Becker E R
J Health Polit Policy Law. 1983 Winter;7(4):889-910. doi: 10.1215/03616878-7-4-889.
This study uses national data from the American Hospital Association and the National Labor Relations Board in a multivariate framework to assess the impact of various structural factors on union activity in hospitals. The theoretical framework includes both management and union perspectives in evaluating (1) whether the hospital had a signed collective-bargaining contract in 1980; (2) whether a union election had been held; and (3) whether the union won the election. The results indicate that certain structural characteristics (hospital size, ownership, teaching status, and location) have had a significant impact on union activity in hospitals, while other characteristics (third-party reimbursement and area factors) have not. The results also show that prospective reimbursement has a positive impact on union activity.
本研究在多变量框架中使用了来自美国医院协会和国家劳动关系委员会的全国性数据，以评估各种结构因素对医院工会活动的影响。理论框架在评估时兼顾了管理层和工会的观点，具体包括：（1）医院在1980年是否签订了集体谈判合同；（2）是否举行了工会选举；（3）工会是否赢得了选举。结果表明，某些结构特征（医院规模、所有权、教学地位和地理位置）对医院工会活动有显著影响，而其他特征（第三方报销和地区因素）则没有。结果还表明，预期报销对工会活动有积极影响。
