VII. A focus on national-level health status and its temporal trajectory is critical.
Health status is one of the most important indicators of well-being, and it predicts a large proportion of societal expenditures on health and social services for the elderly. It depends on individual lifestyle factors, social and community networks, general socioeconomic. Health status is also reciprocally affected by social and political policies and programs.
VIII. Corruption in healthcare is a barrier for improvements of care delivery and indirectly affects the slowdown of both life expectancy and health-adjusted life expectancy growth.
Corruption significantly weakens overall health system performance, and has been found by multiple studies to have a significant negative impact on important health outcomes. Corruption is a major reason of high administrative costs and wasteful healthcare expenditures in clinical care, operational activities and governance. It results in long waiting periods, unmet needs of population and high level of satisfaction of healthcare system performance in general.
IX. There is an evident linkage between level of income and health status: wealthier nation healthier population.
Healthcare performance is strongly dependent on the economy, but also on the health systems themselves. Investment in health is not only a desirable, but also an essential priority for most societies. Health status depends on the development of healthcare infrastructure, medical facilities, high qualification of medical staff, provision of healthcare coverage and competition in private insurance sector. All four pillars of Healthy Longevity Progressiveness, accessibility, affordability, health outcomes and spendings, depends on economic conditions, successful provision of reforms. However, health systems face tough and complex challenges, in part derived from new pressures, such as ageing populations, growing prevalence of chronic illnesses, and intensive use of expensive yet vital health technologies.