We aimed to clarify the effect of relative wages on turnover varies by tenure among care staff working at long-term care facilities in Japan. First, we assessed whether a greater sensitivity to wages in other occupations is likely among workers with shorter job tenure than among those with longer tenure. We used matched employer-employee data from 1,633 long-term care facilities in December 2007. Care staff turnover was defined as the number of employees leaving each institute and was classified according to tenure (less than 1 year of tenure or 1 to 3 years of tenure), type of service (at home nursing care or institutional care), and type of employment (full-time or part-time). We found that, only among full-time workers in institutional care facilities, wages relative to other occupations had a significantly negative effect on the turnover of workers with less than 1 year of tenure; in contrast, no significant effects were observed on the turnover of workers with 1 to 3 years of tenure. This suggests that, for full-time workers in institutional care facilities, wage increases may be an effective way to retain workers with less than 1 year of tenure, but not for those with 1 to 3 years of tenure.
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