SUSTAINABILITY OF HEALTH AND CARE SYSTEMS: MODELLING THE NURSING EMPLOYMENT DYNAMICS IN AN AGEING POPULATION

This study aims to develop an actuarial model to recognize and determine the quality of the healthcare policies, needed to ensure the sustainability of health care systems in terms of a sufficient number of skilled nurses that will cater to the demand of healthcare services from a growing number of...

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Bibliographic Details
Published in:Društvena istraživanja 2021-04, Vol.30 (2), p.379-400
Main Authors: Grah, Barbara, Dimovski, Vlado, Penger, Sandra, Colnar, Simon, Bogataj, David
Format: Article
Language:English
Subjects:
Aging
Analysis
Content analysis
Economic conditions
Employment
Epidemics
Gerontology
Government/Political systems
Health and medicine and law
Health care industry
Health care policy
Health services
Labor relations
Measurement
Medical care
Nurses
Nursing
Older people
Pandemics
Quality management
Quality of care
Slovenia
Sustainability
Sustainable development
Workforce
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Summary:This study aims to develop an actuarial model to recognize and determine the quality of the healthcare policies, needed to ensure the sustainability of health care systems in terms of a sufficient number of skilled nurses that will cater to the demand of healthcare services from a growing number of older adults in an ageing society and due to pandemics. We have applied the actuarial-mathematical method, which resulted in the proposed multiple decrement model of nurse workforce dynamics. It enables the measurement of the quality of a given national policy system. We built the case of the selected EU economy by applying the proposed model to available statistical data and 15 interviews with nurses, analysed by content analysis. The findings emphasise a lack of nurses in the present as well as a possible lack in the future. It is up to national policies to improve this situation based on the use of the proposed multiple decrement model.
ISSN:1330-0288
1848-6096
DOI:10.5559/di.30.2.10