DESK REVIEWS | 03.03.04.01. Are there any patterns of staff vacancies (or with high turnover rate) that have been identified in the long-term care system?

DESK REVIEW | 03.03.04.01. Are there any patterns of staff vacancies (or with high turnover rate) that have been identified in the long-term care system?

No data about this have been found. However, there was a huge increase in the rate of people working as carers for older people between 2007 and 2017 (growth of more than 500% – from 5,263 to 34,051 registered informal care workers) (Brazilian Ministry of Economy, 2018). Qualitative research shows that people working in care homes are generally undervalued and underpaid (Salcher et al., 2015). However, there is a general lack of national and representative data on this topic in Brazil.

References:

Brazilian Ministry of Economy. (2018). RAIS 2018. http://www.rais.gov.br/sitio/index.jsf

Salcher, E. B. G., Portella, M. R., & Scortegagna, H. de M. (2015). Cenários de instituições de longa permanência para idosos: Retratos da realidade vivenciada por equipe multiprofissional. Revista Brasileira de Geriatria e Gerontologia, 18, 259–272. https://doi.org/10.1590/1809-9823.2015.14073

India has seen a considerable rise in the number of formal caregivers (home-based attenders) as it has turned into a commercial venture (UNESCAP, 2016). However, patterns of vacancies and workforce turnover have not been documented. 

References:

UNESCAP. (2016). Long-term Care of Older Persons in India. Available from: https://www.unescap.org/resources/long-term-care-older-persons-india

There is no specific information on staff providing LTC. Information available focuses on general health care providers.

Although no information was found that addresses staff vacancies within the long-term care system directly, the South African human resources for health (HRH) in general are characterised by attrition driven by factors such as poor workplace conditions, workload, workplace insecurity and morale, relationship with management, and risk to personal safety and health (DOH, 2011; Rawat, 2012). The Department of Health reported a staff turnover rate of up to 80% in some provinces (DOH, 2011; Rawat, 2012). Attrition of trained healthcare professionals are believed to be underestimated at 25% annually (excluding the 6% that is due to retirement, death and change in profession) (DOH, 2011).

References:

DOH. (2011). HUMAN RESOURCES FOR HEALTH SOUTH AFRICA (HRH) Department of Health. Available from: http://www.hst.org.za/publications/NonHST Publications/hrh_strategy-2.pdf

Rawat, A. (2012). Gaps and shortages in South Africa’s health workforce. Backgrounder, 31(June), 1–8. https://doi.org/10.13140/RG.2.1.4424.0805