PMID- 36900755
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230313
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 11
IP  - 5
DP  - 2023 Mar 3
TI  - Key Factors for Enhancing Home Care Workers' Intention to Stay by 
      Multiple-Criteria Decision Analysis.
LID - 10.3390/healthcare11050750 [doi]
LID - 750
AB  - The ageing population is increasing rapidly in Taiwan, where the ageing rate 
      exceeds even that of Japan, the United States and France. The increase in the 
      disabled population and the impact of the COVID-19 pandemic have resulted in an 
      increase in the demand for long-term professional care, and the shortage of home 
      care workers is one of the most important issues in the development of such care. 
      This study explores the key factors that promote the retention of home care 
      workers through multiple-criteria decision making (MCDM) to help managers of 
      long-term care institutions retain home care talent. A hybrid model of 
      multiple-criteria decision analysis (MCDA) combining Decision-Making Trial and 
      Evaluation Laboratory (DEMATEL) and the analytic network process (ANP) was 
      employed for relative analysis. Through literature discussion and interviews with 
      experts, all factors that promote the retention and desire of home care workers 
      were collected, and a hierarchical MCDM structure was constructed. Then, the 
      hybrid MCDM model of DEMATEL and the ANP was used to analyze the questionnaire 
      data of seven experts to evaluate the factor weights. According to the study 
      results, the key direct factors are improving job satisfaction, supervisor 
      leadership ability and respect, while salary and benefits are the indirect 
      factor. This study uses the MCDA research method and establishes a framework by 
      analyzing the facets and criteria of different factors to promote the retention 
      of home care workers. The results will enable institutions to formulate relevant 
      approaches to the key factors that promote the retention of domestic service 
      personnel and to strengthen the intention of Taiwan's home care workers to stay 
      in the long-term care industry.
FAU - Hsu, Wei
AU  - Hsu W
AUID- ORCID: 0000-0003-4744-0292
AD  - Department of Health Care Management, National Taipei University of Nursing and 
      Health Sciences, Taipei 112303, Taiwan.
FAU - Shih, Fang-Ping
AU  - Shih FP
AD  - Department of Human Resources-Personnel Section, Koo Foundation Sun Yat-Sen 
      Cancer Center, Taipei 11259, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20230303
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC10000577
OTO - NOTNLM
OT  - analytic network process (ANP)
OT  - decision-making trial and evaluation laboratory (DEMATEL)
OT  - home care workers
OT  - intention to stay
OT  - multiple-criteria decision analysis (MCDA)
COIS- The authors declare no conflict of interest.
EDAT- 2023/03/12 06:00
MHDA- 2023/03/12 06:01
PMCR- 2023/03/03
CRDT- 2023/03/11 01:08
PHST- 2023/01/16 00:00 [received]
PHST- 2023/02/25 00:00 [revised]
PHST- 2023/02/28 00:00 [accepted]
PHST- 2023/03/11 01:08 [entrez]
PHST- 2023/03/12 06:00 [pubmed]
PHST- 2023/03/12 06:01 [medline]
PHST- 2023/03/03 00:00 [pmc-release]
AID - healthcare11050750 [pii]
AID - healthcare-11-00750 [pii]
AID - 10.3390/healthcare11050750 [doi]
PST - epublish
SO  - Healthcare (Basel). 2023 Mar 3;11(5):750. doi: 10.3390/healthcare11050750.