care Coverage
78
Health System Characteristics
60
Disease Burden
63
Environment
74
Index Score
65
/100
Rank
23
/45
Finland
Finland has the third highest score in the Environmental Factors category, boasting the highest indoor air quality and the lowest level of environmental exposure to COPD risk factors.
Policy Context
81
Access and Care Coverage
75
Health System Characteristics
56
Disease Burden
63
Environment
80
Index Score
71
/100
Rank
5
/45
Estonia
Estonia is among the top overall scorers in the COPD Index, with strong tobacco control policies, COPD guidelines and practices, and a relatively strong COPD strategy.
Policy Context
78
Access and Care Coverage
70
Health System Characteristics
56
Disease Burden
70
Environment
72
Index Score
69
/100
Rank
7
/45
Denmark
Denmark has the highest score in the Access and Care Coverage category, primarily due to good diagnostic conditions, robust care referral pathways, and access to telemedicine.
Policy Context
73
Access and Care Coverage
84
Health System Characteristics
48
Disease Burden
51
Environment
77
Index Score
67
/100
Rank
16
/45
Czechia
Czechia has the 5th highest score in the Access and Care Coverage category, with good conditions for COPD diagnosis, universal health care coverage, and strong care referral pathways.
Policy Context
59
Access and Care Coverage
78
Health System Characteristics
42
Disease Burden
58
Environment
69
Index Score
61
/100
Rank
34
/45
Canada
Canada scores significantly above average in the Policy Context category, with strong tobacco control policies and relatively strong COPD care guidelines and practices.
Policy Context
66
Access and Care Coverage
71
Health System Characteristics
54
Disease Burden
66
Environment
74
Index Score
66
/100
Rank
17
/45
Belgium
Belgium’s has highly accessible universal health care coverage, treatment and drug access, however it has several gaps in care referral pathways and conditions for COPD diagnosis
Policy Context
34
Access and Care Coverage
61
Health System Characteristics
59
Disease Burden
60
Environment
73
Index Score
57
/100
Rank
40
/45
Austria
Access and Care Coverage in Austria is relatively high, due to strong conditions for COPD diagnosis, universal health care coverage, and telemedicine.
Policy Context
58
Access and Care Coverage
78
Health System Characteristics
57
Disease Burden
64
Environment
72
Index Score
66
/100
Rank
19
/45
Australia
Australia is the second highest scorer in the Policy Context category, due to the implementation of a comprehensive COPD strategy, care guidelines, and tobacco control laws.
Policy Context
87
Access and Care Coverage
80
Health System Characteristics
57
Disease Burden
67
Environment
76
Index Score
74
/100
Rank
1
/45