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劳动力政策视角:注册护士

Work force policy perspectives: registered nurses.

作者信息

Friss L O

出版信息

J Health Polit Policy Law. 1981 Winter;5(4):696-719. doi: 10.1215/03616878-5-4-696.

Abstract

If the decline in full-time labor force participation by registered nurses in hospitals is to be reversed, the issue of equal pay for comparable work must be addressed. Under pressure for cost containment, policies tend to focus on labor force economics rather than on limitations of services. While the two are interrelated, wage policies must be considered independently. This article describes the network which determines how nurse salaries are set: the relationship between the private sector, the general schedule and the Veteran's Administration. The effects of this system are documented, using testimony from a case in the tenth circuit, as well as comparisons with other reference groups: policemen, teachers, laborers, and VA career fields. The evidence suggests that there is a need for policy intervention. Prime areas for action are the comparability practices by governments, particularly in the areas of classification standards and pay setting. Hospital personnel practices which continue past effects of occupational segregation also should be changed.

摘要

如果要扭转医院注册护士全职劳动力参与率下降的局面,就必须解决同工同酬的问题。在成本控制的压力下,政策往往侧重于劳动力经济学而非服务的局限性。虽然两者相互关联,但工资政策必须独立考虑。本文描述了决定护士薪资设定方式的网络:私营部门、一般薪资表和退伍军人管理局之间的关系。利用第十巡回上诉法院一个案例的证词以及与其他参照群体(警察、教师、劳动者和退伍军人管理局职业领域)的比较,记录了该系统的影响。证据表明需要政策干预。主要行动领域是政府的可比性做法,特别是在分类标准和薪资设定方面。延续职业隔离过去影响的医院人事做法也应改变。

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