Doctoral Dissertation Research: Healthcare Markets and Labor Structure

博士论文研究：医疗保健市场和劳动力结构

• 批准号: 1409679
• 负责人: Kim Voss
• 金额: $ 1.17万
• 依托单位: University of California-Berkeley
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-15 至 2016-06-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1409679&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Healthcare; Markets

This research analyzes the effect of the commercialization of healthcare delivery on the healthcare labor force, specifically the structures, strategies, and growth of healthcare employees' unions and professional associations. While labor union density has been in decline throughout the private sector in recent decades, healthcare workers unions have been growing substantially since the early 1990s. This growth has coincided with a period of strong market penetration into the healthcare industry, with rapid concentration and corporatization of healthcare delivery systems, and a decline in the traditional autonomy of professional physicians. This research looks into the history of the unionization of the healthcare workforce in California, a state where these trends were particularly strong, in order to explore the connections between the exposure of workers to market forces and the growth and decline of unions. The study combines quantitative analysis of census data and an original union membership dataset with a comparative historical investigation using document archives and oral histories. This will enable the creation of detailed descriptions of the changing state of healthcare organization and allow for an analysis of how healthcare delivery structures affect the labor force. Healthcare organization and policy is a subject of academic, policy, and public interest. The effects of shifts toward market governance on healthcare employees and their organizations are central components of the industry. Assessing hypotheses about healthcare's shift toward market governance may have stimulated and/or provided opportunities for labor union growth can inform sociological theories about industrial organization and may impact understandings of healthcare policy.

本研究分析了医疗保健服务商业化对医疗保健劳动力的影响，特别是医疗保健员工工会和专业协会的结构，战略和增长。虽然近几十年来整个私营部门的工会密度一直在下降，但自20世纪90年代初以来，医疗保健工作者工会一直在大幅增长。这一增长与医疗保健行业的强劲市场渗透期相吻合，医疗保健服务系统的快速集中和公司化，以及专业医生传统自主权的下降。这项研究着眼于在加州，这些趋势特别强烈的国家的医疗保健劳动力的工会化的历史，以探讨工人暴露于市场力量和工会的增长和下降之间的联系。这项研究结合了人口普查数据和原始工会成员数据集的定量分析，并利用文件档案和口述历史进行了比较历史调查。这将有助于详细描述医疗保健组织的变化状态，并分析医疗保健服务结构如何影响劳动力。医疗保健组织和政策是学术，政策和公共利益的主题。向市场治理转变对医疗保健员工及其组织的影响是该行业的核心组成部分。评估假设医疗保健向市场治理的转变可能刺激和/或提供机会，工会的增长可以告知社会学理论的产业组织，并可能影响医疗保健政策的理解。