{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T00:34:05Z","timestamp":1792974845969,"version":"4.5.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council","doi-asserted-by":"publisher","award":["430-2025-01551"],"award-info":[{"award-number":["430-2025-01551"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Healthc Manage Forum"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>As demand for homecare services continues to rise, homecare worker retention remains a critical issue for the sector which impacts access to care and operational efficiency. To design evidence-based retention policies within a fiscally constrained context, it is important to understand the sector-specific costs of turnover. Using data from a large homecare provider organization in Ontario, Canada, we have developed the first known homecare Personal Support Workers (PSWs) cost of turnover estimate. We estimate a turnover cost of $22,000 (CAD 2024) per homecare PSW, based on an employer-level homecare-specific model. The primary driver of turnover costs was opportunity costs from reduced capacity; other more direct costs such as recruitment and training were smaller contributors. Decision-makers at both the organizational and broader health system level can use this estimate in considering the cost-benefit ratio and return on investment of interventions designed to promote the retention of homecare PSWs, such as enhanced training, benefits, and preceptorship programs.<\/jats:p>","DOI":"10.1177\/08404704261460877","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T10:11:32Z","timestamp":1782900692000},"page":"519-524","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Cost of Homecare Personal Support Worker Turnover"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6364-5111","authenticated-orcid":false,"given":"K. A. P.","family":"Zagrodney","sequence":"first","affiliation":[{"name":"VHA Home HealthCare"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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