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

Health Policy. 2009 Aug;91(3):258-68. doi: 10.1016/j.healthpol.2008.12.004. Epub 2009 Jan 28.


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.

MeSH terms

  • Adult
  • Aged
  • Employment*
  • Female
  • Home Health Aides / psychology*
  • Humans
  • Job Satisfaction
  • Male
  • Middle Aged
  • Ontario
  • Personnel Loyalty*
  • Surveys and Questionnaires
  • Young Adult