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Cross-sectional analysis explores how unionization and ownership affect turnover rates in direct care workers, suggesting policy implications.
In this cross-sectional study of DCWs, employer ownership status and unionization were independently and jointly associated with DCW workforce turnover rates, suggesting that these structural factors may play an important role in DCW retention. State and federal policies that facilitate DCW unionization or public employment of DCWs may significantly improve DCW retention.
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Gusoff et al. (2026) studied this question.
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