Get quick answers to your questions about the article from our AI researcher chatbot
{'id': 'https://openalex.org/W4283735918', 'doi': 'https://doi.org/10.1787/7c184406-en', 'title': 'Ageing and the long-run fiscal sustainability of health care across levels of government', 'display_name': 'Ageing and the long-run fiscal sustainability of health care across levels of government', 'publication_year': 2022, 'publication_date': '2022-06-30', 'ids': {'openalex': 'https://openalex.org/W4283735918', 'doi': 'https://doi.org/10.1787/7c184406-en'}, 'language': 'en', 'primary_location': {'is_oa': True, 'landing_page_url': 'https://doi.org/10.1787/7c184406-en', 'pdf_url': 'https://www.oecd-ilibrary.org/deliver/7c184406-en.pdf?itemId=%2Fcontent%2Fpaper%2F7c184406-en&mimeType=pdf', 'source': {'id': 'https://openalex.org/S4210196162', 'display_name': 'OECD working papers on fiscal federalism', 'issn_l': '2226-5848', 'issn': ['2226-5848'], 'is_oa': False, 'is_in_doaj': False, 'is_core': False, 'host_organization': None, 'host_organization_name': None, 'host_organization_lineage': [], 'host_organization_lineage_names': [], 'type': 'journal'}, 'license': None, 'license_id': None, 'version': 'publishedVersion', 'is_accepted': True, 'is_published': True}, 'type': 'paratext', 'type_crossref': 'report-series', 'indexed_in': ['crossref'], 'open_access': {'is_oa': True, 'oa_status': 'bronze', 'oa_url': 'https://www.oecd-ilibrary.org/deliver/7c184406-en.pdf?itemId=%2Fcontent%2Fpaper%2F7c184406-en&mimeType=pdf', 'any_repository_has_fulltext': False}, 'authorships': [{'author_position': 'first', 'author': {'id': 'https://openalex.org/A5043495791', 'display_name': 'Pietrangelo De Biase', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Pietrangelo De Biase', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5054540509', 'display_name': 'Sean Dougherty', 'orcid': 'https://orcid.org/0000-0002-3297-8359'}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Sean Dougherty', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5009343944', 'display_name': 'Luca Lorenzoni', 'orcid': 'https://orcid.org/0000-0001-5449-2985'}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Luca Lorenzoni', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5016043142', 'display_name': 'David Bradbury', 'orcid': 'https://orcid.org/0000-0003-2762-3622'}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'David Bradbury', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5084346359', 'display_name': 'Luiz De Mello', 'orcid': 'https://orcid.org/0000-0003-4387-8158'}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Luiz De Mello', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5095617391', 'display_name': 'Yannic Rehm', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Yannic Rehm', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5045523144', 'display_name': 'Catherine Macleod', 'orcid': 'https://orcid.org/0000-0002-9314-7380'}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Catherine Macleod', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5062868831', 'display_name': 'Scott Cameron', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Cameron Scott', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5076914392', 'display_name': 'Bert Brys', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Bert Brys', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5059661894', 'display_name': 'Sébastien Turban', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Sébastien Turban', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'middle', 'author': {'id': 'https://openalex.org/A5095617390', 'display_name': 'Camila Finally', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Camila Finally', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}, {'author_position': 'last', 'author': {'id': 'https://openalex.org/A5094831550', 'display_name': 'Andoni Montes', 'orcid': None}, 'institutions': [{'id': 'https://openalex.org/I1288051870', 'display_name': 'Organisation de Coopération et de Développement Economiques', 'ror': 'https://ror.org/0438wbg98', 'country_code': 'FR', 'type': 'government', 'lineage': ['https://openalex.org/I1288051870']}], 'countries': ['FR'], 'is_corresponding': False, 'raw_author_name': 'Andoni Montes', 'raw_affiliation_strings': ['Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'OECD WORKING'], 'affiliations': [{'raw_affiliation_string': 'OECD WORKING', 'institution_ids': ['https://openalex.org/I1288051870']}, {'raw_affiliation_string': 'Fiscal Relations, 2 rue André Pascal, 75775 PARIS CEDEX 16, France.', 'institution_ids': []}]}], 'institution_assertions': [], 'countries_distinct_count': 1, 'institutions_distinct_count': 1, 'corresponding_author_ids': [], 'corresponding_institution_ids': [], 'apc_list': None, 'apc_paid': None, 'fwci': None, 'has_fulltext': True, 'fulltext_origin': 'pdf', 'cited_by_count': 8, 'citation_normalized_percentile': {'value': 0.997203, 'is_in_top_1_percent': True, 'is_in_top_10_percent': True}, 'cited_by_percentile_year': {'min': 90, 'max': 91}, 'biblio': {'volume': None, 'issue': None, 'first_page': None, 'last_page': None}, 'is_retracted': False, 'is_paratext': True, 'primary_topic': {'id': 'https://openalex.org/T12781', 'display_name': 'Determinants of Health Care Expenditure and Longevity', 'score': 0.9959, 'subfield': {'id': 'https://openalex.org/subfields/3600', 'display_name': 'General Health Professions'}, 'field': {'id': 'https://openalex.org/fields/36', 'display_name': 'Health Professions'}, 'domain': {'id': 'https://openalex.org/domains/4', 'display_name': 'Health Sciences'}}, 'topics': [{'id': 'https://openalex.org/T12781', 'display_name': 'Determinants of Health Care Expenditure and Longevity', 'score': 0.9959, 'subfield': {'id': 'https://openalex.org/subfields/3600', 'display_name': 'General Health Professions'}, 'field': {'id': 'https://openalex.org/fields/36', 'display_name': 'Health Professions'}, 'domain': {'id': 'https://openalex.org/domains/4', 'display_name': 'Health Sciences'}}, {'id': 'https://openalex.org/T11770', 'display_name': 'Impact of Infrastructure and Taxation on Economic Growth', 'score': 0.9405, 'subfield': {'id': 'https://openalex.org/subfields/2002', 'display_name': 'Economics and Econometrics'}, 'field': {'id': 'https://openalex.org/fields/20', 'display_name': 'Economics, Econometrics and Finance'}, 'domain': {'id': 'https://openalex.org/domains/2', 'display_name': 'Social Sciences'}}], 'keywords': [{'id': 'https://openalex.org/keywords/fiscal-sustainability', 'display_name': 'Fiscal sustainability', 'score': 0.74536926}, {'id': 'https://openalex.org/keywords/government-revenue', 'display_name': 'Government revenue', 'score': 0.7125956}, {'id': 'https://openalex.org/keywords/population-ageing', 'display_name': 'Population ageing', 'score': 0.6890991}, {'id': 'https://openalex.org/keywords/consumption', 'display_name': 'Consumption (sociology)', 'score': 0.6210147}, {'id': 'https://openalex.org/keywords/ageing-population', 'display_name': 'Ageing Population', 'score': 0.561885}, {'id': 'https://openalex.org/keywords/government-health-expenditures', 'display_name': 'Government Health Expenditures', 'score': 0.534562}, {'id': 'https://openalex.org/keywords/fiscal-federalism', 'display_name': 'Fiscal federalism', 'score': 0.47065344}], 'concepts': [{'id': 'https://openalex.org/C2777711530', 'wikidata': 'https://www.wikidata.org/wiki/Q5454403', 'display_name': 'Fiscal sustainability', 'level': 3, 'score': 0.74536926}, {'id': 'https://openalex.org/C193991484', 'wikidata': 'https://www.wikidata.org/wiki/Q2509483', 'display_name': 'Government revenue', 'level': 3, 'score': 0.7125956}, {'id': 'https://openalex.org/C2778137410', 'wikidata': 'https://www.wikidata.org/wiki/Q2732820', 'display_name': 'Government (linguistics)', 'level': 2, 'score': 0.6939268}, {'id': 'https://openalex.org/C13774568', 'wikidata': 'https://www.wikidata.org/wiki/Q439112', 'display_name': 'Population ageing', 'level': 3, 'score': 0.6890991}, {'id': 'https://openalex.org/C30772137', 'wikidata': 'https://www.wikidata.org/wiki/Q5164762', 'display_name': 'Consumption (sociology)', 'level': 2, 'score': 0.6210147}, {'id': 'https://openalex.org/C162324750', 'wikidata': 'https://www.wikidata.org/wiki/Q8134', 'display_name': 'Economics', 'level': 0, 'score': 0.5906623}, {'id': 'https://openalex.org/C66204764', 'wikidata': 'https://www.wikidata.org/wiki/Q219416', 'display_name': 'Sustainability', 'level': 2, 'score': 0.5838388}, {'id': 'https://openalex.org/C195487862', 'wikidata': 'https://www.wikidata.org/wiki/Q850210', 'display_name': 'Revenue', 'level': 2, 'score': 0.5268642}, {'id': 'https://openalex.org/C2908647359', 'wikidata': 'https://www.wikidata.org/wiki/Q2625603', 'display_name': 'Population', 'level': 2, 'score': 0.48760048}, {'id': 'https://openalex.org/C182306322', 'wikidata': 'https://www.wikidata.org/wiki/Q1779371', 'display_name': 'Order (exchange)', 'level': 2, 'score': 0.47434607}, {'id': 'https://openalex.org/C12017312', 'wikidata': 'https://www.wikidata.org/wiki/Q3740872', 'display_name': 'Fiscal federalism', 'level': 3, 'score': 0.47065344}, {'id': 'https://openalex.org/C100001284', 'wikidata': 'https://www.wikidata.org/wiki/Q2248246', 'display_name': 'Public economics', 'level': 1, 'score': 0.4584318}, {'id': 'https://openalex.org/C160735492', 'wikidata': 'https://www.wikidata.org/wiki/Q31207', 'display_name': 'Health care', 'level': 2, 'score': 0.43212658}, {'id': 'https://openalex.org/C105639569', 'wikidata': 'https://www.wikidata.org/wiki/Q582577', 'display_name': 'Economic policy', 'level': 1, 'score': 0.3979855}, {'id': 'https://openalex.org/C524878704', 'wikidata': 'https://www.wikidata.org/wiki/Q187021', 'display_name': 'Fiscal policy', 'level': 2, 'score': 0.39586335}, {'id': 'https://openalex.org/C47768531', 'wikidata': 'https://www.wikidata.org/wiki/Q1127188', 'display_name': 'Development economics', 'level': 1, 'score': 0.3605827}, {'id': 'https://openalex.org/C144133560', 'wikidata': 'https://www.wikidata.org/wiki/Q4830453', 'display_name': 'Business', 'level': 0, 'score': 0.3307439}, {'id': 'https://openalex.org/C4249254', 'wikidata': 'https://www.wikidata.org/wiki/Q3044431', 'display_name': 'Demographic economics', 'level': 1, 'score': 0.32548937}, {'id': 'https://openalex.org/C50522688', 'wikidata': 'https://www.wikidata.org/wiki/Q189833', 'display_name': 'Economic growth', 'level': 1, 'score': 0.32200754}, {'id': 'https://openalex.org/C139719470', 'wikidata': 'https://www.wikidata.org/wiki/Q39680', 'display_name': 'Macroeconomics', 'level': 1, 'score': 0.2251615}, {'id': 'https://openalex.org/C136810230', 'wikidata': 'https://www.wikidata.org/wiki/Q188961', 'display_name': 'Decentralization', 'level': 2, 'score': 0.1755138}, {'id': 'https://openalex.org/C10138342', 'wikidata': 'https://www.wikidata.org/wiki/Q43015', 'display_name': 'Finance', 'level': 1, 'score': 0.13437271}, {'id': 'https://openalex.org/C34447519', 'wikidata': 'https://www.wikidata.org/wiki/Q179522', 'display_name': 'Market economy', 'level': 1, 'score': 0.1302987}, {'id': 'https://openalex.org/C99454951', 'wikidata': 'https://www.wikidata.org/wiki/Q932068', 'display_name': 'Environmental health', 'level': 1, 'score': 0.09060761}, {'id': 'https://openalex.org/C71924100', 'wikidata': 'https://www.wikidata.org/wiki/Q11190', 'display_name': 'Medicine', 'level': 0, 'score': 0.06848922}, {'id': 'https://openalex.org/C18903297', 'wikidata': 'https://www.wikidata.org/wiki/Q7150', 'display_name': 'Ecology', 'level': 1, 'score': 0.0}, {'id': 'https://openalex.org/C41895202', 'wikidata': 'https://www.wikidata.org/wiki/Q8162', 'display_name': 'Linguistics', 'level': 1, 'score': 0.0}, {'id': 'https://openalex.org/C138885662', 'wikidata': 'https://www.wikidata.org/wiki/Q5891', 'display_name': 'Philosophy', 'level': 0, 'score': 0.0}, {'id': 'https://openalex.org/C36289849', 'wikidata': 'https://www.wikidata.org/wiki/Q34749', 'display_name': 'Social science', 'level': 1, 'score': 0.0}, {'id': 'https://openalex.org/C144024400', 'wikidata': 'https://www.wikidata.org/wiki/Q21201', 'display_name': 'Sociology', 'level': 0, 'score': 0.0}, {'id': 'https://openalex.org/C86803240', 'wikidata': 'https://www.wikidata.org/wiki/Q420', 'display_name': 'Biology', 'level': 0, 'score': 0.0}], 'mesh': [], 'locations_count': 1, 'locations': [{'is_oa': True, 'landing_page_url': 'https://doi.org/10.1787/7c184406-en', 'pdf_url': 'https://www.oecd-ilibrary.org/deliver/7c184406-en.pdf?itemId=%2Fcontent%2Fpaper%2F7c184406-en&mimeType=pdf', 'source': {'id': 'https://openalex.org/S4210196162', 'display_name': 'OECD working papers on fiscal federalism', 'issn_l': '2226-5848', 'issn': ['2226-5848'], 'is_oa': False, 'is_in_doaj': False, 'is_core': False, 'host_organization': None, 'host_organization_name': None, 'host_organization_lineage': [], 'host_organization_lineage_names': [], 'type': 'journal'}, 'license': None, 'license_id': None, 'version': 'publishedVersion', 'is_accepted': True, 'is_published': True}], 'best_oa_location': {'is_oa': True, 'landing_page_url': 'https://doi.org/10.1787/7c184406-en', 'pdf_url': 'https://www.oecd-ilibrary.org/deliver/7c184406-en.pdf?itemId=%2Fcontent%2Fpaper%2F7c184406-en&mimeType=pdf', 'source': {'id': 'https://openalex.org/S4210196162', 'display_name': 'OECD working papers on fiscal federalism', 'issn_l': '2226-5848', 'issn': ['2226-5848'], 'is_oa': False, 'is_in_doaj': False, 'is_core': False, 'host_organization': None, 'host_organization_name': None, 'host_organization_lineage': [], 'host_organization_lineage_names': [], 'type': 'journal'}, 'license': None, 'license_id': None, 'version': 'publishedVersion', 'is_accepted': True, 'is_published': True}, 'sustainable_development_goals': [], 'grants': [], 'datasets': [], 'versions': [], 'referenced_works_count': 18, 'referenced_works': ['https://openalex.org/W1691931844', 'https://openalex.org/W2310574063', 'https://openalex.org/W2504003461', 'https://openalex.org/W2577656653', 'https://openalex.org/W2581969004', 'https://openalex.org/W2887241874', 'https://openalex.org/W2905265323', 'https://openalex.org/W2924696138', 'https://openalex.org/W2939199936', 'https://openalex.org/W2953911181', 'https://openalex.org/W3000136375', 'https://openalex.org/W3123077269', 'https://openalex.org/W3125069932', 'https://openalex.org/W3205650821', 'https://openalex.org/W3206044544', 'https://openalex.org/W4205918150', 'https://openalex.org/W4214580423', 'https://openalex.org/W4249750573'], 'related_works': ['https://openalex.org/W4239826212', 'https://openalex.org/W3126133757', 'https://openalex.org/W3123442845', 'https://openalex.org/W304930760', 'https://openalex.org/W2833796746', 'https://openalex.org/W2775022258', 'https://openalex.org/W2252769842', 'https://openalex.org/W2010167295', 'https://openalex.org/W1606099994', 'https://openalex.org/W1523024480'], 'abstract_inverted_index': {'OECD': [0, 84, 119], 'economies': [1], 'are': [2, 32, 38], 'undergoing': [3], 'a': [4, 63], 'seemingly': [5], 'inevitable': [6], 'process': [7], 'of': [8, 45, 96, 100, 108, 112, 134, 140], 'population': [9, 113], 'ageing': [10, 114], 'that': [11], 'has': [12], 'been': [13], 'changing': [14], 'income': [15], 'and': [16, 59, 71, 121, 128], 'consumption': [17], 'patterns.': [18], 'Notably,': [19], 'the': [20, 43, 49, 60, 109, 132], 'demand': [21], 'for': [22], 'health': [23, 46, 58, 69], 'services': [24], 'is': [25, 89, 103], 'expected': [26, 90], 'to': [27, 34, 40, 76, 91, 104, 122, 125], 'increase,': [28], 'while': [29], 'labour': [30], 'forces': [31], 'projected': [33, 39], 'shrink.': [35], 'Both': [36], 'factors': [37], 'negatively': [41], 'impact': [42], 'sustainability': [44], 'systems': [47, 70], '–': [48], 'former': [50], 'through': [51, 62], 'an': [52], 'increase': [53], 'in': [54, 65, 82], 'government': [55, 66, 116], 'expenditures': [56, 136], 'on': [57, 115], 'latter': [61], 'decrease': [64], 'revenues.': [67], 'As': [68], 'their': [72], 'funding': [73, 135], 'streams': [74], 'tend': [75], 'be': [77, 92], 'at': [78, 137], 'least': [79], 'partially': [80], 'decentralised': [81], 'most': [83], 'countries,': [85, 120], 'this': [86, 101], 'fiscal': [87, 126], 'pressure': [88], 'asymmetric': [93], 'across': [94, 118], 'levels': [95, 139], 'government.': [97, 141], 'The': [98], 'objective': [99], 'paper': [102], 'provide': [105], 'order-of-magnitude': [106], 'estimates': [107], 'possible': [110], 'effects': [111], 'finances': [117], 'discuss': [123], 'reforms': [124], 'federalism': [127], 'intergovernmental': [129], 'relations': [130], 'with': [131], 'purpose': [133], 'all': [138]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W4283735918', 'counts_by_year': [{'year': 2024, 'cited_by_count': 2}, {'year': 2023, 'cited_by_count': 3}, {'year': 2022, 'cited_by_count': 2}, {'year': 2012, 'cited_by_count': 1}], 'updated_date': '2024-09-15T05:04:13.023105', 'created_date': '2022-07-01'}