Sustainability of health and care systems : modelling the nursing employment dynamics in an ageing population

Grah, Barbara (author), Dimovski, Vlado (author), Penger, Sandra (author), Colnar, Simon (author), Bogataj, David (author)

This study aims to develop an actuarial model to recognise 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.

• Language: English
• Keywords: health, sustainability, elderly population, ageing, healthcare, nursing profession entrance and exit, multiple decrement model
• Work type: Article
• Typology: 1.01 - Original Scientific Article
• Organization: EF - School of Economics and Business
• Publication status: Published
• Publication version: Version of Record
• Year: 2021
• Number of pages: Str. 379-400
• Numbering: Vol. 30, iss. 2
• PID: 20.500.12556/RUL-129090
• UDC: 314
• ISSN on article: 1330-0288
• DOI: 10.5559/di.30.2.10
• COBISS.SI-ID: 72141571
• Publication date in RUL: 26.08.2021

Record is a part of a journal

• Title: Društvena istraživanja. časopis za opća društvena pitanja
• Shortened title: Druš. istraž.
• Publisher: Institut društvenih znanosti Ivo Pilar
• ISSN: 1330-0288
• COBISS.SI-ID: 4174601

Licences

• License: CC BY-NC 4.0, Creative Commons Attribution-NonCommercial 4.0 International
• Link: http://creativecommons.org/licenses/by-nc/4.0/
• Description: A creative commons license that bans commercial use, but the users don’t have to license their derivative works on the same terms.
• Licensing start date: 20.07.2021

Secondary language

• Language: Croatian
• Title: Održivost zdravstvenih sustava : modeliranje dinamike zapošljavanja medicinskih sestara s obzirom na starenje stanovništva

Abstract

Ova studija želi razviti aktuarski model radi utvrđivanja kvalitetne zdravstvene politike, potrebne kako bi se osigurala održivost zdravstvenoga sustava u smislu definiranja broja kvalificiranih medicinskih sestara koje će, s obzirom na starenje stanovništva i globalnu pandemiju, moći udovoljiti povećanoj potražnji zdravstvenih usluga sve većega broja osoba starije životne dobi. Primijenili smo aktuarsko-matematičku metodu, što je rezultiralo predloženim modelom višestruke redukcije. Model simulira broj raspoloživih radnika uz poznatu dinamiku u sustavu sestrinstva te omogućuje mjerenje kvalitete određenoga nacionalnog zdravstvenog sustava. Numerički primjer izrađen je na temelju odabrane članice EU-a primjenom predloženog modela na dostupnim statističkim podacima i 15 intervjua s medicinskim sestrama, obrađenih analizom sadržaja. Uočen je trenutačni manjak broja medicinskih sestara, koji će se nastaviti i u budućnosti. Na nacionalnim je politikama da se to stanje poboljša temeljem primjene predloženog modela višestruke redukcije.

• Keywords: održivost zdravstvenoga sustava, stanovništvo starije životne dobi, starenje, zdravstvena zaštita, fluktuacija radne snage, model višestruke redukcije

Projects

• Funder: ARRS - Slovenian Research Agency
• Funding programme: Raziskovalni projekt - temeljni
• Project number: J6-9396
• Name: Razvoj socialne infrastrukture in storitev za izvajanje dolgotrajne oskrbe v skupnosti

• Funder: ARRS - Slovenian Research Agency
• Funding programme: Raziskovalni program
• Project number: P5-0364
• Name: Vpliv upravljanja, organizacijskega učenja in managementa znanja na sodobne organizacije