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医院支出是护士劳动力参与的主要驱动因素:来自加拿大十年期的证据。

Hospital expenditure as a major driver of nurse labour force participation: evidence from a 10-year period in Canada.

作者信息

Vujicic Marko, Onate Kanecy, Laporte Audrey, Deber Raisa

机构信息

Senior Economist, Human Development Network, The World Bank, Washington, DC.

出版信息

Healthc Policy. 2011 May;6(4):62-71.

Abstract

This paper examines trends in the nursing labour market in Canada over a period of dramatic fluctuations in hospital expenditures. We add to previous analysis that covered the period 1991-1996 and use Census data from 2001 to examine the relationship between hospital expenditure and nurse labour force participation. We find that shifts in labour force participation over the period 1991-2001 had a significant impact on the nursing supply in Canada. Individuals who were trained in nursing but were working outside the profession in 1996 because of budgetary reductions and layoffs in hospitals had largely been reabsorbed back into nursing jobs by 2001. Our analysis provides further empirical evidence that the labour force participation among individuals trained in nursing is driven to a large extent by demand-side factors.

摘要

本文考察了在医院支出剧烈波动时期加拿大护理劳动力市场的趋势。我们在先前涵盖1991 - 1996年期间的分析基础上进行补充,并利用2001年的人口普查数据来研究医院支出与护士劳动力参与率之间的关系。我们发现,1991 - 2001年期间劳动力参与率的变化对加拿大的护理供给产生了重大影响。1996年因医院预算削减和裁员而在护理专业之外工作的受过护理培训的人员,到2001年时大多已重新回到护理岗位。我们的分析提供了进一步的实证证据,表明受过护理培训的人员的劳动力参与率在很大程度上受需求方因素驱动。

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本文引用的文献

1
Career trajectories of nurses leaving the hospital sector in Ontario, Canada (1993-2004).
J Adv Nurs. 2009 May;65(5):1044-53. doi: 10.1111/j.1365-2648.2009.04965.x.
2
The global nursing shortage: an overview of issues and actions.
Policy Polit Nurs Pract. 2006 Aug;7(3 Suppl):34S-39S. doi: 10.1177/1527154406293968.
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The dynamics of the health labour market.
Int J Health Plann Manage. 2006 Apr-Jun;21(2):101-15. doi: 10.1002/hpm.834.
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'Stickiness' and 'inflow' as proxy measures of the relative attractiveness of various sub-sectors of nursing employment.
Soc Sci Med. 2006 Nov;63(9):2310-9. doi: 10.1016/j.socscimed.2006.05.014. Epub 2006 Jun 15.
5
The impact of deficit reduction on the nursing labour market in Canada: unintended consequences of fiscal reform.
Appl Health Econ Health Policy. 2005;4(2):99-110. doi: 10.2165/00148365-200504020-00004.

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