Path toward economic resilience for family caregivers: Mitigating household deprivation and the health care talent shortage at the same time

Melissa A. Simon*, Brian Gunia, Emily J. Martin, Charles E. Foucar, Tapas Kundu, Daiva M. Ragas, Linda L. Emanuel

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Rising costs and a workforce talent shortage are two of the health care industry's most pressing challenges. In particular, serious illnesses often impose significant costs on individuals and their families, which can place families at an increased risk for multigenerational economic deprivation or even an illness-poverty trap. At the same time, family caregivers often acquire a wide variety of health care skills that neither these caregivers nor the health care industry typically use. As these skills are marketable and could be paired with many existing medical certifications, this article describes a possible "path toward economic resilience" (PER) through a program whereby family caregivers could find meaningful employment using their new skills. The proposed program would identify ideal program candidates, assess and supplement their competencies, and connect them to the health care industry. We provide a set of practical steps and recommended tools for implementation, discuss pilot data on the program's appeal and feasibility, and raise several considerations for program development and future research. Our analysis suggests that this PER program could appeal to family caregivers and the health care industry alike, possibly helping to address two of our health care system's most pressing challenges with one solution.

Original languageEnglish (US)
Pages (from-to)861-873
Number of pages13
JournalGerontologist
Volume53
Issue number5
DOIs
StatePublished - Oct 2013

Funding

All authors declare that no potential conflicts of interest exist. Institutional Review Board approval was obtained from Northwestern University. While carrying out part of this research, T. Kundu was associated with the Centre of Equality, Social Organization, and Performance (ESOP) at the Department of Economics at the University of Oslo. ESOP is supported by the Research Council of Norway. The authors are grateful to Sara Phillips for her invaluable support throughout the revision process. We would also like to thank the following students in Northwestern University Kellogg School of Management’s Health Economics and Management 910 course: Laura Boitano, Robert Burgmeier, Andrew Davis, Natalie Homer, Jay Krehbiel, Azmina Lakhani, Calvin Lee, Joseph McDevitt, Bryce Merritt, Caroline Minkus, Rachna Patel, Rupesh Patel, Alexander Sidlak, Travis Sims, Luis Soliz, and Kangni Zong. They contributed to thought-provoking discussions that laid the groundwork for the proposals in this manuscript. This work was supported by the National Institute on Aging (grant number 1R03AG040690-1) to M. A. Simon.; the Jahnigen Award to M. A. Simon generously sponsored by the American Geriatrics Society, the Hartford Foundation, the American Congress of Obstetricians and Gynecologists, and the Buehler Center on Aging, Health and Society; and funding from the Robert H. Lurie Comprehensive Cancer Center.

Keywords

  • Caregiving- informal
  • Economic resilience
  • Economics
  • Education and training
  • Lowincome populations
  • Workforce issues

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology

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