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date: 22 October 2019

Abstract and Keywords

In the United States, the work that home health aides perform provides a valuable service to society. Changing views of care are necessitating care models in which people who are elderly or have disabilities receive care in their homes or communities. There is a growing gap between the sharply increasing need for those requiring care and the pool of women from whom caregivers are drawn, which is increasing much more gradually. The poor quality of home care jobs exacerbates this problem. This chapter examines worker attitudes across three home care facilities under different governance structures—a worker co-operative, a for-profit business with no participation or ownership by workers (‘conventional’), and a nonprofit. The study uses data from multiple sources and describes worker attitudes across the agencies. The research shows that aides at the worker co-operative were significantly less likely to leave and were more satisfied and committed to their jobs.

Keywords: worker attitudes, home care, worker co-operative, nonprofit, for-profit

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