Evidence map›Paper›PMID 41608971›Full record

ArticleJournal of occupational health2026

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

Noriko Nishikido, Hitomi Abe, Etsuko Yoshikawa, Satoko Shimamoto, Kota Fukai, Makoto Tajima, Minako Sasaki, Michiyo Ito

Abstract read
In one paragraph

Article in Journal of occupational health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Noriko NishikidoDepartment of Nursing, School of Medicine, Tokai University, Shimokasuya 143, Isehara, Kanagawa, Japan.ORCID 0000-0002-1660-957X
Hitomi AbeDepartment of Nursing, Faculty of Healthcare, Shonan University of Medical Sciences, Yokohama, Kanagawa, Japan.
Etsuko YoshikawaFaculty of Nursing, Japanese Red Cross College of Nursing, Shibuya, Tokyo, Japan.ORCID 0000-0002-7473-3093
Satoko ShimamotoDepartment of Nursing, School of Medicine, Tokai University, Shimokasuya 143, Isehara, Kanagawa, Japan.
Kota FukaiDepartment of Preventive Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan.ORCID 0000-0002-8319-8467
Makoto TajimaHuman Capital & General Affairs Division, Keihin Area Occupational Health Administration Center, Hitachi Ltd, Yokohama, Kanagawa, Japan.
Minako SasakiFaculty of Healthcare, Tokyo Healthcare University, Shinagawa, Tokyo, Japan.
Michiyo ItoChiba Faculty of Nursing, Tokyo Healthcare University, Funabashi, Chiba, Japan.

Funding

JSPS KAKENHI 21H03275JSPS KAKENHI 23 K21574
6 · The paper itself

Abstract

objectivesThis 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.

methodsManagers 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.

resultsA 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.

conclusionsThis 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.

Indexed as

Personnel TurnoverWorkplaceAdultFactor Analysis, StatisticalFemaleHumansJob SatisfactionLogistic ModelsMaleMiddle AgedOrganizational CultureSurveys and QuestionnairesWorking Conditionscompany sizecompany’s multifaceted initiativesinternet surveytreatment–work balance supportturnover rate

Identifiers

PMID41608971
PMCPMC13174269

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.