This document discusses challenges related to an aging population for human resource management. It begins by defining population aging as an increase in the median age and proportion of elderly in a population. It then discusses specific needs of the elderly like increased chronic illnesses. For transitional countries, it notes issues like faster aging, weakened family support, and health worker shortages. Regarding human resource management, it raises concerns about health workforce depletion, maldistribution, and the need for long-term planning including new training programs. Overall, the document examines the implications of population aging for health systems and delivering quality care.

1. HUMAN RESOURCE MANAGEMENT IN
TIMES OF A MULTIFACETED CRISIS
WG 3: CHALLENGES OF MEETING THE
NEEDS OF AN AGEING POPULATION
TCN Inaugural Meeting
Budapest, 19.05.2009
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis

2. 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?

3. 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.

4. TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser

5. 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.

6. 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 workforce
 Health care provision focus shift towards prevention
& long-term care
 Health care accessibility
 Health care financing

7. 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

8. Ageing and health inequalities
Health
inequalities
Chronic
disease
and
disability
Social
exclusion
and
poverty
Erosion of
social
support
systems
Traditional
family
support
weakening
Shortage and
maldistributi
on of HWF

9. 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
HWF depletion
• ageing
• migration
HWF
maldistribution
• across regions
• across specialties
HWF planning
• long term planning
• new profiles
• specialized training
• evidence based
planning (population
health status)

10. 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

11. 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

12. 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

13. “L’hospice” by Gilles Barbier (2002)
TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis

14. Available
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• Nursing
• Attendants
• Caretaker
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