By Natasha S. Bryant

Foreign-born nurses and personal care assistants make up an increasingly significant percentage of workers in the field of long-term services and supports (LTSS) around the world, according to new research from the Global Ageing Network and the LeadingAge LTSS Center @UMass Boston.

These immigrant/migrant workers, who come primarily from developing countries, bring myriad benefits to the LTSS organizations that employ them and the care recipients they serve, according to findings from a 2018 study by the LTSS Center.

Three new reports explore those benefits, in addition to identifying challenges associated with hiring foreign-born LTSS workers, exploring strategies to address those challenges, and providing an overview of global migration patterns and policies.


Over the course of a year, LTSS Center researchers conducted an environmental scan and held interviews with LTSS providers in Australia, Canada, the United Kingdom, and the United States to explore issues associated with expanding the foreign-born LTSS labor pool around the globe. Their findings are presented in 3 reports:


Increased life expectancies and the projected growth of the older population are key drivers for recent increases in the number of foreign-born LTSS workers worldwide, according to researchers.

“The sheer number of workers needed to care for an aging population with increased chronic care needs makes it imperative that new sources of workers are found,” they write. “Most researchers predict that an expanded immigrant/migrant LTSS labor pool presents one solution to meeting future workforce needs.”