G2TT
来源类型Discussion paper
规范类型论文
来源IDDP6701
DP6701 Consumer Confidence and Elections
Gikas Hardouvelis; Dimitrios D Thomakos
发表日期2008-02-15
出版年2008
语种英语
摘要Labour market regulation can have harmful unintended consequences. In many markets, especially for public sector workers, pay is regulated to be the same for individuals across heterogeneous geographical labour markets. We would predict that this will mean labour supply problems and potential falls in the quality of service provision in areas with stronger labour markets. In this paper we exploit panel data from the population of English acute hospitals where pay for medical staff is almost flat across the country. We predict that areas with higher outside wages should suffer from problems of recruiting, retaining and motivating high quality workers and this should harm hospital performance. We construct hospital-level panel data on both quality - as measured by death rates (within hospital deaths within thirty days of emergency admission for acute myocardial infarction, AMI) - and productivity. We present evidence that stronger local labour markets significantly worsen hospital outcomes in terms of quality and productivity. A 10% increase in the outside wage is associated with a 4% to 8% increase in AMI death rates. We find that an important part of this effect operates through hospitals in high outside wage areas having to rely more on temporary ?agency staff? as they are unable to increase (regulated) wages in order to attract permanent employees. By contrast, we find no systematic role for an effect of outside wages of performance when we run placebo experiments in 42 other service sectors (including nursing homes) where pay is unregulated.
主题Public Economics
关键词Labour market regulation Hospital productivity Hospital quality Skills
URLhttps://cepr.org/publications/dp6701
来源智库Centre for Economic Policy Research (United Kingdom)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/535538
推荐引用方式
GB/T 7714
Gikas Hardouvelis,Dimitrios D Thomakos. DP6701 Consumer Confidence and Elections. 2008.
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