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来源类型 | Discussion paper |
规范类型 | 论文 |
来源ID | DP6701 |
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 |
URL | https://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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