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TCN Inaugural Meeting Budapest, 19.05.2009. HUMAN RESOURCE MANAGEMENT IN TIMES OF A MULTIFACETED CRISIS WG 3: CHALLENGES OF MEETING THE NEEDS OF AN AGEING POPULATION. Questions to answer. What is population ageing ? What is the extent of the problem?
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TCN Inaugural MeetingBudapest, 19.05.2009 HUMAN RESOURCE MANAGEMENT IN TIMES OF A MULTIFACETED CRISIS WG 3: CHALLENGES OF MEETING THE NEEDS OF AN AGEING POPULATION TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
Questions to answer • What is populationageing ? • 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? TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
What is populationageing ? • Increase in medianage of a population or an alteration in the age structure of a population,so that elderly persons are increasingly represented within acountry’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
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 • Ageing of population = decrease in mobility, increase in dependence, injury, disability, chronic diseases, medication consumption… • Ageing and depletion of health workforce • Health care provisionfocus shift towards prevention & long-term care • Health care accessibility • Health care financing TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
What aspects are specific to transitional countries? • Faster population ageing processes • Devaluation of (personal) savings; erosion of social systems • Traditionalfamily support structures are weakening • Access to health care for elderly may be difficult • Ageing and “brain drain” among health professionals • Health care systems in transition: financing: primary and specialist care; geriatric medicine TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
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 • 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 TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser
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 technologies • Planning for the sufficient, well educated, diverse and well distributed health workforce • Planning 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