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Health financing and population ageing: evidence on the links between financial sustainability and financial hardship from the PASH simulator

Author

Listed:
  • Cylus, Jonathan
  • Thomson, Sarah
  • Serrano Gregori, Maria
  • Gallardo Martínez, Marcos
  • Garcia-Ramirez, Jorge Alejandro
  • Evetovits, Tamás

Abstract

Countries around the world worry about the financial sustainability of their health systems as populations age; however, few have considered the consequences of future gaps in health financing on the risk of financial hardship due to out-of-pocket payments. If countries are unable to raise sufficient revenues to meet health needs, people will pay more out-of-pocket to use health services and risk experiencing catastrophic or impoverishing health spending.

Suggested Citation

  • Cylus, Jonathan & Thomson, Sarah & Serrano Gregori, Maria & Gallardo Martínez, Marcos & Garcia-Ramirez, Jorge Alejandro & Evetovits, Tamás, 2026. "Health financing and population ageing: evidence on the links between financial sustainability and financial hardship from the PASH simulator," Health Policy, Elsevier, vol. 169(C).
    • Handle: RePEc:eee:hepoli:v:169:y:2026:i:c:s0168851026000540
    DOI: 10.1016/j.healthpol.2026.105617
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