Countries with the Longest Hospital Wait Times 2026

Ellen Cutler

Sep 17, 2026

Waiting for emergency care or planned surgery can make an already stressful situation harder. Despite this, hospital wait times vary widely and can be influenced by demand, staffing, capacity and treatment backlogs.

Health insurance comparison experts Compare the Market analysed 12 OECD countries, including breakdowns of eight Australian states and territories and all 50 US states to see where has the best access to timely hospital care. Separate methodologies were used because comparable healthcare data differs between regions. This allowed us to shed some light on hospital waiting times in Australia as well as healthcare wait times by country.

Countries with the best access to timely hospital care

Top three countries for hospital wait times

1. Denmark: 77.70

Denmark ranks first with only 18.9% of hip replacement patients waiting longer than three months, while 86% are satisfied with the availability of quality healthcare.

2. Italy: 62.80

Italy is second due to relatively short surgery waiting periods, despite having the lowest healthcare satisfaction rate at 44%.

3. Sweden: 60.70

Sweden places third, supported by 4.47 doctors and 10.97 nurses per 1,000 people, while just 2% report unmet healthcare needs because of waiting times.

Interesting case studies

7. Australia: 45.80

Australia ranks seventh internationally with a score of 45.8 out of 100. It records 13.04 nurses, 4.20 doctors, and 3.84 hospital beds per 1,000 people, despite 78.3% of knee replacement patients waiting more than three months for surgery.

10. Canada: 27.50

Canada ranks 10th and records the highest unmet need caused by waiting times at 9.1%.

Worst country for hospital wait times

Finland: 25.40

Finland comes in last in our dataset, with 78.5% of knee replacement patients and 71.2% of cataract patients waiting more than three months.

Which Australian states have the best emergency and hospital care?

The Australian index combines emergency department performance, elective surgery and public hospital capacity.

Emergency department wait times in Australia: The ACT leads the way

The Australian Capital Territory has the shortest median emergency department stay at 208 minutes and the highest share of visits completed within four hours at 61%.

New South Wales sits second overall behind the ACT, recording the highest share of emergency-category patients seen on time at 76% and the shortest average overdue elective surgery wait at 60 days.

Hospital waiting times in Australia: Elective surgery adds another layer

The Northern Territory ranks third and has 4.2 public hospital beds per 1,000 people, but its average overdue elective surgery wait is 469 days, the longest nationally.

Victoria has the highest elective surgery on-time rate at 84% and the highest urgent-category on-time rate at 69%.

Meanwhile, Western Australia records the lowest urgent on-time rate at 29%.

Tasmania finishes eighth with the longest median emergency department stay at 253 minutes, despite having the highest public hospital nurse and midwife rate at 8.13 full-time equivalent staff per 1,000 people.

Which US states have the best emergency and hospital care?

Best three US states for ER wait times

1. South Dakota: 70.65

South Dakota leads, with a 115-minute median emergency department time and the highest hospital bed rate at 4.38 per 1,000 people.

2. Wyoming: 67.99

Wyoming comes in next and has the lowest average bed occupancy at 37.92%.

3. Nebraska: 62.69

Nebraska records the second-shortest median emergency department time at 113 minutes.

Worst three US states for ER wait times

1. Delaware: 31.83

Delaware ranks last with 4.48% of patients leaving without being seen.

2. Rhode Island: 32.10

Rhode Island has the highest state-level bed occupancy at 83.72%.

3. Maryland: 33.74

Maryland has the longest median emergency department time of any state at 246 minutes.

What about Washington DC?

Washington DC records the longest overall emergency department time at 303 minutes. Its left-without-being-seen rate of 6.42% is also the highest in the wider US comparison.

What do waiting times mean for patients?

Steven Spicer, Compare the Market’s Executive General Manager of Health says, “Hospital waiting times are shaped by a range of factors, including patient demand, workforce pressures and available hospital resources, so they don’t always tell the full story about a person’s healthcare experience.

“While private health insurance won’t allow you to bypass emergency department queues, it can play an important role when it comes to eligible planned treatments. Depending on your level of cover, private health insurance may provide greater choice over where you’re treated and when.

“That’s why it’s important to regularly review and compare your health insurance. Healthcare needs can change over time, and making sure your policy still applies to your circumstances can help you get better value from your cover and avoid unexpected costs when you need treatment.”

Methodology

ER wait times – Australia

This dataset ranks Australian states/territories, based on how quick and effective emergency & hospital care is, by using 9 key factors. The data for each factor was collected and normalised to a score between 0-1. These scores were combined to give each state/territory a total score out of 100, and states/territories were ranked from highest to lowest.

The factors used are as follows:

  • ED Seen On Time (Emergency) – The percentage of Emergency-triage category patients seen within the clinically recommended time, calculated as a weighted average of triage-level percentages using AIHW presentation counts for the same state and year.
  • ED Seen On Time (Urgent) – The percentage of Urgent-triage category patients seen within the clinically recommended time, calculated as a weighted average of triage-level percentages using AIHW presentation counts for the same state and year.
  • ED Median Time in Department – The median time, in minutes, all patients spend in the emergency department from presentation to physical departure.
  • ED Completed within 4 Hours – The percentage of all emergency department patients whose visit, from presentation to physical departure, was completed within four hours.
  • Elective Surgery within Recommended Time – The percentage of elective surgery patients admitted within the clinically recommended time for their urgency category.
  • Elective Surgery Average Overdue Wait – The average number of days elective surgery patients waited beyond the recommended time.
  • Public Hospital Beds per 1,000 – The number of available public hospital beds per 1,000 population.
  • Public Hospital Nurses + Midwives FTE per 1,000 – The number of full-time equivalent (FTE) nurses and midwives employed in public hospitals, per 1,000 population.
  • Public Hospital Medical Practitioners FTE per 1,000 – The number of full-time equivalent (FTE) medical practitioners employed in public hospitals, per 1,000 population.

The factors were weighted as follows:

  • ED Seen On Time (Emergency) – 15%
  • ED Seen On Time (Urgent) – 10%
  • ED Median Time in Department – 20%
  • ED Completed within 4 Hours – 20%
  • Elective Surgery within Recommended Time – 7.5%
  • Elective Surgery Average Overdue Wait – 5%
  • Public Hospital Beds per 1,000 – 7.5%
  • Public Hospital Nurses + Midwives FTE per 1,000 – 7.5%
  • Public Hospital Medical Practitioners FTE per 1,000 – 7.5%

The factors were indexed as follows:

  • ED Median Time in Department & Elective Surgery Average Overdue Wait – Lower is better.
  • All Other Factors – Higher is better.

All data is correct as of 18/08/26. The ranking data shown is a compilation of multiple data sources and may not be representative of real life. All data is accurate with regards to the sources provided.

ER wait times – USA

This dataset ranks US states, based on how quick and effective emergency & hospital care is, by using 7 key factors. The data for each factor was collected and normalised to a score between 0-1. These scores were combined to give each state a total score out of 100, and states were ranked from highest to lowest.

The factors used are as follows:

  • Median Time in ED – The median time, in minutes, patients spend in the emergency department before departing, excluding patients transferred to another facility and psychiatric/mental health patients.
  • Hospital Beds per 1,000 – The total number of hospital beds available in community hospitals, per 1,000 population.
  • Licenced Nurses per 1,000 – The total number of active Registered Nurses (RN) and Practical/Vocational Nurses (PN/VN) licences per 1,000 population.
  • Active Physicians per 1,000 – The total number of active physicians per 1,000 population.
  • Hospital ER Visits per 1,000 – The number of community hospital emergency department visits per 1,000 population.
  • Left Without Being Seen Rate – The percentage of emergency department patients who left before being seen by a doctor, weighted by each hospital’s ED visit volume and averaged at the state-level.
  • Average Bed Occupancy Rate – The percentage of staffed inpatient hospital beds that are occupied, calculated as total occupied beds divided by the total available beds, averaged across a 3-month period (May – July 2026).

The factors were weighted as follows:

  • Median Time in ED – 25%
  • Hospital Beds per 1,000 – 10%
  • Licenced Nurses per 1,000 – 10%
  • Active Physicians per 1,000 – 10%
  • Hospital ER Visits per 1,000 – 12.5%
  • Left Without Being Seen Rate – 17.5%
  • Average Bed Occupancy Rate – 15%

The factors were indexed as follows:

  • Median Time in ED – Lower is better.
  • Hospital Beds per 1,000 – Higher is better.
  • Licenced Nurses per 1,000 – Higher is better.
  • Active Physicians per 1,000 – Higher is better.
  • Hospital ER Visits per 1,000 – Lower is better.
  • Left Without Being Seen Rate – Lower is better.
  • Average Bed Occupancy Rate – Lower is better.

All data is correct as of 18/08/26. The ranking data shown is a compilation of multiple data sources and may not be representative of real life. All data is accurate with regards to the sources provided.

ER wait times – World

This dataset ranks 12 countries in the OECD, based on how quick and effective emergency & hospital care is, by using 8 key factors. The data for each factor was collected and normalised to a score between 0-1. These scores were combined to give each country a total score out of 100, and countries were ranked from highest to lowest.

The factors used are as follows:

  • Knee Replacement Wait >3 Months – The percentage of knee replacement surgery patients waiting more than 3 months for treatment.
  • Hip Replacement Wait >3 Months – The percentage of hip replacement surgery patients waiting more than 3 months for treatment.
  • Cataract Wait >3 Months – The percentage of cataract surgery patients waiting more than 3 months for treatment.
  • Unmet Needs (Waiting Times) – The percentage of the population reporting unmet needs for medical care, specifically due to waiting times.
  • Satisfaction with Availability of Quality Healthcare – The percentage of the population that are satisfied with the availability of quality healthcare in their country.
  • Doctors per 1,000 – The number of practising doctors, per 1,000 population.
  • Nurses per 1,000 – The number of practising nurses, per 1,000 population.
  • Hospital Beds per 1,000 – The total number of hospital beds available, per 1,000 population.

The factors were combined into four component scores:

  • Surgery Wait Score – The average of the normalised knee, hip and cataract >3 month wait percentage, where all factors are worth equal and lower wait percentages produce a higher score.
  • Unmet Needs Score – The normalised unmet needs due to waiting times percentage. Where a country has no reported unmet needs value, a neutral score of 50 (the midpoint) was used.
  • Capacity Score – The average of the normalised doctors, nurses and hospital beds per 1,000 figures, where all factors are worth equal and higher figures produce a higher score.
  • Satisfaction Score – The normalised satisfaction with availability of quality healthcare percentage.

The component scores were weighted as follows:

  • Surgery Wait Score – 40%
  • Unmet Needs Score – 15%
  • Capacity Score – 30%
  • Satisfaction Score – 15%

The individual factors were indexed as follows:

  • Knee Replacement Wait >3 Months – Lower is better.
  • Hip Replacement Wait >3 Months – Lower is better.
  • Cataract Wait >3 Months – Lower is better.
  • Unmet Needs (Waiting Times) – Lower is better.
  • Satisfaction with Availability of Quality Healthcare – Higher is better.
  • Doctors per 1,000 – Higher is better.
  • Nurses per 1,000 – Higher is better.
  • Hospital Beds per 1,000 – Higher is better.

All data is correct as of 18/08/26. The ranking data shown is a compilation of multiple data sources and may not be representative of real life. All data is accurate with regards to the sources provided.

Sources

OECD Data Explorer and associated OECD datasets; Australian Bureau of Statistics; Australian Institute of Health and Welfare MyHospitals API; Productivity Commission; US Census Bureau; Centers for Medicare & Medicaid Services; KFF; Association of American Medical Colleges; National Council of State Boards of Nursing; and US Centers for Disease Control and Prevention.