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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.

English

Addressing the shortfall in workers

This chapter explores recent trends in the long-term care (LTC) workforce and the demographic characteristics of LTC workers, and outlines recruitment policies to attract LTC workers in OECD countries. It shows that in most countries the LTC workforce supply has increased more slowly than the number of people aged over 65, and that countries expect shortages of workers in the future. The chapter highlights the predominance of female workers and personal care workers and the important of foreign-born workers in some countries, together with the relative importance of institution-based workers. Several policies could be implemented to find new workers and address the shortfall: widening the pool of applications to recruit younger workers, unemployed people and men; targeting the traditional pool; and improving the image of LTC. However, only half of the countries studied have implemented policies or reforms in any of these directions since 2011.

English

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