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What Makes Personal Care Workers Stay Long at Long Term Care Facilities? Findings from Administrative Big Data at National Health Insurance Service

  • Korea Social Policy Review
  • Abbr : KSPR
  • 2020, 27(2), pp.45-70
  • DOI : 10.17000/kspr.27.2.202006.45
  • Publisher : Korean Association of Social Policy
  • Research Area : Social Science > Sociology > Medical / Welfare / Social policy
  • Received : April 13, 2020
  • Accepted : June 18, 2020
  • Published : June 30, 2020

Hee Seung Lee 1 Jung Suk Lee 1 Yeongwoo Park 1

1국민건강보험공단 건강보험연구원

Accredited

ABSTRACT

Long term care(LTC) workers are one of the main pillars of the formal LTC delivery system. The study identifies factors affecting job tenure among personal care workers(PCW) in LTC facilities using 2016 administrative big data of the National Health Insurance Service(NHIS). We applied OLS regression using the sample of 35,944 full-time PCWs in LTC facilities, which participated in 2015 NHIS LTC Quality Evaluation. We hypothesized that the job tenure of PCWs was affected by socio-demographic characteristics, job conditions, organizational characteristics, and organizational policies. The average job tenure was 2.73 years, and its median was 2.1. Older women PCWs stayed longer. Higher monthly salary and longer hours of work extended the tenure of PCWs. PCWs stayed longer in LTC facilities with less than ten residents; a higher occupancy rate; longer operation history in a rural area. PCWs’ job tenure was related positively with LTC facilities’ organizational policy such as annual health screenings and job improvement efforts, but negatively with paying salaries based on labor contracts and training employees about internal organizational procedures. This study found that various financial and non-financial factors can motivate PCWs to stay long in LTC facilities. The long term care workforce retention policy should be designed considering those findings.

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