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GMJ News > GMJ Briefs > What Healthcare Providers Need to Know About Sandwich Generation Caregivers

What Healthcare Providers Need to Know About Sandwich Generation Caregivers

GMJ
Last updated: 13/08/2026 15:30
By
Prof. Giorgi Pkhakadze
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1 Min Read
Adult caregiver supporting both child and elderly parent, representing sandwich generation dual caregiving responsibilities
The sandwich generation—adults balancing childcare and elder care—faces mounting stress and fragmented support systems. Healthcare providers and policymakers are beginning to recognize caregiver burden as a critical health equity issue requiring integrated clinical screening and expanded community resources. — Photo by Jsme MILA on Pexels (Pexels License)
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1 min read|144 words

Clinical practice must recognize the sandwich generation as a high-risk population requiring proactive mental health screening and care coordination. Adults simultaneously managing childcare and elder care demonstrate elevated rates of depression, anxiety, and burnout—yet many healthcare encounters fail to systematically assess caregiving burden or connect patients to available resources.

Three actionable insights emerge from current research: First, mental health screening should explicitly address dual caregiving responsibilities during routine visits. Second, the disparity between those experiencing financial strain (78%) and those accessing formal support (31%) demands expanded insurance coverage and employer programs. Third, integrated care models—where pediatric, geriatric, and mental health services communicate systematically—produce measurable improvements in caregiver outcomes.

Healthcare administrators and policymakers must treat caregiver support as essential clinical infrastructure rather than supplementary services, with dedicated funding and accountability metrics ensuring equitable access across all populations.

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ByProf. Giorgi Pkhakadze
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Prof. Giorgi Pkhakadze, MD, MPH, PhD, is Editor-in-Chief of the Georgian Medical Journal and Chair of the Public Health Institute of Georgia (PHIG). He is Professor and Head of the Department of Social and Behavioural Sciences at David Tvildiani Medical University, and Secretary/Treasurer of the UEMS Section of Public Health. ORCID: 0000-0001-7609-4515.

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