A cartoon picture of a hospital with various patients and nurses. A title card in the centre reads ER Infrastructure Index

Global ER Infrastructure Index

James McCay

Dec 8, 2025

Everyone deserves quick medical attention when an emergency arises, but unfortunately, waiting times at hospitals are on the rise, which can be particularly frustrating for patients who are in pain when waiting to be seen.

Sadly, rising medical bills and a lack of hospital space are also affecting emergency health services worldwide, but which countries have the best emergency health services? To find out, the health insurance comparison experts at Compare the Market researched more than 80 countries around the world, comparing the quality of their emergency room infrastructure, health spending budgets, patient satisfaction scores and more.

From the average health spend per capita to the level of satisfaction with waiting times, we’ve scored each country from 0 to 100 to create a global ER infrastructure index. Here are the best (and worst) performing countries according to our rankings.

Countries with the best ER infrastructure

In our index, the closer a country scores to 100, the better its emergency room infrastructure is. These are the five countries that placed the highest on our list:

Countries with the worst ER infrastructure

Now that we’ve discussed the best-performing countries, which parts of the world are still lacking when it comes to ER infrastructure? These are the five countries that scored the lowest on our index:

Where does Australia rank?

Sitting at #11 on our rankings, Australia appears to have relatively advanced ER infrastructure compared to the rest of the world, but it can still improve in certain areas.

The country does have high amounts of medical staff, with 13.5 nurses/midwives and 4.1 doctors per 1,000 residents, and its examination times are also relatively fast, with an average rating of 72.21 out of 100. However, its waiting time satisfaction leaves room for improvement (57.95 out of 100).

Alongside this, the average medical expenditure in Australia per capita is $10,163.81, making procedures relatively costly. Additionally, Australia’s satisfaction with waiting times from patients was in 22nd place, leaving plenty of room for improvement there.

Discussing Australia’s health system, Steven Spicer – Executive General Manager of Health, Life and Energy at Compare the Market – had this to say:

“Australia’s health system is one of the best in the world, but there has been an increasing strain on emergency rooms and the public system as Australia’s population grows and costs in the private system increase,” Mr Spicer said.

“Those with private health insurance have a greater choice of treatment for elective surgery, whereas emergency care usually happens at the closest public hospital. The advantage of private treatment with health insurance for elective surgeries is that you get to choose your doctor, access private rooms where available and avoid the public waiting list for treatment.

“Talk to your health insurance provider to find which doctors and hospitals they have agreements with, as this can reduce or minimise out-of-pocket expenses for covered treatment.”

Methodology

This dataset explores which countries provide the strongest infrastructure for emergency room (ER) wait times, offering a comparative look at the performance of global healthcare systems in emergency care. The index focuses primarily on OECD member nations and selected additional countries where sufficient data is available.

Due to the absence of a single centralised global dataset on ER wait times, this analysis combines multiple credible indicators of healthcare capacity and responsiveness. The goal is to approximate the conditions that influence ER efficiency rather than measure exact wait times.

Supplementary analysis:

The index highlights countries with strong healthcare capacity and responsiveness, helping illustrate where patients are most likely to receive timely emergency care. While the data reflects available healthcare infrastructure and satisfaction indicators, it should be viewed as an indicative measure rather than a definitive ranking. This project brings together fragmented data sources to provide a more complete picture of emergency care performance worldwide.

The factors used were:

  • Hospital beds per 1,000 people: From Global Economy (compiled from OECD and WHO data).
  • Doctors per 1,000 people: From Global Economy (based on national health statistics).
  • Nurses per 1,000 people: From Global Economy (OECD and WHO health workforce data).
  • Health expenditure per capita (USD): From World Bank (current healthcare spending per person).
  • Speed in completing examinations and reports: From Numbeo (patient reported data on efficiency of medical examinations).
  • Satisfaction with responsiveness in medical institutions: From Numbeo (public sentiment on waiting times and responsiveness).

Weighting:

Each of the six indicators was normalised to a 0–1 scale and combined with equal weighting to produce a total score out of 100 for each country. Higher scores represent stronger healthcare capacity and faster service performance.

Indexing rules:

  • Higher values indicate better ER infrastructure and responsiveness.
  • All variables were standardised to ensure fair comparison across countries.
  • This analysis provides an approximation of emergency care performance and should not be interpreted as an official measure of ER wait times.

Sources:

  • Global Economy (hospital beds, doctors, nurses per 1,000 people)
  • World Bank (health expenditure per capita)
  • Numbeo (speed of examinations and satisfaction with responsiveness)

Currency conversions:

USD to AUD – $1 = $1.51
USD to EUR – $1 = €0.86

Disclaimer:

This dataset was created for educational and comparative purposes. Due to the lack of a centralised and consistent global database on ER wait times, all results are approximate and based on proxy indicators of healthcare efficiency. Local reporting methods, definitions, and data collection standards vary between countries. The findings should not be interpreted as a definitive measure of actual ER wait times or healthcare system performance.