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对护士实施工资管制的可能性:对护士、患者和医院的一种威胁。

The potential imposition of wage controls on nurses: a threat to nurses, patients, and hospitals.

作者信息

Buerhaus Peter I

机构信息

Center for Interdisciplinary Health Workforce Studies, Institute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

Nurs Econ. 2008 Jul-Aug;26(4):276-9.

Abstract

When there are shortages of RNs, hospitals and health care organizations in competitive nurse labor markets respond by increasing wages: some hospitals will respond faster and some will offer higher wages than others. The wage increase brings about two important short and long-run outcomes that, together, will increase the supply of RNs in the labor market. Because wage controls prevent the flexibility of wages to adjust, they can cause a shortage to develop when the demand for RNs is increasing (as in the 1970s), and wage controls will lengthen the duration of a shortage once it has begun. The impacts of prolonged RN shortages are multifaceted and destructive to nurses, patients, and hospitals. Looking ahead over the next 15 years when the demand for RNs is expected to grow by roughly 3% per year and the supply of RNs by much less than that, a new nursing shortage is projected to develop and reach a deficit of 285,000 RNs by 2020. The worst thing that could happen to the nursing profession would be to impose wage controls on nurses as this would prevent the needed short and long-run labor supply responses from developing and thereby eliminate the shortage.

摘要

在注册护士短缺时,处于竞争激烈的护士劳动力市场中的医院及医疗保健机构会通过提高工资来应对:一些医院的反应会更快,一些医院提供的工资会比其他医院更高。工资上涨会带来两个重要的短期和长期结果,这两者共同作用将增加劳动力市场中注册护士的供给。由于工资管制阻碍了工资灵活调整,当注册护士需求增加时(如20世纪70年代),工资管制可能导致短缺出现,而且一旦短缺开始,工资管制会延长短缺的持续时间。长期注册护士短缺的影响是多方面的,对护士、患者和医院都具有破坏性。展望未来15年,预计注册护士需求每年将增长约3%,而注册护士供给的增长幅度远低于此,预计将出现新的护理短缺,到2020年注册护士短缺将达28.5万人。对护理行业来说,最糟糕的事情莫过于对护士实施工资管制,因为这会阻碍所需的短期和长期劳动力供给反应的形成,从而无法消除短缺。

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