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 WG3 Sanja Kaiser

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 WG3 Sanja Kaiser

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 WG3 Sanja Kaiser

13. “L’hospice” by Gilles Barbier (2002) TCN Inaugural Meeting: Human Resource Management in times of a multifaceted crisis WG3 Sanja Kaiser