Missouri’s health system is the eighth-worst among the 50 states and the District of Columbia, a New York-based policy foundation said in a report released early Wednesday.

The No. 43 ranking means Missouri fell two spots on the list since last year’s state-by-state health care scorecard published by the Commonwealth Fund. 

Commonwealth study authors crunched the most recently available public data on 47 health care “indicators” to provide a state-by-state portrait of American health care.

Topics included access and affordability; prevention and treatment; avoidable hospital use and costs; and healthy lives.

Missouri got worse on 11 of the indicators. It improved on 19 indicators — including its rankings for uninsured children and adults —  and stayed about the same on 15 others.

Read more from the Springfield News-Leader.