Finland's ageing care system faces quality and listening challenges in nursing homes

Researchers warn that Finland's rapidly ageing population is straining the country's long‑term care system. Ann‑Sofie Silvennoinen notes that cutting nursing‑home beds to shift care to homes may appear cost‑effective, but it can raise hospital admissions, falls and infections, ultimately costing more and reducing residents' quality of life. She advocates for person‑centred, well‑staffed facilities that support daily routines, social interaction and continuous monitoring.

Ann‑Louise Sirén’s study of senior homes, including the Barkbacken service house in Åbo, finds many residents feel unheard, report poor hygiene, irregular meals and limited outdoor activities. She highlights incidents of bullying, insufficient rehabilitation services and the need for ongoing dialogue between staff, residents and families. Both experts call for better training, leadership and investment in staff wellbeing to sustain high‑quality eldercare.

The findings suggest that reductions in nursing‑home capacity risk higher long‑term costs and poorer health outcomes, while improving listening practices and person‑environment fit can enhance resident wellbeing and reduce unnecessary medical interventions.