Abstract

Abstract Background Austria is facing workforce shortages in long-term care making the country an important destination for migrant care workers, particularly from Eastern European countries. Many of them are working in low-status positions as carers in 24-hours care, although they are often qualified professionals. These 24-hour care positions are often in private households with no regulated workplace safety or standard minimum salaries. Despite this steady flow of migrant carers, shortage of nurses and carers in the country persists and is likely to increase. Methods A rapid review of available data and research was undertaken. Results The migration of nurses to Austria has played a significant role for many years, as the training of certified nurses within the country has only risen marginally. The annual inflow of foreign trained nurses reached a high in 2016 as did the number of 24-hour care workers, most of which are women. The recent cuts by the government towards family allowances for children not living in Austria will hit this population hard. Current anti-migration policies thus take the risk of reducing the numbers of migrant carers, although the government does not have a plan in place on how to fill the gaps and develop more effective health workforce planning and management. Conclusions Growing nationalism, a government pushing towards stricter migration laws and a restrictionist policy stance of unions relative to migrants, all create new threats to a health system heavily dependent on migrant carers.

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