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Inside the book

Inside the book

Inside the book 25 countries are put under the microscope revealing the different ways nations respond to the healthcare challenges faced today.

Mark Britnell

Partner and Chairman

KPMG in the UK


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Perfect Healthcare

In Search of the Perfect Health System is the first book to comprehensively examine healthcare systems across the globe in order to answer the all-important question: what does the ‘perfect’ health system look like?

Chairman and Partner of the Global Health Practice at KPMG International and author of In Search of the Perfect Health System, Dr Mark Britnell has spent more than 20 years working with public and private healthcare organizations, travelling to over 60 countries on nearly 200 occasions. Combining the heart and passion of a healthcare professional and patient, with the head of a man leading a successful global enterprise, Britnell has learned first-hand what makes a healthcare system work – and what doesn’t. 

Reflecting the diversity of its subject matter, Britnell focuses on compelling case studies of countries whose healthcare systems offer inspiration and insight for the rest of the world. With an insider’s acumen, Britnell explores how elements of healthcare systems as diverse as those found in India, South Africa and Singapore can contribute to meeting the global healthcare challenge, demonstrating how collaboration on a global scale can tackle these challenges.

Each of the 25 countries is put under the microscope revealing the different ways nations respond to the healthcare challenges faced today. From the UK’s struggle with competition in the NHS to the rise of universal healthcare in the US; from the ticking time-bomb of Japan’s ageing population to the Nordics’ early-years health education, the book is a timely and well-informed examination of the best – and worst – examples of healthcare from around the world.

Request a copy of the book by contacting Lori Rockhead, Senior Manager at KPMG in Bermuda.

Asia and Australia

  • Japan – Live long and prosper 
  • South Korea – National pride and global ambition 
  • China – Communist chimera? 
  • Hong Kong – Demography, democracy and destiny 
  • Malaysia – Reform some time, soon? 
  • Singapore – Wealth and health 
  • Indonesia – Largest single payer in the world 
  • Australia – Advance Australia Fair 
  • India – One country, two worlds 

Middle East and Africa

  • Qatar – Build and they will come
  • Israel – The best kept secret in global health? 
  • South Africa – No more false dawns 


Russia – A distressed and distressing system 

  • The Nordics – Decentralised welfare utopia? 
  • The Netherlands – Competition and social solidarity 
  • Germany – Doctor knows best 
  • Switzerland – You get what you pay for 
  • Italy – No longer ‘la dolce vita’ 
  • Portugal – The price of austerity 
  • France – Neither Beveridge nor Bismarck but the Republic 
  • England – The NHS. In place of fear 

The Americas

  • Canada – At the crossroads 
  • The US – Let’s face the music and dance 
  • Mexico – Unfinished business 
  • Brazil – Order and progress? 

Global Challenges

  • Universal Healthcare – Triumph of political will
  • Same Problem, Different Country – The paradox of change
  • Clinical Quality – The more I know, the less I sleep 
  • Value Walks – There is no healthcare without the workforce 
  • Patients As Partners – Renewable energy 
  • Climate Change and Sustainability – Our dirty little secret 
  • Ageing – Every cloud has a silver lining 

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