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Scheduling, Income, and School Closures: Unlocking the Key Drivers of Home Care Personal Support Unplanned Absences
Katherine A P Zagrodney1,2,3, Rachael Jaffe1, Sandra M McKay1,3,4
1VHA Home HealthCare, Toronto, ON, Canada.
Summary
Understanding unplanned absences of personal support workers (PSWs) is crucial for home care. Higher income and shorter travel distances reduce absences, while school closures increase them.
Area of Science:
- Healthcare Management
- Public Health
- Labor Economics
Background:
- Unplanned workplace absences among healthcare workers pose significant global challenges.
- Rising demand for home care necessitates understanding factors influencing personal support worker (PSW) absences.
- Absenteeism impacts care recipients, employers, and healthcare systems.
Purpose of the Study:
- To examine predictors of unplanned absences among home care PSWs.
- To analyze absence patterns across pre-pandemic, early-pandemic, and mid-pandemic periods.
- To inform policy and management strategies for improving labor supply in home care.
Main Methods:
- Utilized a large, administrative, longitudinal dataset from a home care organization in Ontario (2019-2021).
- Employed Cox-proportional hazard regression models to identify absence predictors.
- Stratified analysis by time periods (pre-, early-, and mid-pandemic).
Main Results:
- Unplanned absence rates initially spiked but were generally lower during the pandemic.
- Increased income and reduced travel distance between visits were associated with decreased absence hazard.
- School closures showed a significant correlation with increased unplanned absences.
Conclusions:
- Income and travel logistics are key modifiable factors for reducing PSW absences.
- Disruptions in the broader care economy, such as school closures, significantly affect PSW availability.
- Addressing PSW absenteeism is vital for ensuring consistent and reliable home care services as demand grows.
Keywords:
caregivinghealth serviceshealth workforcehealthcare labor supply, COVID-19home and community-based care and serviceshome carestaff shortagestime-to-event regression modelsMore Related Videos
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