Investigating the quitting decision of nurses: Panel data evidence from the British National Health Service

Investigating the quitting decision of nurses: Panel data evidence from the British National Health Service
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DOI:
10.1002/hec.1144
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发表时间:
2007-01-01
期刊:
影响因子:
2.1
通讯作者:
Price, Stephen Wheatley
Price, Stephen Wheatley
中科院分区:
医学3区
文献类型:
--
作者:
Frijters, Paul;Shields, Michael A.;Price, Stephen Wheatley

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在本文中,我们利用最近构建的纵向调查对英国国家医疗服务体系 (NHS) 护士的辞职行为进行了详细调查。我们采用单一风险持续时间模型和竞争风险持续时间模型,使我们能够确定离开公共部门的护士的特征,区分薪酬在这一决策中的重要性,并记录护士流动的目的地。与预期相反,我们发现 NHS 以外护士的小时工资比 NHS 低 20% 左右。工作时间也差不多。然而,虽然工资的影响在统计上显着,但护士工资增加对保留率的预测影响很小。因此,目前 NHS 中护士的保留问题不太可能通过大幅提高工资来解决。版权所有 (c) 2006 John Wiley & Sons Ltd。
In this paper, we provide a detailed investigation into the quitting behaviour of nurses in the British National Health Service (NHS), using a recently constructed longitudinal survey. We fit both single and competing risks duration models that enable us to establish the characteristics of those nurses who leave the public sector, distinguish the importance of pay in this decision and document the destinations that nurses move to. Contrary to expectations, we find that the hourly wage received by nurses outside of the NHS is around 20% lower than in the NHS. and that hours of work are about the same. However, while the effect of wages is found to be statistically significant, the predicted impact of an increase in nurses' pay on retention rates is small. The current nurse retention problem in the NHS is therefore unlikely to be eliminated through substantially increased pay. Copyright (c) 2006 John Wiley & Sons Ltd.