Objective of this study was to conduct a comparative analysis of health sector efficiency at the EU member states level. The economic efficiency of health systems in Europe was analyzed through the ratio of obtained effects and expended economic effort. Effort indicator is considered to be the expenditure for health as percentage of GDP in each country, and the effects are given by a total of 11 indicators that make up the composite indicator of health effects. Following the analysis made it can be concluded that the average efficiency of health spending at EU level is sub unitary, revealing that the level of benefits is lower than the level of funding. Countries that have reached the level of efficiency are considered those with a ratio between effect and effort larger than 1, namely Slovenia and Luxembourg. Romania, although it does not reach the minimum level of efficiency, recorded a roughly balance between effects and efforts. This can be interpreted in a manner somewhat favorable, that the few sources allocated to health have been used judiciously.