Hospital staffing and local pay: an investigation into the impact of local variations in the competitiveness of nurses-pay on the staffing of hospitals in France

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• 作者：Jean-Baptiste Combes ; Eric Delattre…
• 关键词：Wage regulation ; Local pay ; Standardised spatial wage differentials ; Nursing shortage ; Nursing labour supply
• 刊名：The European Journal of Health Economics
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：16
• 期：7
• 页码：763-780
• 全文大小：491 KB
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• 作者单位：Jean-Baptiste Combes (1)
  Eric Delattre (2)
  Bob Elliott (3)
  Diane Sk?tun (3)
  
  1. Institute for Research and Information in Health Economics, 10, rue Vauvenargues, 75018, Paris, France
  2. Université de Cergy-Pontoise and THEMA (UMR CNRS 8184), 33 Boulevard Du Port, 95011, Cergy-Pontoise, France
  3. Health Economics Research Unit, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen, AB25 2ZD, Scotland
  
• 刊物类别：Business and Economics
• 刊物主题：Economics
  Economic Policy
  Public Health
  Public Finance and Economics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1618-7601

文摘

Spatial wage theory suggests that employers in different regions may offer different pay rates to reflect local amenities and cost of living. Higher wages may be required to compensate for a less pleasant environment or a higher cost of living. If wages in a competing sector within an area are less flexible and therefore less competitive this may lead to an inability to employ staff. This paper considers the market for nursing staff in France where there is general regulation of wages and public hospitals compete for staff with the private hospital and non-hospital sectors. We consider two types of nursing staff, registered and assistant nurses and first establish the degree of spatial variation in the competitiveness of pay of nurses in public hospitals. We then consider whether these spatial variations are associated with variation in the employment of nursing staff. We find that despite regulation of pay in the public and private sector, there are substantial local variations in the competitiveness of nurses-pay. We find evidence that the spatial variations in the competitiveness of pay are associated with relative numbers of assistant nurses but not registered nurses. While we find the influence of the competitiveness of pay is small, it suggests that nonpay conditions may be an important factor in adjusting the labour market as might be expected in such a regulated market.