Do Strikes Kill? Evidence from New York State

Do Strikes Kill? Evidence from New York State
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DOI:
10.1257/pol.4.1.127
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发表时间:
2012-02-01
影响因子:
5.3
通讯作者:
Kleiner, Samuel A.
Kleiner, Samuel A.
中科院分区:
经济学1区
文献类型:
--
作者:
Gruber, Jonathan;Kleiner, Samuel A.

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医院现在代表着美国经济中最大的工会部门之一,人们尤其担心罢工对患者福利的影响。我们分析了纽约州医院护士罢工对患者结局的影响。控制了医院特定的异质性,结果显示,护士罢工使罢工期间入院的患者的住院死亡率增加了18.3%,30天再入院时间增加了5.7%,而患者的人口统计数据、疾病严重程度或治疗强度几乎没有变化。结果表明,在护士罢工期间,医院的运作是在较低的病人护理质量下进行的。(JEL H75、I11、I12、J52)
Hospitals now represent one of the largest union sectors of the US economy, and there is particular concern about the impact of strikes on patient welfare. We analyze the effects of nurses' strikes in hospitals on patient outcomes in New York State. Controlling for hospital specific heterogeneity, the results show that nurses' strikes increase in-hospital mortality by 18.3 percent and 30-day readmission by 5.7 percent for patients admitted during a strike, with little change in patient demographics, disease severity or treatment intensity. The results suggest that hospitals functioning during nurses' strikes do so at a lower quality of patient care. (JEL H75, I11, I12, J52)