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Background  In accordance the WHO framework of health system functions and by using the indicators collected within the EURO-HEALTHY project, this work aims to contribute to the discussion on the classification of EU health systems.    Methods  Three methods were used in this article: factor analysis, cluster analysis and descriptive analysis; data were mainly collected from the WHO and Eurostat databases.    Results  The most relevant result is the proposed classification of health systems into the following clusters: Austria-Germany, Central and Northern Countries, Southern Countries, Eastern Countries ‘A’ and Eastern Countries ‘B’.    Conclusions  The proposed typology contributes to the discussion about how to classify health systems; the typology of EU health systems allows comparisons of characteristics and health system performance across clusters and policy assessment and policy recommendation within each cluster.    Electronic supplementary material  The online version of this article (10.1186/s12913-018-3323-3) contains supplementary material, which is available to authorized users.

EU health systems classification: a new proposal from EURO-HEALTHY