Workforce Development in Geriatric Home Care

Jennifer Hayashi, Linda DeCherrie, Edward Ratner, Peter A. Boling

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


With the rapidly aging population, it is anticipated that within two decades several million more individuals in the United States with functional impairment and serious ill health will need home health care. This article discusses workforce development, which is a critical issue for future planning, as recently highlighted by the Institute of Medicine (IOM). Key aspects of recruitment, training, and retention of home care workers are discussed, including those who provide basic support for activities of daily living as well as a variety of skilled professionals: therapists, nurses, pharmacists, and physicians. Although the geriatric workforce shortage affects all care settings, it is especially critical in home health care, in part because we are starting with far too few clinicians to meet the medical needs of homebound elderly. A combination of actions is needed, including educational programs, such as those developed by the American Academy of Home Care Physicians (AAHCP), changes in financial incentives, and changes in the culture and practice of health care, to make the home the primary focus of care for these vulnerable, underserved individuals rather than an afterthought.

Original languageEnglish (US)
Pages (from-to)109-120
Number of pages12
JournalClinics in Geriatric Medicine
Issue number1
StatePublished - Feb 2009

Bibliographical note

Copyright 2009 Elsevier B.V., All rights reserved.


  • Geriatric workforce
  • Home care
  • Home care workforce
  • Home health care
  • House calls


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