Skip to main content
Posted on 12 Nov 2019

Last month, VAHI released a report providing insights into health system performance for Victoria, Australia and selected Organisation for Economic Cooperation and Development (OECD) countries (Canada, France, Germany, New Zealand, Norway, the Netherlands, Sweden, Switzerland, United Kingdom and the United States).

The report, Health system performance: how does Victoria fare nationally and internationally?, draws on results from the 2016 International Health Policy Survey of Adults. By examining the Victorian health system through a global lens, we can recognise areas where Victoria is leading the way as well as identifying opportunities for improvement.

The report shows that Victoria ranks highly against other top-performing OECD countries when it comes to healthcare. The findings are grouped into six core performance areas:

  • Accessibility (health care, when and where needed). Victoria consistently performs in the mid-range internationally when it comes to access, so there is room for improvement. Cost is a significant barrier to care, for example, 17% of adults skipped dental care because of cost.
  • Appropriateness (the right health care, the right way). There is a high level of information sharing and care coordination between health professionals in Victoria (when compared internationally), and there is good communication between patients and health professionals.
  • Effectiveness (making a difference for patients). The data show that Victoria’s system is effective by international standards, with a high survival rate for breast cancer and nine out of 10 adults with a chronic disease confident about managing their own health.
  • Efficiency (value for money). The report shows that the health system in Victoria provides good value for money, with healthcare expenditure on administration in the low range nationally.
  • Equity (health for all, health care that’s fair). The data show there are disparities in access to services and care by income level and health insurance status in Victoria.
  • Sustainability (caring for the future). Although average health expenditure increases each year in Victoria (similar to other states and territories), average expenditure per person in Victoria was 2.4% lower in 2013–14 than the national average. However, Victoria ranks at the lower end of the national scale in terms of medical practitioner full-time equivalents (FTEs).

This report is part of VAHI’s work looking at the health status of Victorians. The inclusion of population health surveillance and reporting to VAHI’s remit means we can deliver a fuller picture of how the health system is working and where improvements are needed. Understanding the health of the Victorian population helps build the evidence on how the work of health services, the Department of Health and Human Services and the health system as whole, impacts the lives of Victorians.

Download the report.

For more information, please contact Liza Kelsall, Senior Epidemiologist, via

Page last updated: 13 Nov 2019