Quality of Death Index

Believing that end-of-life care should be a key pillar of a humane healthcare system and to advocate better care for the dying, the Foundation commissioned the first ever “Quality of Death” to assess how nations fared when it came to ensuring a dignified and pain free death.

In 2010, the Foundation commissioned the Economist Intelligence Unit to develop the first-ever Index to rank the availability, cost and quality of end-of-life care in 40 countries. It consisted of 24 indicators in four categories. The study garnered much attention and sparked a series of policy debates over the provision of palliative and end-of-life care around the world. As a result, the Foundation commissioned a new version of the Index in 2015, expanding its scope and take into account global developments in palliative care in recent years. The number of countries was increased to 80. The Index also looked at human resource and community engagement issues. The United Kingdom, the birthplace of the modern hospice movement, came out tops both years. Taiwan emerged as the Asian leader in both studies. Singapore was ranked 12th in 2015 – the second in Asia after Taiwan – and scored well in indicators that looked at affordability and quality of care.

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Economist Intelligence Unit