An Economist Intelligence Unit study, commissioned by the Lien Foundation
THE 2015 QUALITY OF DEATH INDEX
RANKING PALLIATIVE CARE ACROSS THE WORLD
KEY FINDINGS INFOGRAPHIC
As governments across the world work
to improve life for their citizens, they
must also consider how to help them die
well. The Economist Intelligence Unit has
assessed the availability, affordability
and quality of palliative care available to
adults across 80 countries. Countries were
scored out of 100 on 20 indicators in five
categories:
OVERALL RESULTS
UNITED KINGDOM
1
AUSTRALIA
2
NEW ZEALAND
3
IRELAND
4
BELGIUM
5
TAIWAN
6
GERMANY
7
NETHERLANDS
8
USA
9
93.9
91.6
87.6
85.8
84.5
83.1
82.0
80.9
80.8
79.4
FRANCE 10
CANADA 11
77.8
SINGAPORE 12
77.6
77.4
NORWAY 13
76.3
JAPAN 14
Palliative and
healthcare environment
(20% weighting)
Covers the general palliative
andhealthcare framework
SWITZERLAND 15
76.1
SWEDEN 16
75.4
74.8
AUSTRIA 17
73.7
SOUTH KOREA 18
DENMARK 19
73.5
FINLAND 20
73.3
71.1
ITALY 21
66.6
HONG KONG 22
63.4
SPAIN 23
60.8
PORTUGAL 24
59.8
ISRAEL 25
58.7
POLAND 26
Human resources
(20% weighting)
Measures the availability
and training of medical care
professionals and support staff
58.6
CHILE 27
57.7
MONGOLIA 28
57.3
COSTA RICA 29
54.0
LITHUANIA 30
53.6
PANAMA 31
52.5
ARGENTINA 32
51.8
CZECH REPUBLIC 33
48.5
SOUTH AFRICA 34
47.8
UGANDA 35
46.8
CUBA 36
Affordability of care
(20% weighting)
Assesses the availability of
public funding for palliative
care and the financial burden
to patients
JORDAN 37
46.7
MALAYSIA 38
46.5
46.1
URUGUAY 39
44.0
ECUADOR 40
HUNGARY 41
42.7
BRAZIL 42
42.5
42.3
MEXICO 43
40.2
THAILAND 44
VENEZUELA 45
40.1
PUERTO RICO 46
40.0
38.2
TURKEY 47
37.2
RUSSIA 48
36.0
PERU 49
34.8
KAZAKHSTAN 50
Quality of care
(30% weighting)
Evaluates the presence of
monitoring guidelines, the
availability of opioids and the
extent to which healthcare
professionals and patients are
partners in care
Community engagement
(10% weighting)
Measures the availability
of volunteers and public
awareness of palliative care
GHANA 51
34.3
MOROCCO 52
33.8
INDONESIA 53
33.6
TANZANIA 54
33.4
SLOVAKIA 55
33.2
GREECE =56
32.9
32.9
EGYPT =56
31.9
VIETNAM 58
ZIMBABWE 59
31.3
SAUDI ARABIA 60
30.8
ZAMBIA 61
30.3
BULGARIA 62
30.1
30.0
KENYA 63
28.3
ROMANIA 64
SRI LANKA 65
27.1
MALAWI 66
27.0
INDIA 67
26.8
COLOMBIA 68
26.7
UKRAINE 69
25.5
ETHIOPIA 70
25.1
CHINA 71
23.3
BOTSWANA 72
22.8
IRAN 73
21.2
GUATEMALA 74
20.9
DOMINICAN REPUBLIC 75
17.2
MYANMAR 76
17.1
NIGERIA 77
PHILIPPINES 78
BANGLADESH 79
IRAQ 80
16.9
15.3
14.1
12.5
High income
Middle income
KEY
Low income
X Rank out of 80
2
3
6
Using World Bank definitions, the low income group of countries
includes those that had 2013 GNI per capita of less than US$4,125;
the middle income group includes those that had more than
US$4,125 but less than US$12,746, and the high income group
includes those that had more than US$12,746.
BANGLADESH
PHILIPPINES
MYANMAR
CHINA
INDIA
SRI LANKA
VIETNAM
INDONESIA
THAILAND
MALAYSIA
MONGOLIA
HONG KONG
SOUTH KOREA
JAPAN
SINGAPORE
14.1
15.3
17.1
23.3
26.8
27.1
31.9
33.6
40.2
46.5
57.7
77.6
76.3
73.7
66.6
87.6
83.1
40.0
NORWAY
UKRAINE
ROMANIA
BULGARIA
GREECE
SLOVAKIA
KAZAKHSTAN
RUSSIA
TURKEY
HUNGARY
CZECH REPUBLIC
LITHUANIA
POLAND
PORTUGAL
SPAIN
ITALY
FINLAND
DENMARK
AUSTRIA
SWEDEN
SWITZERLAND
42.7
25.5
28.3
30.1
32.9
33.2
34.8
37.2
38.2
80.9
51.8
54.0
58.7
60.8
63.4
71.1
73.3
73.5
74.8
75.4
76.1
77.4
79.4
NETHERLANDS
FRANCE
84.5
82.0
BELGIUM
93.9
8
GERMANY
17.2
42.3
40.1
7
TAIWAN
26.7
20.9
46.8
44.0
36.0
53.6
52.5
46.1
42.5
58.6
58.6
85.8
UK
IRELAND
DOMINICAN REPUBLIC
GUATEMALA
COLUMBIA
PERU
PUERTO RICO
VENEZUELA
MEXICO
BRAZIL
ECUADOR
URUGUAY
CUBA
ARGENTINA
PANAMA
COSTA RICA
CHILE
CANADA
80.8
77.8
5
91.6
MIDDLE EAST
& AFRICA
4
NEW ZEALAND
25 34 35 37 51 52 54 =56 59 60 61 63 66 70 72 73 77 80
1
AUSTRALIA
12.5
16.9
21.2
22.8
25.1
27.0
30.0
30.3
30.8
31.3
32.9
33.4
46.7
AMERICAS
IRAQ
NIGERIA
34.3
33.8
48.5
47.8
59.8
11 27 29 31 32 36 39 40 42 43 45 46 49 68 74 75
IRAN
BOTSWANA
ETHOPIA
MALAWI
KENYA
ZAMBIA
SAUDI ARABIA
ZIMBABWE
EGYPT
TANZANIA
MOROCCO
GHANA
JORDAN
UGANDA
SOUTH AFRICA
ISRAEL
9
US
OVERALL RESULTS
10 13 15 16 17 19 20 21 23 24 26 30 33 41 47 48 50 55 =56 62 64 69
EUROPE
ASIA-PACIFIC
12 14 18 22 28 38 44 53 58 65 67 71 76 78 79
PALLIATIVE
AROUND THE
WORLD
CASE STUDIES
RESULTSCARE
BY GEOGRAPHY
AND
CASE&STUDIES
CHILE
UK
CHINA
Best in Latin America
World leader
Challenges ahead
• Rank: 27
• Score: 58.6
• Highest number of
palliative care services
in region and long-running
national programme
have greatly benefitted
quality of care
• Rank: 1
• Score: 93.9
• A leader in palliative
care thanks to extensive
integration into National
Health Service and strong
hospice movement, but
improvements still needed
as life expectancy grows
• Rank: 71
• Score: 23.3
• Facing difficulties
from slow adoption of
palliative care and a
rapidly ageing population
MALAWI
The kids are all right
• Rank: 66
• Score: 27.0
• Leading the way in
children’s palliative care
among less developed
nations
KEY
80 - 95
60 - 80
40 - 60
20 - 40
Below 20
SOUTH AFRICA
SPAIN
TAIWAN
Raising the profile
Strategy is key
Leading the way
• Rank: 34
• Score: 48.5
• Supported by government,
religious and philanthropic
funding, South Africa
offers the best palliative
care in Africa
• Rank: 23
• Score: 63.4
• Though many pockets of
excellence existed before,
eg in Catalonia, national
strategy unified approach
across 17 regional health
systems and raised
national standards
• Rank: 6
• Score: 83.1
• Ranked 1st in Asia,
Taiwanese palliative care
is widely available,
affordable and comprehensive
MONGOLIA
A personal mission
• Rank: 28
• Score: 57.7
• Led by Dr Odontuya
Davaasuren, palliative
care in Mongolia has
transformed from almost
non-existent to the best
in the low-income
countries bracket
The biggest problem is that our healthcare systems are
designed to provide acute care when what we need is chronic
care... That’s still the case almost everywhere in the world
– Stephen Connor, senior fellow at the Worldwide Hospice Palliative Care Alliance
1. PALLIATIVE AND HEALTHCARE ENVIRONMENT
IS A PALLIATIVE CARE FRAMEWORK IN PLACE?
2. HUMAN RESOURCES
ARE ENOUGH PALLIATIVE CARE PROFESSIONALS AVAILABLE?
UNITED KINGDOM
1
85.2
AUSTRALIA
1
NETHERLANDS
2
84.8
UNITED KINGDOM
2
AUSTRALIA
3
84.1
GERMANY
3
IRELAND
4
IRELAND
4
TAIWAN
5
79.6
NEW ZEALAND
5
USA
6
78.9
CANADA
6
AUSTRIA
7
NEW ZEALAND
8
NORWAY
9
81.7
77.8
76.7
71.0
69.4
BELGIUM 10
67.6
GERMANY 11
66.4
SINGAPORE 12
64.8
SWITZERLAND 13
62.2
JAPAN 14
NORWAY
7
SINGAPORE
8
TAIWAN
9
71.6
56.7
55.5
53.5
ISRAEL 21
52.1
COSTA RICA 22
70.2
USA 14
JAPAN 16
ITALY 19
71.2
SOUTH KOREA 13
SWITZERLAND 15
SOUTH KOREA 20
72.2
71.6
71.4
61.2
58.4
75.5
74.0
SWEDEN =10
60.9
57.5
81.4
78.0
AUSTRIA 12
SPAIN 15
CANADA 18
87.9
86.1
FRANCE =10
FRANCE 16
FINLAND 17
92.3
88.2
69.4
67.5
66.0
BELGIUM 17
62.6
FINLAND 18
DENMARK 19
62.4
HONG KONG 20
62.1
61.1
MONGOLIA 21
59.6
NETHERLANDS 22
CHILE 23
51.9
ISRAEL 23
MONGOLIA 24
51.3
UGANDA 24
57.5
54.0
PANAMA 25
51.2
URUGUAY 25
52.6
DENMARK =26
50.5
CZECH REPUBLIC 26
52.2
SWEDEN =26
50.5
ITALY 27
51.5
HONG KONG 28
50.4
LITHUANIA 28
51.3
URUGUAY 29
44.8
ARGENTINA 29
PUERTO RICO 30
44.6
POLAND =30
POLAND 31
42.2
JORDAN =30
SOUTH AFRICA 32
41.7
CHILE 32
41.4
49.4
47.4
BRAZIL 33
46.2
39.7
MEXICO 34
45.4
39.3
PORTUGAL 33
CUBA 34
50.7
49.4
ZAMBIA 35
43.2
38.0
SPAIN 36
42.6
MALAWI =36
38.0
PORTUGAL 37
42.3
ZAMBIA 38
37.8
HUNGARY 38
42.1
JORDAN 35
BRAZIL =36
VENEZUELA 39
37.7
CUBA 39
41.9
RUSSIA 40
37.4
MALAYSIA 40
41.7
41.6
ECUADOR 41
37.3
COSTA RICA =41
MALAYSIA 42
37.1
PANAMA =41
MEXICO =43
37.0
VENEZUELA =43
37.0
UKRAINE =43
39.8
34.9
THAILAND 45
39.5
34.7
MOROCCO 46
37.1
GHANA 47
36.3
UGANDA =43
VIETNAM 45
TURKEY 46
33.6
KENYA 47
41.6
39.8
GHANA 48
33.4
EGYPT 48
36.1
PERU 49
33.2
SAUDI ARABIA 49
35.4
33.1
TANZANIA 50
32.1
INDIA 51
32.0
MALAWI 50
35.1
ECUADOR 51
34.4
SLOVAKIA 52
34.0
31.0
COLOMBIA 53
33.8
INDONESIA 54
30.9
ROMANIA 54
31.3
LITHUANIA 55
30.1
RUSSIA 55
31.0
THAILAND 52
SRI LANKA 53
ZIMBABWE 56
28.1
SRI LANKA 56
HUNGARY 57
27.6
TURKEY 57
26.7
GREECE 58
25.8
ARGENTINA 59
30.0
28.8
NIGERIA 58
27.9
SOUTH AFRICA 59
27.5
CZECH REPUBLIC 60
24.5
KAZAKHSTAN 60
UKRAINE 61
23.7
GREECE 61
27.0
25.9
COLOMBIA 62
22.7
ZIMBABWE 62
25.8
IRAN =63
22.5
TANZANIA 63
25.1
SLOVAKIA =63
22.5
DOMINICAN REPUBLIC 64
MOROCCO 65
22.2
PUERTO RICO 65
24.4
23.0
NIGERIA 66
21.8
PERU 66
22.5
BOTSWANA 67
21.5
INDIA 67
22.3
SAUDI ARABIA 68
21.2
GUATEMALA 68
22.1
CHINA 69
21.1
VIETNAM 69
21.3
CHINA 70
21.0
19.9
KAZAKHSTAN 70
19.0
BANGLADESH 71
16.8
ETHIOPIA 72
14.5
MYANMAR 73
12.6
BULGARIA 74
GUATEMALA 75
10.3
ROMANIA 76
9.6
8.5
PHILIPPINES 77
DOMINICAN REPUBLIC 78 6.1
EGYPT 79 5.5
IRAQ 80
4.1
High-income countries
generally score better in
this category but there are
some outstanding performers
in lower income groups,
including Costa Rica and
Mongolia. The presence of a
robust and effective national
policy is crucial to doing well
in this category.
INDONESIA 71
19.7
BOTSWANA 72
19.6
18.8
KENYA 73
17.9
ETHIOPIA 74
12.8
PHILIPPINES 75
11.6
MYANMAR =76
BULGARIA =76
11.6
IRAN 78
11.5
IRAQ 79
4.0
BANGLADESH 80 1.3
Palliative care is a standalone academic speciality in
high-scoring countries in this
category, such as Australia
and the UK. A shortage
of accredited courses and
palliative care professionals
restricts the availability of
care in many developing
countries.
3. AFFORDABILITY OF CARE
4. QUALITY OF CARE
IS PALLIATIVE CARE AFFORDABLE TO ALL?
IS A HIGH STANDARD OF PALLIATIVE CARE PROVIDED?
AUSTRALIA =1
100.0
UNITED KINGDOM
1
UNITED KINGDOM =1
100.0
SWEDEN
2
IRELAND =1
100.0
AUSTRALIA
3
BELGIUM =1
100.0
NEW ZEALAND
4
100.0
DENMARK =1
GERMANY =6
87.5
NEW ZEALAND =6
87.5
SINGAPORE =6
87.5
FRANCE
5
CANADA
6
BELGIUM
7
100.0
97.5
96.3
95.0
93.8
92.5
91.3
SINGAPORE =8
90.0
TAIWAN =6
87.5
TAIWAN =8
90.0
SWEDEN =6
87.5
NETHERLANDS =8
90.0
SOUTH KOREA =6
87.5
USA =8
90.0
FINLAND =6
87.5
SWITZERLAND =8
NETHERLANDS =6
87.5
ITALY =13
ITALY =6
87.5
AUSTRIA =13
CUBA =6
87.5
FINLAND 15
87.5
DENMARK =16
83.8
GERMANY =16
83.8
83.8
PANAMA =6
85.0
JAPAN 17
USA =18
82.5
JAPAN =16
SWITZERLAND =18
82.5
NORWAY =16
HONG KONG =18
82.5
SOUTH KOREA =20
82.5
HONG KONG =20
CHILE =18
CANADA =22
77.5
IRELAND =22
NORWAY =22
77.5
PORTUGAL =22
FRANCE =22
77.5
SPAIN 24
LITHUANIA =25
75.0
ISRAEL 25
SPAIN =25
75.0
ARGENTINA 26
PORTUGAL =25
75.0
POLAND 27
VENEZUELA =25
75.0
CZECH REPUBLIC 28
75.0
KAZAKHSTAN =25
87.5
86.3
83.8
81.3
81.3
80.0
80.0
78.8
76.3
75.0
73.8
70.0
67.5
LITHUANIA 29
URUGUAY =30
70.0
COSTA RICA 30
MEXICO =30
70.0
SOUTH AFRICA 31
MALAYSIA =30
70.0
CHILE =32
COSTA RICA =30
70.0
MONGOLIA =32
SAUDI ARABIA =30
70.0
TURKEY 34
70.0
UGANDA 35
ECUADOR =30
90.0
87.5
65.0
63.8
60.0
60.0
57.5
56.3
53.8
AUSTRIA =36
65.0
EGYPT 36
MONGOLIA =36
65.0
PUERTO RICO 37
CZECH REPUBLIC =36
65.0
PANAMA =38
47.5
65.0
MALAYSIA =38
47.5
JORDAN =36
POLAND =40
62.5
HUNGARY =38
THAILAND =40
62.5
ECUADOR 41
RUSSIA =42
60.0
INDONESIA 42
GREECE =42
60.0
PERU 43
50.0
47.5
43.8
42.5
41.3
ARGENTINA =44
57.5
JORDAN =44
40.0
SOUTH AFRICA =44
57.5
BULGARIA =44
40.0
BULGARIA =44
57.5
ZIMBABWE =44
HUNGARY =47
VIETNAM =47
55.0
CUBA 47
55.0
THAILAND =48
ISRAEL =49
52.5
ROMANIA =48
BRAZIL =49
52.5
TANZANIA 50
40.0
37.5
36.3
36.3
35.0
MOROCCO =49
52.5
URUGUAY =51
33.8
SRI LANKA =49
52.5
BRAZIL =51
33.8
BOTSWANA =49
52.5
SLOVAKIA =51
50.0
GHANA =54
50.0
PERU =54
47.5
IRAN 56
45.0
PUERTO RICO 57
ETHIOPIA =58
33.8
31.3
MEXICO 54
RUSSIA =55
30.0
MOROCCO =55
30.0
30.0
KENYA =55
42.5
GHANA 58
42.5
28.8
KAZAKHSTAN =59
26.3
MALAWI =60
40.0
VIETNAM =59
26.3
COLOMBIA =60
40.0
ETHIOPIA =59
26.3
TANZANIA =60
40.0
INDIA =59
KENYA =60
40.0
GREECE 63
MYANMAR =58
40.0
IRAQ =60
37.5
GUATEMALA =64
ROMANIA =65
37.5
UKRAINE 66
CHINA =65
37.5
INDONESIA =65
37.5
35.0
DOMINICAN REPUBLIC =69
35.0
32.5
TURKEY 71
EGYPT =72
30.0
BANGLADESH =72
30.0
INDIA =74
27.5
GUATEMALA =74
27.5
PHILIPPINES =74
27.5
22.5
ZAMBIA 77
17.5
ZIMBABWE 78
UKRAINE 79
NIGERIA 80 0.0
12.5
21.3
VENEZUELA =64
SLOVAKIA =65
UGANDA =69
26.3
23.8
21.3
20.0
18.8
COLOMBIA =67
Government-funded healthcare
systems fare well in this
category, especially those
bolstered by charitable
funding. Australia, Belgium,
Denmark, Ireland and the UK
excel in this category, as does
Cuba, while several lowerincome countries often have
pockets of excellence funded
by charitable donations.
18.8
ZAMBIA =67
16.3
CHINA 69
15.0
NIGERIA 70
BOTSWANA =71
13.8
IRAN =71
13.8
13.8
DOMINICAN REPUBLIC =71
12.5
SAUDI ARABIA 74
11.3
MYANMAR 75
PHILIPPINES 76
10.0
BANGLADESH 77 7.5
SRI LANKA =78 6.3
MALAWI =78 6.3
IRAQ 80
3.8
The UK leads the world in this
category, which encompasses
issues such as the availability
of opioid analgesics,
psychological support and
the ability and willingness
of doctors to involve
patients in their own care
and accommodate individual
care choices. Mongolia is a
stand-out among low-income
countries.
5. COMMUNITY ENGAGEMENT
IS THERE DISCUSSION AND AWARENESS OF END-OF-LIFE CHOICES?
100.0
NEW ZEALAND =1
100.0
BELGIUM =1
92.5
UNITED KINGDOM =3
92.5
FRANCE =3
TAIWAN =5
82.5
GERMANY =5
82.5
JAPAN =5
82.5
82.5
IRELAND =5
AUSTRALIA =9
75.0
CANADA =9
75.0
NETHERLANDS =9
75.0
USA =9
75.0
NORWAY =9
75.0
65.0
SOUTH KOREA 14
SWITZERLAND =15
57.5
ITALY =15
57.5
AUSTRIA =15
57.5
FINLAND =15
57.5
DENMARK =15
57.5
POLAND =15
57.5
57.5
UGANDA =15
SINGAPORE =22
50.0
PORTUGAL =22
50.0
COSTA RICA =22
50.0
ZIMBABWE =22
50.0
50.0
BRAZIL =22
SWEDEN =27
42.5
ISRAEL =27
42.5
CHILE =27
42.5
MONGOLIA =27
42.5
SLOVAKIA =27
42.5
42.5
UKRAINE =27
SPAIN =33
40.0
SOUTH AFRICA =33
40.0
JORDAN =33
40.0
40.0
ZAMBIA =33
35.0
HUNGARY 37
HONG KONG =38
32.5
ARGENTINA =38
32.5
PANAMA =38
32.5
INDONESIA =38
32.5
TANZANIA =38
32.5
GREECE =38
32.5
CZECH REPUBLIC =45
25.0
LITHUANIA =45
25.0
EGYPT =45
25.0
PUERTO RICO =45
25.0
MALAYSIA =45
25.0
ECUADOR =45
25.0
PERU =45
25.0
THAILAND =45
25.0
URUGUAY =45
25.0
MEXICO =45
25.0
RUSSIA =45
25.0
MOROCCO =45
25.0
KENYA =45
25.0
KAZAKHSTAN =45
25.0
INDIA =45
25.0
GUATEMALA =45
25.0
CHINA =45
25.0
NIGERIA =45
25.0
PHILIPPINES =45
25.0
SRI LANKA =45
25.0
TURKEY =66
17.5
BULGARIA =66
17.5
CUBA =66
17.5
ROMANIA =66
17.5
GHANA =66
17.5
VIETNAM =66
17.5
ETHIOPIA =66
17.5
COLOMBIA =66
17.5
SAUDI ARABIA =66
17.5
BANGLADESH =66
17.5
IRAQ =66
17.5
BOTSWANA =78 0.0
MYANMAR =78 0.0
KEY
25.0
MALAWI =45
DOMINICAN REPUBLIC =78 0.0
- Ira Byock, executive
director, Providence
Institute for Human Caring
32.5
VENEZUELA =38
IRAN 77 7.5
The public has a
well of fear, anger
and distrust about
the care they will
receive and how
they and their
families will die.
And the hard truth
is that this is well
founded.
High income
Middle income
Public awareness of palliative
care and availability of
volunteer workers tend to
go hand in hand in richer
countries, although some
developing countries—such
as Uganda—have long had
public and philanthropic
commitments to improving
awareness and standards of
care.
Low income
X Rank out of 80
Using World Bank definitions, the low income group of
countries includes those that had 2013 GNI per capita of
less than US$4,125; the middle income group includes
those that had more than US$4,125 but less than
US$12,746, and the high income group includes those that
had more than US$12,746.
The EIU also analysed the need (or “demand”) of each country for
palliative care. The demand analysis is based on three factors:
• Burden of diseases for which palliative care is necessary (60% weighting)
• Old-age dependency ratio (20% weighting)
• Speed of ageing of the population from 2015-2030 (20% weighting)
Good provision
Mapping demand against the overall Quality of Death Index score (which shows the “supply”
of palliative care) reveals where the gaps between the two are most pressing—for those
countries in the bottom-right corner of the following chart.
UK
AUSTRALIA
FRANCE
BELGIUM
TAIWAN
NEW ZEALAND
GERMANY
US
NORWAY
SWEDEN
SINGAPORE
JAPAN
SOUTH KOREA
IRELAND
NETHERLANDS
CANADA
SWITZERLAND
AUSTRIA
DENMARK
ITALY
FINLAND
Quality of Death Index score (Supply)
HONG KONG
PORTUGAL
PANAMA
PUERTO
RICO
GHANA
VENEZUELA
INDIA
ETHIOPIA
PERU
MORROCO INDONESIA
EGYPT
ZAMBIA
MALAWI
SRI LANKA
BANGLADESH
SAUDI
ARABIA
CUBA
HUNGARY
TURKEY
RUSSIA
SLOVAKIA
KAZAKHSTAN
VIETNAM
ZIMBABWE
COLOMBIA
MYANMAR
PHILLIPINES
CZECH
REPUBLIC
URUGUAY
SOUTH AFRICA
ROMANIA
GREECE
BULGARIA
CHINA
UKRAINE
BOTSWANA
IRAN
GUATEMALA
NIGERIA
JORDAN
THAILAND
TANZANIA
POLAND
LITHUANIA
ECUADOR
BRAZIL
MEXICO
SPAIN
ARGENTINA
MALAYSIA
UGANDA
KENYA
Poor provision
COSTA
RICA
MONGOLIA
ISRAEL
CHILE
DOMINICAN
REPUBLIC
IRAQ
Low demand for palliative care
High demand for palliative care
Demand
DEMAND IS SET TO RISE IN DEVELOPING COUNTRIES DUE TO:
Larger
populations
Populations
ageing faster
Increasing incidence of noncommunicable diseases
Commissioned by
Go to http://bit.ly/qualityofdeath2015 to download a white paper on the 2015
Quality of Death Index, which includes a detailed methodology. An interactive
Excel workbook of the Index and summaries of the status of palliative care in all
80 countries included in the Index are also available.
© The Economist Intelligence Unit 2015