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
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
复制标题
医院人员配置和当地薪酬：调查护士薪酬竞争力的当地差异对法国医院人员配置的影响
DOI：
10.1007/s10198-014-0628-y
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发表时间：
2015
影响因子：
4.4
通讯作者：
D. Skåtun
中科院分区：
文献类型：
--
作者：
J. Combes;Eric Delattre;Bob Elliott;D. Skåtun
空间工资理论表明，不同地区的雇主可能会提供不同的工资率，以反映当地的生活设施和生活成本。可能需要更高的工资来补偿不太舒适的环境或更高的生活费用。如果一个地区内竞争部门的工资不太灵活，因此竞争力较低，这可能导致无法雇用工作人员。本文认为，在法国的护理人员的市场，有一般的工资和公立医院竞争的工作人员与私人医院和非医院部门的监管。我们考虑两种类型的护理人员，注册护士和助理护士，首先建立公立医院护士薪酬竞争力的空间差异程度。然后，我们考虑这些空间变化是否与护理人员的就业变化。我们发现，尽管在公共和私营部门的薪酬监管，有很大的差异，护士的薪酬竞争力的地方。我们发现的证据表明，薪酬竞争力的空间差异与助理护士的相对数量有关，但与注册护士无关。虽然我们发现薪酬竞争力的影响很小，但它表明，非薪酬条件可能是调整劳动力市场的一个重要因素，因为在这样一个受监管的市场中可能会出现这种情况。
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.