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Multiple jobholding and part-time work among nurses in long-term care homes compared to other healthcare sectors: Evidence from Ontario

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  • Drost, Alyssa
  • Alam, M Injamam
  • Boamah, Sheila
  • Kralj, Boris
  • Costa, Andrew
  • Sweetman, Arthur

Abstract

About two-thirds of Canadian COVID-19 related deaths occurred in long-term care homes (LTCHs). Multiple jobholding and excessive part-time work among staff have been discussed as vectors of transmission. Using an administrative census of registered nurses (RNs) and registered practical nurses (RPNs) in the Canadian province of Ontario, this paper contrasts the prevalence of multiple jobholding, part-time/casual work, and other job and worker characteristics across health sectors in 2019 and 2020 to establish whether the LTCH sector deviates from the norms in Ontario healthcare. Prior to COVID-19, about 19% of RNs and 21% of RPNs in LTCHs held multiple jobs. For RPNs, this was almost identical to the RPN provincial average, while for RNs this was 2.5 percentage points above the RN provincial average. In 2020, multiple jobholding fell significantly in LTCHs after the province passed a single site order to reduce COVD-19 transmission. Although there are many similarities across sectors, nurses, especially RNs, in LTCHs differ on some dimensions. They are more likely to be internationally educated and, together with nurses in hospitals, those who work part- time/casual are more likely to prefer full-time hours (involuntary part-time/casual).

Suggested Citation

  • Drost, Alyssa & Alam, M Injamam & Boamah, Sheila & Kralj, Boris & Costa, Andrew & Sweetman, Arthur, 2023. "Multiple jobholding and part-time work among nurses in long-term care homes compared to other healthcare sectors: Evidence from Ontario," Health Policy, Elsevier, vol. 130(C).
    • Handle: RePEc:eee:hepoli:v:130:y:2023:i:c:s0168851023000301
    DOI: 10.1016/j.healthpol.2023.104713
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    1. Yaa Akosa Antwi & John R. Bowblis, 2018. "The Impact of Nurse Turnover on Quality of Care and Mortality in Nursing Homes: Evidence from the Great Recession," American Journal of Health Economics, University of Chicago Press, vol. 4(2), pages 131-163, Spring.
    2. M. Keith Chen & Judith A. Chevalier & Elisa F. Long, 2021. "Nursing home staff networks and COVID-19," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(1), pages 2015455118-, January.
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    1. Vleminckx, Senne & Sevenans, Anke & Bouchatta, Manal & Verbeeck, Ive & Franck, Erik & Haegdorens, Filip, 2025. "Multiple job holding and its influencing factors among Belgian nurses: A cross-sectional study," Health Policy, Elsevier, vol. 155(C).

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