The impact of implementing managed competition on home care workers' turnover decisions.
The impact of implementing managed competition on home care workers' turnover decisions.
复制标题
实施管理竞争对家庭护理人员流动决策的影响。
DOI：
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
D. Hunter
中科院分区：
文献类型：
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作者：
M. Denton;I. Zeytinoglu;Sharon Davies;D. Hunter
本文解决了以下问题：安大略省实施管理竞争是否增加了家庭护理机构的营业额？这个问题是通过一个案例研究分析投标对现有家庭护理劳动力的影响，从三个非营利性家庭护理机构在1997年至2001年期间在安大略省的一个中等城市。这些机构在1996年提供了85%的市场份额。调查结果显示，52%的护士和个人支持工作者（psw）在五年内离开了他们的机构。对离职数据的分析显示，管理竞争的实施与离职之间存在时间关联。通过分析向在此期间离开其机构的护士和个人支助工作人员发出的调查表，进一步支持了实施有管理的竞争增加人员流失率的论点。受访者表示，他们离职的原因包括对薪酬、工作时间、福利、工作量大及缺乏主管/经理的支持（这些因素均受家居护理业市场化影响）。在那些有工作的人中，只有四分之一的人继续接受家庭护理；剩下的大多数人在医院和长期护理机构等其他医疗保健领域工作。然而，约三分之一受雇的社会福利工作者不再在医疗保健领域工作。
This paper addresses the question: Did the implementation of managed competition in Ontario increase turnover in home care agencies? This question is addressed through a case study analysis of the impacts of tendering on the exiting home care labour force from three non-profit home care agencies during the period 1997 to 2001 in a mid-sized city in Ontario. These agencies provided 85% of the market share in 1996. Findings showed that 52% of the nurses and personal support workers (PSWs) left their agency over the five-year period. Analysis of the turnover data showed a temporal association between the implementation of managed competition and turnover. Additional support for the argument that the implementation of managed competition increased turnover is provided through analysis of a questionnaire sent to nurses and personal support workers who had left their agency during this period. Respondents indicated dissatisfaction with their pay, hours of work, benefits, heavy workload and lack of support from their supervisors/managers (all factors affected by the marketization of the home care sector) as reasons for leaving. Of those employed, only one-quarter remained in home care; most of those remaining were working in other healthcare fields such as hospitals and long-term care institutions. However, about one-third of employed PSWs were no longer working in the healthcare field.