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Who Cares? Attracting and Retaining Care Workers for the Elderly

image of Who Cares? Attracting and Retaining Care Workers for the Elderly

This report presents the most up-to-date and comprehensive cross-country assessment of long-term care (LTC) workers, the tasks they perform and the policies to address shortages in OECD countries. It highlights the importance of improving working conditions in the sector and making care work more attractive and shows that there is space to increase productivity by enhancing the use of technology, providing a better use of skills and investing in prevention.

Population ageing has outpaced the growth of workers in the long-term care (LTC) sector and the sector struggles with attracting and retaining enough workers to care for those dependent on others for care. Non-standard work is widespread, pay levels tend to be lower than similar-qualification jobs in other health sectors, and LTC workers experience more health problems than other health workers. Further, educational requirements tend to be insufficient to perform more demanding and growing tasks of LTC. With growing demand for care at home, better co-ordination between the health and long-term care sectors and between formal and informal careers is needed.

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Overview

This introductory chapter provides an overview of the entire report, drawing on the analyses carried out in the five subsequent chapters. It documents the difficult working conditions many workers in the sector face and the training gaps, given the relatively complex tasks they have to perform. It also highlights the likely shortfall in the long-term care (LTC) workforce, given the rising in demand and little attractiveness of the sector. The chapter also stresses how these structural shortcomings have been fully exposed during the COVID‑19 pandemic. It also looks at policies implemented across OECD countries to improve recruitment, training and retention. The report discusses how improvements to working conditions and skills are important to attract and retain workers while improving the quality of care, particularly to address safety. Strengthening co-ordination and increasing effectiveness will also help OECD countries to face the rising demand for LTC while ensuring early recognition of infections and other safety risks.

English

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