Help Wanted? Providing and Paying for Long-Term Care

  • International

26th May 2011, OECD



“……  As life expectancy pushes into the late 70s for men and well into the 80s for women, ever more people want help in order to be able to live their lives to the full for as long as possible. 
How will demographic and labour market trends affect the supply of family and friends available to care for us?
Can we rely on family carers as the sole source of support for frail seniors?
Should family carers and friends be better supported, and if so how?
Can we attract and retain care workers -- is it just a matter of paying them better?
Will public finances be threatened by the cost of providing care in the future?
What should be the balance between private responsibility and public support in care-giving?
Can we reduce costs by improving efficiency of long-term care services?
“…..The rapid ageing of the population and societal changes will have a significant impact on both the delivery and financing of long-term care. On the one hand, they will affect the potential supply of individuals available to provide both formal and informal long-term care. The pool of potential family carers is likely to shrink because people are having to work longer and female participation in the labour market is arising. Currently, full-time equivalent nurses and personal carers represent between 1 and 2% of the total workforce. For many countries this share could more than double by 2050……”
Table of contents
Chapter 1:    Long-term Care: Growing Sector, Multifaceted Systems
Chapter 2:   Sizing Up the Challenge Ahead: Future Demographic Trends and Long-term Care Costs
Chapter 3:   The Impact of Caring on Family Carers
Chapter 4:   Policies to Support Family Carers
Chapter 5:   Long-Term Care Workers: Needed but Often Undervalued
Chapter 6:   How to Prepare for the Future Long-term Care Workforce?
Chapter 7:  Public Long-term Care Financing Arrangements in OECD Countries
Chapter 8:  Private Long-term Care Insurance: A Niche or a “Big Tent”?
Chapter 9:  Where To? Providing Fair Protection Against Long-term Care Costs and Financial Sustainability
Chapter 10:Can We Get Better Value for Money in Long-term Care?