It requires a sufficient number of nurses and other specifically trained LTC workers to meet the needs of dependent people. Compared to other OECD countries, there are relatively fewer nurses and other caring personnel providing formal long-term care for people at home or in LTC institutions, but this may be due partly to the fact that a large share of LTC services are also provided in hospitals (these hospital staff are not counted here). This was up from 2.7 LTC workers per 100 people 65 and over in 2009, but nonetheless remains below the number in Japan and the OECD average (around 6).