Current status of support activities for balancing medical treatment and work by company size and their relationship with turnover rates

OBJECTIVES: This study aimed to clarify the current status of support activities for balancing medical treatment and work by company size and to examine their relationships with turnover rates. METHODS: Managers and human resources personnel registered with an internet research firm were surveyed. A total of 1500 subjects were incorporated in this anonymous online survey, with 300 subjects in each of the 5 tiers of company size. The questionnaire included company size, turnover rate, and 24 items of support activities for balancing treatment and work rated on a 4-point scale. A confirmatory factor analysis (CFA) was conducted on these 24 items. Adjusted means were calculated for each factor score by company size using analysis of covariance, with post hoc tests to identify specific differences among company sizes. Multiple logistic regression analyses were conducted to examine relationships between initiatives and turnover rates. RESULTS: A CFA supported a 7-factor model of support activities. Significant differences among company sizes were found for 5 factors. For example, fostering a workplace climate that facilitates balancing treatment and work showed higher scores among companies with fewer than 50 employees. Associations between various initiatives for treatment-work balance and turnover rates varied by company size. CONCLUSIONS: This study revealed that multifaceted initiatives for balancing treatment and work, assessed using a 7-factor, 24-item index, differed by company size and were associated with turnover rates. These findings provide important implications for promoting support for balancing treatment and work across companies of all sizes.