000 02394cam a22003257 4500
001 w0946
003 NBER
005 20211020115341.0
006 m o d
007 cr cnu||||||||
008 210910s1982 mau fo 000 0 eng d
100 1 _aSalkever, David S.
_920067
245 1 0 _aCost Implications of Hospital Unionization:
_bA Behavioral Analysis /
_cDavid S. Salkever.
260 _aCambridge, Mass.
_bNational Bureau of Economic Research
_c1982.
300 _a1 online resource:
_billustrations (black and white);
490 1 _aNBER working paper series
_vno. w0946
500 _aJuly 1982.
520 3 _aThe growth of unionization among hospital workers was sharply accelerated by the 1974 amendments to the NLRA covering voluntary hospital workers. With continuing inflationary pressures in the hospital sector, the cost implications of the recent and projected growth of hospital unions is of some concern to policy-makers . This paper presents estimates of union cost impacts based on data from hospitals in the states of Maryland, Massachusetts, New York, and Pennsylvania. Cross-sectional regressions with data for 1975 yield positive union impacts of 3.3 percent on total costs, 4.1 to 5.9 percent on cost per case, and 6.1 percent on cost per day. Re-estimation of the model with data on changes over the 1971 -75 period yields similar results. We also find that the cost impact of unionization varies with the pattern of coverage (being lower for service employees and RN's) and with the extent of cost-based reimbursement. This suggests that future cost impacts of union growth may be moderated as prospective payment systems for hospital s become more widespread.
530 _aHardcopy version available to institutional subscribers
538 _aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538 _aMode of access: World Wide Web.
588 0 _aPrint version record
690 7 _aH - Public Economics
_2Journal of Economic Literature class.
690 7 _aJ - Labor and Demographic Economics
_2Journal of Economic Literature class.
710 2 _aNational Bureau of Economic Research.
830 0 _aWorking Paper Series (National Bureau of Economic Research)
_vno. w0946.
856 4 0 _uhttps://www.nber.org/papers/w0946
856 _yAcceso en lĂ­nea al DOI
_uhttp://dx.doi.org/10.3386/w0946
942 _2ddc
_cW-PAPER
999 _c347638
_d306200