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Population ageing, coupled with economic uncertainty and a shifting workforce structure, has directed the attention of public and organizational policy makers toward the potential contribution of older workers and skilled migrants in meeting labor supply shortages in ageing populations. This chapter presents labor supply and demand scenarios for 10 OECD countries and examines trends in the labor force participation of older workers against the backdrop of changes to the nature of work in an era of globalization, casualization, and, increasingly, automation. Brief analysis of each country’s situation and policy responses indicates that China, Japan, and Korea stand out as being at particular risk of being unable to maintain growth without undertaking drastic action, although their areas of focus need to differ. A limitation of the study is that GDP projections used in labor demand analysis were based on historical rates and represented past potential and a long-run average of historic economic output. Future research might also undertake comparative analysis of case studies addressing different potential solutions to workforce ageing. A key implication of the study is that there is a need to take a blended approach to public policy regarding older workers in a changing labor market. Where migration has historically been a source of labor supplementation, this may become a less viable avenue over the near future. Future shortfalls in labor imply that economies will increasingly need to diversify their sources of workers in order to maintain economic growth. For public policy makers the challenge will be to overcome public antipathy to migration and longer working lives.

This chapter discusses the concept of productive ageing in Japan and Poland. Productive ageing is defined as any activity by older people which produces goods or services, whether paid or not. Productive ageing is slightly more narrowly defined than active ageing in so far it is focused on economic activity whereas active ageing covers a broader array of social activities. The chapter discusses activities of governments and employers in these three economies in promoting economic activities. The relative success of the Japanese economy in sustaining relative high levels of older employment is the result of active government interventions both in terms of adjusting pension policies to support working pensioners and intervening in employer practices. In Poland, government has struggled to raise older workers’ participation rates by raising pension ages and promoting older employment. In both countries, governments are recognising the economic impact of ageing demographics on the respective societies, but have had different levels of active involvement in intervening in employer practices. Finally, this chapter initiates a broader discussion of the situation in the discussed area not only in Poland, but in other countries of Central and Eastern Europe.

Human life course is shaped by a set of consecutive roles, such as being a worker, a spouse and a parent in a standard biography. However, being instantly disengaged from any of these roles may cause devastating effects on people’s lives. This discontinuity not only influences the very dynamics of the meaning of working, but also causes aging labor force to be excluded from the market economy. Experienced workers are drained from the pool of labor force just because they are old. This study aims at focusing on the effects of compulsory retirement both upon individual and upon structure, through the lenses of Political Economy of Aging (PEA) and Human Resources Management (HRM). The PEA perspective proposes a tripartite relationship among state (politics), market (economy) and individual (society), while HRM perspective provides an insight of an effective use of workforce from different generations, including older generation.

This chapter introduces demographic variables in empirical regression to help find whether demographic changes have an impact on economic growth. There is evidence from estimated values in this chapter to suggest that there is no impact that demographic changes in Hong Kong is affecting the economic growth. The population growth has purely a transition impact where the fertility rate was low in early 2000 up to 2015 as the size of the dependency ratio increases. Besides testing demographic variables the government emphasises better education for all people of ages for prosperous growth but in fact has a negative response on educational investment on the growth of the economy. A well-educated country individual does not suggest a higher productivity in economy growth. An important implication is that there has been no single variable as yet that has seriously impacted the economy growth, but there will be changes in the coming years and has to be attended in result to avoid a diminishing economy.

Purpose: To explore emotional support, daily housework assistance, and economic support for older adults provided by the Vietnamese family within the context of the impacts of socio-economic, demographic, and other factors.

Methodology: (1) The researchers used data from censuses taken from 1989 to 2019; national surveys of Internal Migration, Labor and Employment and other topics; and recent large sample sociological surveys (2) adapted a modified Diamond Care Model (Ochiai, 2009) to analyze effects of the characteristics of older adults; and of the country’s laws, policies, and socio-economic changes, on the families’ caregiving activities supporting the older adults.

Findings: The family is still the most important institution providing care for older adults in Viet Nam. Most older people live with their children and see this as an age-old security solution despite differences related to lifestyles and interests. However, when the average number of working-age people per older person decreases, as older adults live longer, household sizes are smaller, and there is increased large migration, the demand for non-family caregiving for older adults will increase. Since social services to help meet this demand are limited, the traditional family support system for the elderly in Viet Nam will face many challenges as families try to assure the quality of care needed in the very near future.

Value: This chapter shows systematically a relationship between elderly care in the Vietnamese family and socio-economic, demographic, and associated factors based on comprehensive data sources. The results can help us think about how to create an appropriate future model for taking care of older adults in Viet Nam that combines the efforts of families and the support of comprehensive social policies by the community.

In the coming decades, the aging of European population will continue at a rapid pace. The National Transfer Accounts (NTA) methodology breaks down the income and consumption by age to analyze the impact of population aging on economic sustainability and economy in general. This chapter uses fully comparable results of NTA for 25 European Union countries in 2010 to indicate the potential increase in dependency in the future given the current institutional setting. Next to the conventionally defined demographic dependency ratio, we add (1) the NTA dependency ratio using the age patterns of production and consumption in the market and (2) the National Time Transfer Accounts dependency ratio using age patterns of production and consumption originating from unpaid work that is mostly provided within the households. The authors show that imbalances will originate from the impact of population aging on market part of the economy. Further, some imbalances will also be coming from unpaid work but of much lesser extent.

This chapter explores age-based variations in the healthcare experiences of transgender people. Specifically, we outline how transgender people narrate their experiences with coming out and transition in later life as well as possibilities for future research and clinical practice concerning older transgender populations. To this end, we begin with a review of the limited literature on older transgender populations including the ways such findings converge and diverge from studies of younger transgender populations. Then, we analyze data gathered from older transgender people throughout the United States concerning their experiences with health events, healthcare providers, and healthcare settings. For this empirical analysis, we draw on over 250 qualitative responses from transgender people over the age of 40. The findings of this chapter demonstrate the importance of adjusting existing healthcare protocols to provide adequate care for aging transgender populations. Specifically, our analyses highlight gaps in access and quality of healthcare delivery as well as issues related to medical education, trans-inclusive protocols, and sex-gender segregated medical traditions. The implications of our work here reveal important possibilities for expanding transgender healthcare access as well as existing barriers to such access. We specifically utilize the case of our respondents and the existing literature to illuminate gaps in needs assessment and healthcare delivery concerning older transgender populations. We will conclude the chapter with recommendations for bridging such gaps in research, education, and system operation.

The purpose of this paper is to provide an overview of post-Soviet and demographic challenges faced by the government in Moldova that have posed as challenges to reform of the healthcare system. Since independence from the Soviet Union in 1991, Moldova has undergone significant challenges and reforms throughout the society. Healthcare has been no exception. Changes in family structures due to migration, a decreased birthrate, and an aging population have placed strain on the healthcare system which is working to both modernize and provide specialized care. Legislation has helped to streamline and reform the healthcare system but systemic challenges are still faced by at-risk populations including the elderly, women, and rural populations.

Information presented in this paper is based on a review of independent research, United Nations and government reports.

Findings show that progress has been made through legislative reform, new government programming, and most recently volunteer/nonprofit involvement in healthcare reform. Currently, the government is working to establish holistic patient centered care and to bridge the healthcare divide between rural and urban populations. Healthcare reforms include basic universal health care services and family support programming. Additionally, there has been a renewed emphasis on how environmental factors, like housing and nutrition, interact with health quality.

Moldova faces an increasing challenge of caring for elderly populations at the family and societal level due to the increased number of elderly, shifts in family structures, and international migration for employment. A discussion of the developing role of nonprofit and nongovernment organizations is included.

Recruitment and retention strategy is driven by a complement of endogenous constraints and exogenous imperatives. Confronted with population aging and unprecedented and enduring fiscal austerity, staffing priorities among many armed forces of the world's advanced industrialized democracies seem to be driven increasingly by the bottom line instead of a view toward the future security environment. This study takes a demographic approach to the integration of military, political, and economic means in pursuit of states’ ultimate objectives in the international system. Similar to the youthful populations, rapid development, and urbanization that characterized the first half of the 19th century, demographic developments of the 21st century are raising the specter of systemic disorder, civil war, and political instability (Evans, 2009; Goldstone, 1993; Nichiporuk, 2000; Tam & Hoffman, 1994). Indeed, a recent intelligence forecast cautioned that “lagging economies, ethnic affiliations, intense religious convictions, and youth bulges will align to create a ‘perfect storm’ for internal conflict” in the near future (National Intelligence Council, 2004, p. 97). Factoring these developments into recruitment and retention strategy has significant implications for strategic posture.