Despite Surging Demand for Long-Term Care, Providers Struggle to Find Workers

Workforce Shortage in Long-Term Care

Workforce Shortage in Long-Term Care, An ageing population is the primary driver of the exceptional demand seen in the long-term care (LTC) market. But there is a big obstacle in the way of this rising demand: a severe labour shortage. The quality of care and the long-term viability of long-term care services are significantly impacted by this imbalance between supply and demand in the workforce. This article examines the causes of the labour shortage, the variables fueling the rising demand, and possible ways to close the gap.

The Rising Demand for Long-Term Care

Aging Population

The ageing population is one of the main factors contributing to the rise in the need for long-term care. More people than any other age group are becoming older worldwide, especially those 65 and over. The World Health Organisation (WHO) projects that there will be 2.1 billion adults 60 years of age and older by the year 2050. According to the Administration for Community Living (ACL), there will be approximately 72.1 million older individuals in the US by 2030—more than twice as many as there were in 2000.

Chronic Health Conditions

Diabetes, heart disease, arthritis, dementia, and other chronic health issues affect a sizable segment of the senior population. Long-term care is frequently required for many conditions, either in residential institutions or through in-home services. Six out of ten persons in the United States have one or more chronic diseases, and four out of ten have two or more, according to the Centres for Disease Control and Prevention (CDC).

Increased Life Expectancy

Living standards have grown dramatically as a result of advancements in healthcare and medical technology. Although this is a good thing, it also implies that more individuals will need long-term care services for longer periods of time. There will be more persons over 65 than children under 18 by 2034, according to U.S. Census Bureau projections, highlighting the need for long-term care options that are sustainable.

The Workforce Shortage in Long-Term Care

Low Wages and Benefits

Low wages are one of the biggest causes of the long-term care workforce shortage. Many long-term care employees, such as personal care aides, home health aides, and certified nursing assistants (CNAs), get almost minimum wage despite the demanding nature of their work. The typical yearly salary for home health aides was $29,430 in 2022, according to the U.S. Bureau of Labour Statistics. This amount is sometimes insufficient to sustain a family. Furthermore, a lot of these jobs don’t provide perks like paid time off, retirement plans, or health insurance.

High Physical and Emotional Demands

Jobs in long-term care are emotionally and physically taxing. Long hours, physical lifting, and the psychological strain of providing care for people with life-threatening illnesses are commonplace for workers. Due to the prevalence of burnout, turnover rates are significant. Aside from the emotional toll, the physically demanding nature of the work deters potential employees.

Limited Career Advancement Opportunities

There are sometimes few clear job growth paths in the long-term care industry. Many employees are forced to stay in entry-level jobs with no chance of advancement or pay raises. People are discouraged from entering or staying in the field by this lack of upward mobility.

Workforce Shortage in Long-Term Care

Impact of the COVID-19 Pandemic

The long-term care manpower deficit has been made worse by the COVID-19 epidemic. The pandemic had a severe impact on the industry, as seen by the high illness and fatality rates among residents and personnel. An increasing number of workers left the field as a result of the health dangers, insufficient assistance, and personal protective equipment (PPE). Furthermore, the pandemic brought to light vulnerabilities already present in the long-term care system, which discourages new workers from entering the industry.

Implications of the Workforce Shortage

Quality of Care

The standard of care given to residents is directly impacted by the labour shortage. Facilities that are overworked and understaffed find it difficult to provide for the requirements of their residents, which may result in neglect and a reduction in the quality of care. Higher rates of hospital readmissions, falls, and other unfavourable outcomes among residents may arise from this circumstance.

Increased Costs

Costs are also rising as a result of the long-term care staffing shortage. Facilities are compelled to invest more in hiring, educating, and keeping employees. Furthermore, hiring agency or temporary workers to cover gaps can be more expensive than hiring permanent employees. Long-term care becomes less affordable as a result of the frequent transfer of these rising expenses to residents and their relatives.

Strain on Family Caregivers

Due to a lack of qualified carers, family members are frequently left to shoulder the responsibility of providing care. Family carers may experience severe financial, psychological, and physical strain as a result, since many of them lack the necessary skills or training to offer long-term care. According to the Family Carer Alliance, family carers in the United States offer unpaid care valued at $470 billion annually.

Potential Solutions

Improving Wages and Benefits

Raising pay and perks is one of the best strategies to draw in and keep employees in the long-term care industry. Long-term care positions may be more desirable if they offer competitive pay, paid time off, health insurance, and retirement plans. Funding and resources must be given top priority by legislators and business executives in order to improve long-term care workers’ compensation packages.

Offering Training and Career Advancement Opportunities

Attracting and retaining employees in the long-term care industry can be facilitated by offering training and distinct career growth tracks. Employees can progress in their careers by enrolling in programmes that provide career development, certifications, and ongoing education. One way to create opportunities for professional progression is to create specialised roles like dementia care coordinators or geriatric care specialists.

Enhancing Working Conditions

Reducing burnout and turnover requires improving working environment. This include supplying the required tools and resources, making sure there is enough staff, and fostering a positive work atmosphere. Employers can also benefit from implementing work-life balance rules, such as flexible scheduling and access to mental health support.

Utilizing Technology

Workforce Shortage in Long-Term Care

A portion of the workload for carers can be reduced by integrating technology into long-term care. Telehealth services, for instance, can lessen the need for in-person visits, and remote monitoring devices and automated medicine dispensers can make caring responsibilities easier. Investing in technology can increase productivity and free up staff members to concentrate on delivering individualised care.

Policy and Legislative Support

The lack of workers in long-term care is largely addressed by laws and policies from the government. Legislators need to acknowledge the industry’s significance and put policies in place to help it. This can involve boosting long-term care service funding, offering incentives to people who want to work in the industry, and changing regulations to raise pay and improve working conditions.

Public Awareness and Advocacy

It is crucial to educate the public about the value of long-term care and the difficulties experienced by those who work in the field. Increased funding and support for policy changes can be obtained through advocacy initiatives. Public awareness initiatives that emphasise the importance of long-term care providers and their contributions can help draw new people to the industry.


An ageing population, longer life expectancies, and the frequency of chronic illnesses are all contributing factors to the rising need for long-term care, which emphasises the vital need for a strong and long-lasting staff.

However, meeting this demand will be extremely difficult given the existing labour deficit. Stakeholders can endeavour to establish a more appealing and encouraging work environment for long-term care workers by tackling the causes that are causing the shortage, such as poor pay, heavy job expectations, few prospects for career progression, and the COVID-19 pandemic’s effects. The long-term care industry can overcome its labour issues and guarantee high-quality care for those who need it most by implementing technology, improving training and career prospects, improving compensation and benefits, and improving working conditions.

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