Background Paper

Who Will Be There to Care? The Growing Gap between Caregiver Supply and Demand
January 23, 2002


Nora Super


This paper examines the increasing demand for long-term care services and the concurrent decrease in the supply of paid and unpaid caregivers. It considers workforce trends for paraprofessionals, such as certified nursing assistants, home health aides, and personal care attendants, as well as several public and private efforts to address staff shortages and quality-of-care. The paper explores the sociodemographic factors that have affected the demand for and supply of informal care provided by family and friends. It also reviewes policy proposals designed to provide support for family caregivers and/or to give choices to consumers.

Related Materials

See also the entry for the related Forum session (April 12, 2002).

Other related Forum products include "National Spending for Long-Term Services and Supports (LTSS), 2012," (The Basics, March 27, 2014); Forum sessions on consumer direction and Money Follows the Person (November 7, 2008) and informal caregiving (September 21, 2007); and a background paper on the Aging Services Network.

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