Advanced Search
MyIDEAS: Login

Organizational Change and the Health and Well-Being of Home Care Workers

Contents:

Author Info

  • Margaret Denton
  • Isik Urla Zeytinoglu
  • Sharon Davies
Registered author(s):

    Abstract

    Objective: The objective of this research is to study the impact of health care restructuring and other organizational changes on the mental and physical health of home care workers. Methods: This study covers 11 agencies and 7 union locals. We interviewed 59 key decision-makers, 171 workers in 29 focus groups, and surveyed 1,311 workers (70% response rate). Qualitative data are analyzed for themes and quantitative data analysis consists of descriptive statistics and associations between variables. Results: The restructuring of the health care sector and organizational change have increased stress levels and musculoskeletal disorders of home care workers. Physical health problems among this workforce are much higher than the comparable group in the Canadian population. Restructuring and organizational change are significant factors in decreasing job satisfaction, while increasing absenteeism rates, fear of job loss, and propensity to leave. Conclusions: Occupational health problems experienced by these workers are preventable. It is important to acknowledge that occupational stress can result from incremental changes in the work and external work environment, affecting physical health, job dissatisfaction, absenteeism, and propensity to leave. Sufficient government funding to provide services, avoiding continuous changes in the work environment, and creating supportive work environments can positively contribute to workers' health.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://socserv.mcmaster.ca/sedap/p/sedap110.pdf
    Download Restriction: no

    Bibliographic Info

    Paper provided by McMaster University in its series Social and Economic Dimensions of an Aging Population Research Papers with number 110.

    as in new window
    Length: 139 pages
    Date of creation: Sep 2003
    Date of revision:
    Handle: RePEc:mcm:sedapp:110

    Contact details of provider:
    Postal: 1280 Main Street West, Hamilton, Ontario, L8S 4M4
    Phone: (905) 525-9140 ext. 22765
    Fax: (905) 521-8232
    Email:
    Web page: http://www.mcmaster.ca/economics/
    More information through EDIRC

    Related research

    Keywords: health care restructuring; home care workers; occupational stress;

    Find related papers by JEL classification:

    This paper has been announced in the following NEP Reports:

    References

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Bachmann, Max O. & Myers, Jonathan E., 1995. "Influences on sick building syndrome symptoms in three buildings," Social Science & Medicine, Elsevier, vol. 40(2), pages 245-251, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as in new window

    Cited by:
    1. Isik U. Zeytinoglu & Margaret Denton & Sharon Davies & M. Bianca Seaton & Jennifer Millen, 2009. "Visiting and Office Home Care Workers’ Occupational Health: An Analysis of Workplace Flexibility and Worker Insecurity Measures Associated with Emotional and Physical Health," Quantitative Studies in Economics and Population Research Reports 429, McMaster University.
    2. Zeytinoglu, Isik U. & Denton, Margaret & Davies, Sharon & Plenderleith, Jennifer Millen, 2009. "Casualized employment and turnover intention: Home care workers in Ontario, Canada," Health Policy, Elsevier, vol. 91(3), pages 258-268, August.
    3. Margaret Denton & Isik Urla Zeytinoglu & Sharon Davies & Danielle Hunter, 2005. "Where Have All The Home Care Workers Gone?," Quantitative Studies in Economics and Population Research Reports 393, McMaster University.
    4. Isik U. Zeytinoglu & Margaret Denton & Sharon Davies & M. Bianca Seaton & Jennifer Millen, 2008. "Visiting and Office Home Care Workers’ Occupational Health: An Analysis of Workplace Flexibility and Worker Insecurity Measures Associated with Emotional and Physical Health," Social and Economic Dimensions of an Aging Population Research Papers 234, McMaster University.
    5. Margaret Denton & Isik Urla Zeytinoglu & Sharon Davies & Danielle Hunter, 2005. "Where Have All The Home Care Workers Gone?," Social and Economic Dimensions of an Aging Population Research Papers 128, McMaster University.

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:mcm:sedapp:110. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.