The effect of unions on the distribution of wages of hospital-employed registered nurses in the United States.

The effect of unions on the distribution of wages of hospital-employed registered nurses in the United States.
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工会对美国医院雇用的注册护士工资分配的影响。

DOI:
10.1111/j.1365-2702.2010.03456.x
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发表时间:
2011
影响因子:
4.2
通讯作者:
Herrera,Carolina
Herrera,Carolina
中科院分区:
医学2区
文献类型:
--
作者:
Spetz,Joanne;Ash,Michael;Konstantinidis,Charalampos;Herrera,Carolina

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目的和目标:我们估计工会化对美国医院雇用的注册护士工资结构的影响。我们研究工会是否有影响与种族,性别,移民身份,教育和经验,以及是否有工会nurs.Background之间不明原因的工资差异。在过去的十年中,有复苏工会活动在美国的医疗保健行业,特别是在医院。许多研究发现,工会与更高的工资有关。工会也可能影响支付给工人的工资结构,通过压缩工资结构和减少无法解释的工资变化。设计。来自美国当前人口调查的汇总二级数据的横截面分析,2003-2006.Method.Multivariate回归分析预测工资的因素,模型来自劳动经济学。结果。没有与性别相关的工资差异,工会护士之间的种族或移民身份,但在非工会部门对黑人和移民护士的工资处罚。在大多数情况下,工会和非工会部门的工资结构没有显著差异。与非工会护士文凭教育相关的工资惩罚在工会护士中消失了。加入工会的护士获得的经验回报较低,尽管差异在统计学上并不显著。没有证据表明工会化护士的工资差异更低。结论。虽然理论上工会可能会合理化工资设定并减少工资差异,但我们没有发现支持这一假设的证据。与临床实践的相关性。医院工会的主要影响是提高工资。工会化似乎对医院雇用的护士没有其他重要的工资影响。
Aims and objectives.We estimate the impact of unionisation on the wage structure of hospital‐employed registered nurses in the USA. We examine whether unions have an effect on wage differences associated with race, gender, immigration status, education and experience, as well as whether there is less unexplained wage variation among unionised nurses.Background.In the past decade, there has been resurgence in union activity in the health care industry in the USA, particularly in hospitals. Numerous studies have found that unions are associated with higher wages. Unions may also affect the structure of wages paid to workers, by compressing the wage structure and reducing unexplained variation in wages.Design.Cross‐sectional analysis of pooled secondary data from the United States Current Population Survey, 2003–2006.Method.Multivariate regression analysis of factors that predict wages, with models derived from labour economics.Results.There are no wage differences associated with gender, race or immigration status among unionised nurses, but there are wage penalties for black and immigrant nurses in the non‐union sector. For the most part, the pay structures of the union and non‐union sectors do not significantly differ. The wage penalty associated with diploma education for non‐union nurses disappears among unionised nurses. Unionised nurses receive a lower return to experience, although the difference is not statistically significant. There is no evidence that unexplained variation in wages is lower among unionised nurses.Conclusions.While in theory unions may rationalise wage‐setting and reduce wage dispersion, we found no evidence to support this hypothesis.Relevance to clinical practice.The primary effect of hospital unions is to raise wages. Unionisation does not appear to have other important wage effects among hospital‐employed nurses.