Jonathan Cylus
Dados Biográficos
| ID | 1734256 |
|---|---|
| NOME | Jonathan Cylus |
| PRENOMES | Jonathan |
| SOBRENOME | Cylus |
| ASSINATURA | CYLUS J |
| AFILIAÇÕES | European Observatory on Health Systems and Policies |
| ORCID | 0000-0001-8269-1578 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 12 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
A method for testing health system resilience
BACKGROUND: Recent adverse events, such as the COVID-19 pandemic, economic crises, conflict, migration and extreme weather have demonstrated how a wide range of shocks can challenge health systems. While emergency preparedness and planning is a well established component of health system governance in many countries, no methodology has existed to systematically test the resilience of a health system to a broad range of shocks. OBJECTIVE: To share…
High inflation rates can induce significant disparities in Dutch hospital margins
BACKGROUND: Hospital inflation reflects changes in prices of labour, materials, energy, and capital. Depending on actual cost structures and contracts, individual hospitals may experience different price pressures on their budgets. If hospitals are compensated uniformly for inflation, high inflation can induce significant disparities in profitability. OBJECTIVE: To analyse the differential impact of inflation on hospitals in the Netherlands. METH…
Community health workers
BACKGROUND: Interest in community health workers (CHWs) and the benefits for health systems are growing globally, but research is focused on low- and middle-income countries and high-income Anglo-American countries. OBJECTIVE: This comparative assessment focuses on community health systems and health and care workers as advocates and boundary spanners, aiming to connect global evidence to high-income European countries and assessing the capacitie…
Health financing and population ageing
BACKGROUND: 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 impoveris…
The contribution of health and health systems to other sustainable development goals. An overview of the evidence on co-benefits
BACKGROUND: While the effects of other sectors on health outcomes have been recognised, the co-benefits that arise from health or health systems to other sectors have received far less attention. OBJECTIVE: This study summarizes findings from a special issue in Health Policy documenting evidence of co-benefits from health and health systems to other Sustainable Development Goals: poverty, education, work and economic growth, gender equality, redu…
Evaluating the value for money of global fund’s expenditures (2017–2019)
Our results suggest possible structural inefficiencies in country program management, dampening the health impact of frontline programs. The lack of broad patterns to predict performance signals the importance of tailoring spending strategies to country-specific contexts
Assessing the equity and coverage policy sensitivity of financial protection indicators in Europe
Progress towards universal health coverage is monitored by the incidence of catastrophic spending. Two catastrophic spending indicators are commonly used in Europe: Sustainable Development Goal (SDG) indicator 3.8.2 and the WHO Regional Office for Europe (WHO/Europe) indicator. The use of different indicators can cause confusion, especially if they produce contradictory results and policy implications. We use harmonised household budget survey da…
The value of healthy ageing
Health at older ages creates considerable economic value which is not observed using standard national accounting measures. Our method to quantify the monetary value of health can be adapted to other settings to make the economic case for investing in healthy ageing
Perspective
Introduction: Decision-makers initially had limited data to inform their policy responses to the COVID-19 pandemic. The research community developed several online databases to track cases, deaths, and hospitalizations; however, a major deficiency was the lack of detailed information on how health systems were responding to the pandemic and how they would need to be transformed going forward. Approach: In an effort to fill this information gap, i…
Population ageing and health financing
There is a perception that population ageing will have deleterious effects on future health financing sustainability. We propose a new method-the Population Ageing financial Sustainability gap for Health systems (or alternatively, the PASH)-to explore how changes in the population age mix will affect health expenditures and revenues. Using a set of six anonymized country scenarios that are based on data from countries in Europe and the Western Pa…
What have European countries done to prevent the spread of Covid-19? Lessons from the Covid-19 Health system response monitor
How resilient is health financing policy in Europe to economic shocks? Evidence from the first year of the Covid-19 pandemic and the 2008 global financial crisis
The COVID-19 pandemic triggered an economic shock just ten years after the shock of the 2008 global financial crisis. Economic shocks are a challenge for health systems because they reduce government revenue at the same time as they increase the need for publicly financed health care. This article explores the resilience of health financing policy to economic shocks by reviewing policy responses to the financial crisis and COVID-19 in Europe. It …
Lessons learned from the Covid-19 pandemic
Do efficiency gains really translate into more budget for health? An assessment framework and country applications
Efficiency has historically been considered a key mechanism to increase the amount of available revenues to the health sector, enabling countries to expand services and benefits to progress towards universal health coverage (UHC). Country experience indicates, however, that efficiency gains do not automatically translate into greater budget for health, to additional revenues for the sector. This article proposes a framework to assess whether and …
Health, an ageing labour force, and the economy
Research often suggests that population ageing will be detrimental for the economy due to increased labour market exits and lost productivity, however the role of population health and disability at older ages is not well established. We estimate the relationship between the size of the older working age population and economic growth across 180 countries from 1990 to 2017 to explore whether a healthy older working age population, as measured by …
Improving fiscal space for health from the perspective of efficiency in low- and middle-income countries
BACKGROUND: Conceptual frameworks of fiscal space for health have traditionally considered health system efficiency improvements as a means to free up resources for the sector. However, there has been no comprehensive review of the evidence to confirm the relationship between efficiency and fiscal space. METHODS: We conducted a systematic review to synthesize evidence on whether efficiency gains increase fiscal space for health. We searched bibli…
Health Effects of Unemployment Benefit Program Generosity
Objectives. We assessed the impact of unemployment benefit programs on the health of the unemployed. Methods. We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models. Results. Unemployment was associated with increased risk of reporting poor health among men in …
Ageing in the European Union
Financial crisis, austerity, and health in Europe
Health Effects of Unemployment Benefit Program Generosity
Objectives. We assessed the impact of unemployment benefit programs on the health of the unemployed. Methods. We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models. Results. Unemployment was associated with increased risk of reporting poor health among men in …
Health, an ageing labour force, and the economy
Research often suggests that population ageing will be detrimental for the economy due to increased labour market exits and lost productivity, however the role of population health and disability at older ages is not well established. We estimate the relationship between the size of the older working age population and economic growth across 180 countries from 1990 to 2017 to explore whether a healthy older working age population, as measured by …
The value of healthy ageing
Health at older ages creates considerable economic value which is not observed using standard national accounting measures. Our method to quantify the monetary value of health can be adapted to other settings to make the economic case for investing in healthy ageing
Ageing in the European Union
Financial crisis, austerity, and health in Europe
Health Effects of Unemployment Benefit Program Generosity
Objectives. We assessed the impact of unemployment benefit programs on the health of the unemployed. Methods. We linked US state law data on maximum allowable unemployment benefit levels between 1985 and 2008 to individual self-rated health for heads of households in the Panel Study of Income Dynamics and implemented state and year fixed-effect models. Results. Unemployment was associated with increased risk of reporting poor health among men in …
Improving fiscal space for health from the perspective of efficiency in low- and middle-income countries
BACKGROUND: Conceptual frameworks of fiscal space for health have traditionally considered health system efficiency improvements as a means to free up resources for the sector. However, there has been no comprehensive review of the evidence to confirm the relationship between efficiency and fiscal space. METHODS: We conducted a systematic review to synthesize evidence on whether efficiency gains increase fiscal space for health. We searched bibli…
Do efficiency gains really translate into more budget for health? An assessment framework and country applications
Efficiency has historically been considered a key mechanism to increase the amount of available revenues to the health sector, enabling countries to expand services and benefits to progress towards universal health coverage (UHC). Country experience indicates, however, that efficiency gains do not automatically translate into greater budget for health, to additional revenues for the sector. This article proposes a framework to assess whether and …
Health, an ageing labour force, and the economy
Research often suggests that population ageing will be detrimental for the economy due to increased labour market exits and lost productivity, however the role of population health and disability at older ages is not well established. We estimate the relationship between the size of the older working age population and economic growth across 180 countries from 1990 to 2017 to explore whether a healthy older working age population, as measured by …
Population ageing and health financing
There is a perception that population ageing will have deleterious effects on future health financing sustainability. We propose a new method-the Population Ageing financial Sustainability gap for Health systems (or alternatively, the PASH)-to explore how changes in the population age mix will affect health expenditures and revenues. Using a set of six anonymized country scenarios that are based on data from countries in Europe and the Western Pa…
What have European countries done to prevent the spread of Covid-19? Lessons from the Covid-19 Health system response monitor
How resilient is health financing policy in Europe to economic shocks? Evidence from the first year of the Covid-19 pandemic and the 2008 global financial crisis
The COVID-19 pandemic triggered an economic shock just ten years after the shock of the 2008 global financial crisis. Economic shocks are a challenge for health systems because they reduce government revenue at the same time as they increase the need for publicly financed health care. This article explores the resilience of health financing policy to economic shocks by reviewing policy responses to the financial crisis and COVID-19 in Europe. It …
Lessons learned from the Covid-19 pandemic
Perspective
Introduction: Decision-makers initially had limited data to inform their policy responses to the COVID-19 pandemic. The research community developed several online databases to track cases, deaths, and hospitalizations; however, a major deficiency was the lack of detailed information on how health systems were responding to the pandemic and how they would need to be transformed going forward. Approach: In an effort to fill this information gap, i…
Assessing the equity and coverage policy sensitivity of financial protection indicators in Europe
Progress towards universal health coverage is monitored by the incidence of catastrophic spending. Two catastrophic spending indicators are commonly used in Europe: Sustainable Development Goal (SDG) indicator 3.8.2 and the WHO Regional Office for Europe (WHO/Europe) indicator. The use of different indicators can cause confusion, especially if they produce contradictory results and policy implications. We use harmonised household budget survey da…
The value of healthy ageing
Health at older ages creates considerable economic value which is not observed using standard national accounting measures. Our method to quantify the monetary value of health can be adapted to other settings to make the economic case for investing in healthy ageing
The contribution of health and health systems to other sustainable development goals. An overview of the evidence on co-benefits
BACKGROUND: While the effects of other sectors on health outcomes have been recognised, the co-benefits that arise from health or health systems to other sectors have received far less attention. OBJECTIVE: This study summarizes findings from a special issue in Health Policy documenting evidence of co-benefits from health and health systems to other Sustainable Development Goals: poverty, education, work and economic growth, gender equality, redu…
Evaluating the value for money of global fund’s expenditures (2017–2019)
Our results suggest possible structural inefficiencies in country program management, dampening the health impact of frontline programs. The lack of broad patterns to predict performance signals the importance of tailoring spending strategies to country-specific contexts
A method for testing health system resilience
BACKGROUND: Recent adverse events, such as the COVID-19 pandemic, economic crises, conflict, migration and extreme weather have demonstrated how a wide range of shocks can challenge health systems. While emergency preparedness and planning is a well established component of health system governance in many countries, no methodology has existed to systematically test the resilience of a health system to a broad range of shocks. OBJECTIVE: To share…
High inflation rates can induce significant disparities in Dutch hospital margins
BACKGROUND: Hospital inflation reflects changes in prices of labour, materials, energy, and capital. Depending on actual cost structures and contracts, individual hospitals may experience different price pressures on their budgets. If hospitals are compensated uniformly for inflation, high inflation can induce significant disparities in profitability. OBJECTIVE: To analyse the differential impact of inflation on hospitals in the Netherlands. METH…
Community health workers
BACKGROUND: Interest in community health workers (CHWs) and the benefits for health systems are growing globally, but research is focused on low- and middle-income countries and high-income Anglo-American countries. OBJECTIVE: This comparative assessment focuses on community health systems and health and care workers as advocates and boundary spanners, aiming to connect global evidence to high-income European countries and assessing the capacitie…
Health financing and population ageing
BACKGROUND: 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 impoveris…
Global Health Care Issues (12 obras) · Economics (11 obras) · Medicine (11 obras) · Economic growth (9 obras) · Health care (9 obras) · Business (7 obras) · Public health (6 obras) · Health disparities and outcomes (5 obras) · Economic policy (4 obras) · Employment and Welfare Studies (4 obras)