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BMJ 2003;327 (15 November), doi:10.1136/bmj.327.7424.0
Using different indicators may change the rankings of health systems. Nolte and McKee (p 1129) analysed the data in the 2000 World Health Report, ranking the world's health systems. The report used disability adjusted life expectancy, but when mortality amenable to medical care was used, the performance of developed countries changed. Rankings based on a summary of measures may not represent accurately the health systems examined.
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