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薪资调整能解决国民医疗服务体系中的劳动力危机吗?

Can wage changes solve the labour crisis in the National Health Service?

作者信息

Zhou Xingzuo, Skordis Jolene, Yi Junjian, Li Yiang, Clarke Jonathan, Zhang Hongkun

机构信息

Centre for Global Health Economics, University College London, 3rd floor, 30 Guilford Street, London, WC1N 1EH, UK.

China Center of Economic Research, National School of Development, Peking University, Beijing, 100871, China.

出版信息

Eur J Health Econ. 2024 Dec 9. doi: 10.1007/s10198-024-01737-4.

Abstract

This study aimed to examine the healthcare labour demand and supply elasticity regarding wage in the National Health Service (NHS) in England amid a labour crisis. A simultaneous error-correction regression analysis was conducted using secondary data from the NHS and Office for National Statistics from 2009 Q3 to 2022 Q1. Findings indicate both labour demand and supply of HCHS doctors in the NHS are highly inelastic with respect to real wages, with only a 0.1% decrease in NHS staff hiring and a 0.8% rise in NHS staff's willingness to work as full-time equivalents per 10% wage increase. Approximately 22% of the wage disequilibrium adjusts quarterly, indicating moderate speed of wage adjustment. Our results suggest that wage setting is not a sufficient solution to the labour crisis. Innovative and sustainable solutions are needed to reduce the demand for skilled health labour and increase the supply of health labour.

摘要

本研究旨在考察在劳动力危机背景下,英国国家医疗服务体系(NHS)中医疗保健劳动力需求与工资供给弹性。利用英国国家医疗服务体系和国家统计局2009年第三季度至2022年第一季度的二手数据进行了同步误差修正回归分析。研究结果表明,英国国家医疗服务体系中医疗保健支持服务(HCHS)医生的劳动力需求和供给对实际工资均高度缺乏弹性,每10%的工资增长只会导致英国国家医疗服务体系员工招聘减少0.1%,而员工全职等效工作意愿仅上升0.8%。约22%的工资失衡每季度进行调整,表明工资调整速度适中。我们的研究结果表明,设定工资并非解决劳动力危机的充分办法。需要创新和可持续的解决方案来减少对熟练医疗劳动力的需求,并增加医疗劳动力的供给。

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