Geriatric medicine across countries: Specialised workforce, training and system integration challenges

Area of Science:

• Geriatric Medicine
• Global Health Workforce Analysis
• Healthcare System Development

Background:

• Geriatric medicine integration varies globally, impacting healthcare for aging populations.
• A strong geriatrician core is vital for person-centered and integrated care for older adults.
• Understanding the status of geriatric medicine informs global healthcare system adaptation to aging.

Purpose of the Study:

• To assess the global status of geriatric medicine specialty recognition and workforce.
• To identify challenges and priorities in geriatrician training and practice worldwide.
• To inform policy and planning for the United Nations Decade of Healthy Ageing.

Main Methods:

• A structured questionnaire was distributed by WHO to national geriatrics societies in March 2025.
• Data collected included specialty recognition, number of geriatricians, training curricula, and systemic challenges.
• Responses from 48 national societies were analyzed.

Main Results:

• Significant disparities in geriatric medicine recognition and workforce exist globally, with severe shortages in many regions.
• Practicing geriatricians per capita varied dramatically (<0.1 to >30 per 100,000 older adults).
• Key challenges include workforce shortages, fragmented care, and undervaluation; strategic priorities are training and policy development.

Conclusions:

• The survey reveals global disparities and challenges in geriatric medicine, necessitating strengthened education, policy, and workforce development.
• Innovative approaches and capacity building in other health professions are recommended to enhance geriatric care.
• Findings provide an evidence base for global workforce planning to support healthy aging.