Russia has for the first time made it onto Bloomberg's list of countries with the most efficient health care — finishing last out of 51 countries polled.
The list, published Friday by Bloomberg, ranked countries on criteria including life expectancy, health care cost as a percentage of GDP and health care cost per capita.
Singapore topped the list with an efficiency rating of 78.6, while Hong Kong (77.5) and Italy (76.3) came in second and third place, respectively.
Russia, which has the lowest life expectancy of all the countries polled — 70.5 compared to 83.5 in Hong Kong — scored an overall efficiency rating of just 22.5.
Iran (32.5), Algeria (31.4) and Azerbaijan (27.3) all finished above Russia.
The U.S. finished in 44th place with a score of 34.3.
Only countries with a minimum population of 5 million, a minimum GDP of $5,000 per capita, and a minimum life expectancy of 70 were included in the ranking.