Projecting Demand for Senior Day-Care Facilities in Slovakia

Population ageing represents one of the most significant long-term challenges for social and health care systems in Europe, with powerful implications for long-term care infrastructure. In Slovakia, demographic ageing is expected to intensify markedly over the coming decades, generating substantial pressure on the capacity and spatial distribution of residential care facilities for older persons. This paper aims to quantify the future demand for residential senior day-care facilities using the Slovak Labour Microsimulation Model (SLAMM). The analysis employs a dynamic microsimulation approach that models individual life-course transitions related to ageing, household structure, health status, and care dependency. Based on demographic projections of the Slovak population, the model simulates the evolution of the senior population and estimates the number of individuals requiring institutional or semi-institutional care services. The analysis is conducted at the district (LAU 1) level, allowing for the identification of significant regional disparities in both demographic ageing and projected care needs. The primary output of the model is a district-level forecast of demand for residential day-care facilities for seniors over the medium- and long-term horizon. Building on these demand estimates, the paper further quantifies the investment costs associated with expanding care infrastructure. Using unit cost estimates for the construction and capacity expansion of senior care facilities, the study derives projected capital expenditure requirements necessary to meet future demand under different demographic scenarios. The results provide a comprehensive picture of how population ageing will translate into spatially differentiated demand for senior care services in Slovakia. By linking microsimulation-based demand projections with infrastructure cost estimates, the paper offers an integrated analytical framework that supports evidence-based planning of long-term care capacity. The findings are particularly relevant for policymakers and regional authorities responsible for social service provision, as they highlight districts facing the most significant future capacity gaps and investment needs. Overall, the study demonstrates the usefulness of microsimulation modelling as a tool for strategic planning in the area of ageing and long-term care, enabling policymakers to anticipate demographic pressures and to design more efficient and equitable infrastructure investment strategies.