Measuring what matters in ageing societies: integrating dying-well and living-well metrics for resilient health systems

The article discusses the importance of integrating the measurement of the quality of dying and living to build health system resilience. Key points: - The quality of dying and living are intrinsically linked, and their integration is essential for building health system resilience. - Healthy longevity yields multilevel resilience dividends through compression of morbidity, macroeconomic buffers, and greater equity. - Measurement of dying-well and living-well indicators should be advanced within a shared framework, combining existing metrics like healthy life expectancy and frailty incidence. - Operationalizing this agenda requires selecting a parsimonious indicator set, aligning financing and accountability mechanisms, and prioritizing high-return interventions. - Integrating dying-well and living-well measurement agendas is both a conceptual advance and a policy lever for system redesign to move beyond end-of-life reactivity towards resilience across the life course.