The longevity landscape: mapping stakeholder priorities for healthy aging among high-income countries

Objective Global population aging presents significant economic and social challenges, requiring coordinated efforts to enhance healthy lifespans. However, little is known about how stakeholders prioritize healthy aging initiatives. We aimed to examine how a sample of stakeholders prioritize determinants of healthy aging, and what gaps or inconsistencies exist in stakeholder focus on these determinants? Methods We conducted a first systematic analysis of the value propositions of 56 stakeholders, including governments, companies, research centers, opinion leaders, communities, and multilateral organizations, identified through Web of Science, PitchBook, and Crunchbase. Guided by the National Academy of Medicine's All-of-Society framework, we assessed stakeholder emphasis on four determinants of healthy aging: public health systems, social factors, physical infrastructure, and work and education. Results Public health system reform emerged as the most emphasized determinant, with significant focus on investing in geroscience and developing tailored primary care for older adults. In contrast, critical social and infrastructural factors-such as digital literacy, housing, transportation, financial security, and loneliness-received limited attention among stakeholders. Conclusions These findings highlight the need for cross-sector partnerships to address these overlooked determinants and ensure a holistic approach to healthy aging. Future research should explore collaborative strategies to bridge these gaps to meet the diverse needs of aging populations. Highlights-The study systematically examines 56 stakeholders, highlighting the need for cross-sector partnerships to address neglected areas and adopt a holistic healthy aging approach.-Identified stakeholders prioritize public health reform, focusing on geroscience and tailored primary care for older adults.-Key social and infrastructural factors like loneliness, financial security, and housing are largely overlooked.