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HUMAN RESOURCE MANAGEMENT IN TIMES
OF A MULTIFACETED CRISIS
WG 3: CHALLENGES OF MEETING THE NEEDS
OF AN AGEING POPULATION
TCN Inaugural MeetingBudapest, 19.05.2009
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Questions to answer
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
What is population ageing ?
What is the extent of the problem?
What are the specific needs of an ageing population?
What aspects are specific to transitional countries?
What are the aspects specific to HR management?
What is population ageing ?
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Increase in median age of a population or an alteration in the age structure of a population, so that elderly persons are increasingly represented within a country’s overall age structure.
The sources of population ageing: rising life expectancy and declining fertility.
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Health issues related to ageing
Older adults are more likely to suffer chronic illnesses (cancer, heart disease, diabetes, neurodegenerative diseases)
Older adults consume more primary care services, hospital services, nursing home services and home care services
Health professions, particularly those with long education (e.g. medicine), are also ageing and are at greater risk for depletion as the population ages.
Health care services and population ageing
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Ageing of population = decrease in mobility, increase in dependence, injury, disability, chronic diseases, medication consumption…
Ageing and depletion of health workforceHealth care provision focus shift towards
prevention & long-term careHealth care accessibilityHealth care financing
What aspects are specific to transitional countries?
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
1. Faster population ageing processes
2. Devaluation of (personal) savings; erosion of social systems
3. Traditional family support structures are weakening
4. Access to health care for elderly may be difficult
5. Ageing and “brain drain” among health professionals
6. Health care systems in transition: financing: primary and specialist care; geriatric medicine
Ageing and health inequalities
What aspect of population ageing are specific to HR management
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Challenges
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Longer life spans: more healthy years or added years of illness and dependency?
“Prevention and postponement of disease and disability and maintenance of health, independence, and mobility in an aging population are the major health-related challenges of population aging.”
From red to gray; the "third transition" of aging populations in Eastern Europe and the former Soviet Union
Chawla, Mukesh et al. The World Bank, 2007
Solutions
Healthy ageing: prevention of chronic diseases, postponement of disability and dependency
Integrated care models, which include health and social care
Research: better understanding of ageing processes and age associated chronic diseases
Embracing new technologiesPlanning for the sufficient, well educated, diverse
and well distributed health workforcePlanning for high-quality, cost-effective, well
distributed health care
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Recommendations Healthy Ageing project (2004-2007)
Increase the participation in the workforce Encourage the participation in social life Raise awareness of relevant mental issues, such as
depression and dementia Improve access to safe and stimulating indoor and outdoor
environments Promote healthy food and eating habits Increase the level of physical activity Initiate safety promotion and injury prevention programmes
(violence, medication, etc.) Promote smoking cessation and the reduction of harmful
alcohol consumption Make preventive health services accessible to older people
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
“L’hospice” by Gilles Barbier (2002)
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser