
Hospital Admissions Globally
Which OECD countries have the busiest hospitals?
Hospitals are crucial providers of healthcare and treatment to millions of patients worldwide every day, but as populations grow, this already heavily burdened sector will continue to face greater strain.
So, which countries are the busiest when it comes to their hospitals? Health insurance comparison service iSelect looked at discharge rates, length of stay, visits to emergency departments, and the number of hospitals by population for 29 Organisation Economic Co-operation and Development (OECD) countries. These countries were then indexed with an overall score to rank them.
Here are results.
The top three busiest OECD countries for hospitals
1. Australia
Australia ranks at the top for the busiest hospitals, with a score of 6.04/10. Australia had the third-highest number of discharges per 100,000 people per year at 17,467.60. The country’s average length of stay for acute care was the fourth-fastest at 4.9 days, while all causes was the third-fastest at 5.3.
2. France
France was ranked second overall in the index with a score of 5.02/10. France had the third-highest number of hospitals per million at 43.80. France also had the 11th-highest number of discharges per 100,000 and the seventh-shortest length of stay for acute care. France also had the 10th-highest number of emergency visits to emergency departments per 100 people, at 30.90.
3. United Kingdom
Rounding out the podium was the United Kingdom (UK), which scored 4.94/10. The UK had the fourth-highest number of visits to emergency departments per 100 people at 43.11, plus it was 11th in hospitals per million at 29.73. It was also ninth place in terms of the average length of stay for acute care at 5.90 days.
The busiest OECD countries hospital index
Why are Australian hospitals so busy?
The index takes a look at the national statistics per capita, which factors in the difference in population between countries. Through this lens, Australia leads the index in overall score, suggesting a nation with a strong demand for hospital care – despite other countries having larger populations.
Australia has a dual private and public healthcare system that has been under increasing strain in recent years due to a growing and ageing population, increasing costs, and a medical workforce that is not increasing in-line with demand.1Nursing Supply and Demand Study: 2023 – 2025. Department of Health & Aged Care, Australian Government. 2022.
While the public system falls under an increasing burden, a number of private hospitals have closed – with a majority being private mental health hospitals.2How many more private psychiatric hospitals have to close before the government acts on mental health crisis? Australian Private Hospitals Association. 2025. Private hospitals provide an estimated two-thirds of elective surgeries in Australia,3Silent shutdowns: the private hospital crisis threatening Australia’s health system. Catholic Health Australia. 2025. and remain an essential part of Australia’s healthcare system – but the cracks in the system are getting wider.

“Just this month (November 2025), the Prime Minister wrote to state governments and instructed them to control hospital spending before the federal government would honour funding agreements.
“Funding Australia’s hospitals is becoming a hot potato between different levels of government, hospitals and health insurers, but the system’s burden is arguably the highest per capita in the world, as our research shows. It’s vital that all levels of government take action, and soon, to ensure our healthcare system is strengthened and can meet the growing demand for healthcare services in both the private and public sector.”
General Manager – Health at iSelect
Written by:
Sarah Grealy
Digital Public Relations Specialist
0413 363 690
Sarah is our Digital Public Relations Specialist, and brings more than a decade of experience in the insurance comparison industry to iSelect.
With a passion for storytelling through data-driven insights, Sarah strives to empower Aussies with practical guides and tips.
About the data
Data for 29 countries was gathered for five different metrics to calculate an overall index score. For each individual data point, the 29 countries were given a score between 0 and 10, based on how they performed in comparison to the other countries. When these scores were gathered for each of the five metrics, an overall index score was calculated using an equally weighted formula to get an indexed score out of 10 for each nation.
The way data points were scored out of 10 is as follows:
- Discharges per 100,000 – the higher the number of discharges per capita, the higher the score out of 10.
- Length of stay – acute care (days) – the longer the average length of stay for acute care (treatment for severe illness and injuries), the lower the score out of 10.
- Length of stay – all causes (days) – the longer the average length of stay for all causes of hospital treatment, the lower the score out of 10.
- Number of visits to emergency departments per 100 people (annual) – the greater the number of visits to hospital emergency departments in a year per 100 people, the higher the score out of 10.
- Number of hospitals per million – the greater the number of hospitals per million, the higher the score out of 10.
Sources for index:
Every metric was primarily sourced from OECD Data Explorer and used the latest available data for each country. However, some countries didn’t have data for a particular statistic, and the following sources were also used to fill in the blanks to create the index table for this article.
- BMC Public Health – The analysis of the geographical distribution of emergency departments’ frequent users: a tool to prioritize public health policies.
- Island – Activity figures for the full year 2023.
- Journal of Clinical Medicine – Emergency Department as the Entry Point to Inpatient Care: A Nationwide, Population-Based Study in South Korea, 2016-2018.
- PMC PubMed Central – Analysis and Distribution of Emergency Cases at One of Mexico’s Largest Hospitals and Trauma Centers.
- Scandinavian Journal of Primary Health Care – First four years of operation of a municipal acute bed unit in rural Norway.
- ISRN Emergency Medicine – A Profile of Emergency Departments in Slovenia.
- The Commonwealth Fund – International Health Care System Profiles Norway.
- Trading Economics – Sweden Hospitals.
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