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As people get older, it becomes more likely that they will need help with day-to-day activities like cooking, cleaning, getting dressed and self-care. This type of support is known as long-term care LTC. With rapid population ageing, countries need to rethink how systems can promote healthier ageing, improve the quality of care and find new ways to care for people at the end of their lives, while balancing the social adequacy of systems with financial sustainability.

After decades of growth, life expectancy gains are now stalling in many OECD countries. The OECD has undertaken new work on healthy ageing to look at how we can support people to age more healthily, exploring how health systems are adapting to population ageing and how communities are supporting older people to live healthily and independently.

LTC needs are particularly high among vulnerable populations such as women and those on low incomes, and, while all OECD countries provide some degree of support for LTC, many might not be able to afford care. Due to the pressing challenge of an ageing population, the demand for LTC workers is set to outpace supply, requiring a sharp increase in LTC employment over the next decade. In order to meet demand, countries have taken a number of actions to attract and retain LTC workers, such as increasing carer wages, improving working conditions, and enhancing social recognition.

In addition, the bulk of care is provided by family or informal carers who also need support in combining their work and caring responsibilities.