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Record W4407228607 · doi:10.1177/07334648251316973

Scheduling, Income, and School Closures: Unlocking the Key Drivers of Home Care Personal Support Unplanned Absences Through Time-to-Event Regression Analysis

2025· article· en· W4407228607 on OpenAlexaffabout
Katherine Zagrodney, Rachael Jaffe, Sandra McKay, Kashmeena Mangal, Travis A. Van Belle, Kathryn Nichol, Emily C. King

Bibliographic record

VenueJournal of Applied Gerontology · 2025
Typearticle
Languageen
FieldHealth Professions
TopicGeriatric Care and Nursing Homes
Canadian institutionsToronto Metropolitan UniversityUniversity of WaterlooPublic Health OntarioUniversity of TorontoUniversity of Ottawa
Fundersnot available
KeywordsHealth carePandemicBusinessGovernment (linguistics)Moral hazardDemographic economicsActuarial scienceMedicineIncentiveEconomicsCoronavirus disease 2019 (COVID-19)Economic growth

Abstract

fetched live from OpenAlex

Healthcare workers' unplanned workplace absences are a global challenge with consequences for care recipients, employers, and healthcare systems. With rising home care demand, understanding drivers of home care personal support worker (PSW) absences can inform management of labor supply through government and employer policies. In this paper, we examined predictors of PSWs' unplanned absences within a large, administrative, longitudinal dataset (2019-2021) from a home care organization in Ontario, stratified by time (pre-, early-, and mid-pandemic). After an initial spike, unplanned absence rates were generally lower during the pandemic. Cox-proportional hazard regression models for unplanned absences highlighted how increasing income and reducing travel distance between visits can be expected to decrease the hazard of unplanned absences. School closures significantly correlated with unplanned absences, highlighting disruptions within the broader care economy. As demand for home care accelerates, reducing unplanned absences will improve care consistency for those relying on PSWs to remain safe at home.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.112
Threshold uncertainty score0.601

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.020
GPT teacher head0.362
Teacher spread0.342 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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