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Casualized employment and turnover intention: Home care workers in Ontario, Canada


  • Zeytinoglu, Isik U.
  • Denton, Margaret
  • Davies, Sharon
  • Plenderleith, Jennifer Millen


The purpose of this paper is to examine the associations between casualized employment and turnover intention in home care. Casualized employment refers to employment conditions of non-permanent contracts, part-time or casual hours, involuntary hours, on-call work, split shifts, pay per visit, and hourly pay with variable hours. Casualized employment also refers to perceived employment insecurity and labour market insecurity. Data are from a survey of 991 visiting nurses, therapists and home support workers in a medium-sized city in Ontario, Canada. Results show that, controlling for many other factors, casual hours and perceived employment insecurity and labour market insecurity are positively and on-call work is negatively associated with home care workers' turnover intention. Non-permanent contract, part-time hours, involuntary hours, split shifts, and non-salaried pay are features of the market-modelled home care work environment and therefore may not be associated with turnover intention. Results provide evidence on the effects of casualized employment strategies on home care workers' turnover intention.

Suggested Citation

  • 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.
  • Handle: RePEc:eee:hepoli:v:91:y:2009:i:3:p:258-268

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    References listed on IDEAS

    1. Breedveld, Elly J. & Meijboom, Bert R. & de Roo, Aad A., 2006. "Labour supply in the home care industry: A case study in a Dutch region," Health Policy, Elsevier, vol. 76(2), pages 144-155, April.
    2. Jane Aronson & Margaret Denton & Isik Zeytinoglu, 2004. "Market-Modelled Home Care in Ontario: Deteriorating Working Conditions and Dwindling Community Capacity," Canadian Public Policy, University of Toronto Press, vol. 30(1), pages 111-125, March.
    3. Margaret Denton & Isik Urla Zeytinoglu & Sharon Davies, 2003. "Organizational Change and the Health and Well-Being of Home Care Workers," Social and Economic Dimensions of an Aging Population Research Papers 110, McMaster University.
    4. Susan Eaton, 2005. "Eldercare In The United States: Inadequate, Inequitable, But Not A Lost Cause," Feminist Economics, Taylor & Francis Journals, vol. 11(2), pages 37-51.
    5. Bloom, Joan R. & Alexander, Jeffrey A. & Nichols, Beverly A., 1992. "The effect of the social organization of work on the voluntary turnover rate of hospital nurses in the United States," Social Science & Medicine, Elsevier, vol. 34(12), pages 1413-1424, June.
    6. Martineau, Tim & Willetts, Annie, 2006. "The health workforce: Managing the crisis ethical international recruitment of health professionals: will codes of practice protect developing country health systems?," Health Policy, Elsevier, vol. 75(3), pages 358-367, February.
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    Cited by:

    1. Zeytinoglu, Isik U. & Denton, Margaret & Brookman, Catherine & Plenderleith, Jennifer, 2014. "Task shifting policy in Ontario, Canada: Does it help personal support workers’ intention to stay?," Health Policy, Elsevier, vol. 117(2), pages 179-186.


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