兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

The economics of home support services in Ireland: exploring complex issues of healthcare sustainability and aging populations.

2025-06-02

Background:
     
     Home support is a critical yet under-recognized component of public health and aging policy, with economic perspectives often overlooked in workforce and system planning. This paper explores the economics of home support services in Ireland, against a backdrop of increasing demand for home care driven by aging populations and workforce supply challenges.
   

Aims:
     
     To provide a comprehensive overview of the economic challenges faced by the home support sector in Ireland, particularly in relation to workforce sustainability, population health, and quality service delivery. To explore international best practices and case studies that can further inform the development of home support models.
   

Methods:
     
     Utilizing both qualitative and quantitative population, labor force, and health service data, the analysis of the Irish context investigates three critical areas: (1) the rising demand and funding of home support, (2) cost comparisons with institutional care, and (3) the economic implications of workforce expansion. Systematic literature review of the international evidence used a structured search of electronic databases (Web of Science, MEDLINE, CINHAL) using key terms ("home support," "workforce development," and "economic or cost") to identify a range of recent (published 2015-2025) and relevant case studies to inform policy development.
   

Results:
     
     Findings indicate that Ireland's market-driven approach, heavily reliant on approved private providers, exacerbates issues like low wages, job insecurity, and high staff turnover, which negatively impact service quality. Implications for healthcare workforce policy include improving wages and working conditions, establishing career pathways and professional development, and increased government investment. Recommendations for policy include making strategic investments in workforce stability and better integration of home support with informal care systems to enhance service delivery.
   

Conclusion:
     
     Policymakers can inform themselves about the economic considerations for developing a robust home support system in the context of aging populations. Further research is needed into the assumptions and validity of financial decisions to ensure services are sustainable.
   

研究类型
系统评价
人群
混合人群
主题
["卫生服务","卫生政策"]
国家
Ireland
关键词
aging population; home care; home support; workforce development; workforce economics
来源期刊
Front Public Health
发布日期
2025-06-02
全文链接
https://pmc.ncbi.nlm.nih.gov/articles/PMC12171208/
相关网址
https://pubmed.ncbi.nlm.nih.gov/40529697/
DOI
10.3389/fpubh.2025.1602617
作者
Elizabeth Morrow Mary Lynch