Demographic data from the US, Canada, and the European Union indicate that the number of employed caregivers is substantive and growing.[i] [ii] . Although the demographic data are compelling, recent research showed that 3% of employees in Canada (n=3300) indicated working for an organization with eldercare referral services; and 12% worked for an organizational that had formal policies associated with caregiving.[iii]
The Study on Eldercare Issues in Canadian Organizations – Summary and Key Findings sought to address why companies are not paying attention to issues associated with the need to balance work and caregiving. To answer this question, sixty-seven human resource executives working for sixty of Canada’s largest firms were recruited. Representation was approximately equal for private sector, public sector and greater public sector/NFP sector organizations. Every province was represented.
The approach was a modified version of the Delphi methodology[iv] [v]: solicit ideas, rate ideas, undertake final review and provide feedback.

The first round of the Delphi study involved a short interview to identify factors that would encourage or discourage their organization or other similar organizations to introduce policies and programs to support employee caregivers who are balancing work commitments with eldercare demands. Respondents identified 26 forces for change and 33 barriers.
In the second round of the Delphi study key informants answered a questionnaire developed using the responses provided in round one to refine the list of forces and barriers.
In the third round of the Delphi study, the participants were asked to examine the reduced list of drivers and barriers to change and assign a level of importance to the decision-making process in their organization, or similar organizations, to introducing programs and policies relating to eldercare and caregiving.
After completing the traditional stages associated with a Delphi study, we undertook one final step to help companies determine how to best reduce the barriers identified in phase three of the analysis.
Data from this final phase suggested the following for dealing with the key barriers to the introduction of policies and programs to address issues associated with work and eldercare:
- Organizations need to act now while ensuring a balanced approach and metrics to assess outcomes
- Practical advice on building the business case, inclusive of data on costs and benefits, for change is urgently needed.
- Communication internally by organizations and externally by the government and policymakers emphasizing the legitimacy of eldercare as a priority is important
- Seeking best practices and workable solutions from others is an important way to move forward.
- The role of government is seen as key to overcoming organizational barriers to change.
- Regarding research needed to move this issue forward, most suggestions focused on assessing and/or finding practical solutions to the challenges faced by employee caregivers.
Read the full report for the comprehensive analysis of the themes and subthemes from the research.