Paris School of Economics and IZA, France.
J Health Econ. 2011 Sep;30(5):1103-12. doi: 10.1016/j.jhealeco.2011.07.007. Epub 2011 Aug 2.
This paper uses an unusual administrative dataset covering the universe of French hospitals to consider hospital employment: this is consistently higher in public hospitals than in not-for-profit (NFP) or private hospitals, even controlling for a number of measures of hospital output. NFP hospitals serve as a benchmark, being very similar to public hospitals, but without political influence on their hiring. Public-hospital employment is positively correlated with the local unemployment rate, whereas no such relationship is found in other hospitals. This is consistent with public hospitals providing employment in depressed areas. We appeal to the Political Science literature and calculate local political allegiance, using expert evaluations on various parties' political positions and local election results. The relationship between public-hospital employment and local unemployment is stronger the more left-wing the local municipality. This latter result holds especially when electoral races are tight, consistent with a concern for re-election.
本文使用了一个不寻常的行政数据集，涵盖了法国医院的整体情况，来研究医院的就业情况：即使控制了许多医院产出的衡量指标，公立医院的雇佣人数也明显高于非营利性医院（NFP）或私立医院。非营利性医院作为基准，与公立医院非常相似，但在招聘方面不受政治影响。公立医院的雇佣人数与当地失业率呈正相关，而其他医院则没有这种关系。这与公立医院在经济低迷地区提供就业机会的情况一致。我们借鉴了政治学文献，并使用专家对各党派政治立场和地方选举结果的评估来计算当地的政治忠诚度。公立医院雇佣人数与当地失业率之间的关系在当地政府越左倾时就越强。当选举竞争激烈时，这种结果尤其明显，这与对连任的关注有关。
