Help Wanted?

Providing and Paying for Long-Term Care

image of Help Wanted?

This book examines the challenges countries are facing with regard to providing and paying for long-term care. With populations ageing and the need for long-term care growing rapidly, this book looks at such issues as: future demographic trends, policies to support family carers, long-term care workers, financing arrangements, long-term care insurance, and getting better value for money in long-term care. 


“WHO recognizes that long-term care represents a major challenge for all countries in the world, with important implications for economic development and for the health and well-being of older people. This well-documented book provides a comparative analysis of the common challenges and diverse solutions OECD countries are adopting to respond to the growing demand for long-term care services, and particularly its implications for financing and labour markets.  It provides much needed evidence to guide policy makers and individuals.”

-Dr John Beard, Director, Department of Ageing and Life Course,

World Health Organization


“This carefully researched book offers invaluable data and insights into the organization and financing of long-term care in OECD countries.  The book is an indispensable resource for anyone interested in international long-term care”.

-Dr. Joshua M. Wiener, Distinguished Fellow and Program Director

of RTI’s Aging, Disability, and Long-Term Care Program, United States

English Also available in: French

Long-Term Care Workers

Needed but Often Undervalued

This chapter describes the size and the composition of the long-term care (LTC) workforce, in terms of gender and skill mix, working hours and work pressures. The analysis focuses on the two major parts of the LTC workforce: those working in home care and those working in institutional care. Developments in the mix of qualifications in nursing LTC are considered. The chapter then examines the relative importance of factors behind the difficulties in matching demand for, with the supply of, LTC workers, such as salary levels and working conditions. The analysis seeks to answer the following questions: does the workforce meet current (and potential) demand? How many people work in the different components of LTC sector and what is their background? What are the working conditions in the LTC sector? What can be said about developments over time?

English Also available in: French

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error