Unionization and working for a public employer are associated with significantly lower turnover among direct care workers (DCW), a group that provides daily care for older adults and those who are disabled and unable to care for themselves, UCLA-led research suggests. The findings on the role of DCW unionization, published in the peer-reviewed JAMA Network Open, apply to both for-profit and nonprofit organizations, suggesting that unionization can play a significant role in keeping DCWs in the workforce—and save the health care system $1.5 billion a year in turnover costs. It can also lead to improvements in care quality due to increased job satisfaction and lower stress.
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