Can Pay Regulation Kill?
Can Pay Regulation Kill?

Author: Emma Hall

Publisher:

Published: 2008

Total Pages: 74

ISBN-13: 9780853282181

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Labor 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 labor markets. We would predict that this will mean labor supply problems and potential falls in the quality of service provision in areas with stronger labor 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 labor 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.

Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets and Skills on Hospital Quality and Productivity
Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets and Skills on Hospital Quality and Productivity

Author: Emma P. Hall

Publisher:

Published: 2013

Total Pages: 0

ISBN-13:

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Centralized public sector wage setting for public sector workers is widespread. We would expect such regulation to have effects on labor supply and on the productivity of public services in areas with strong local labor markets. In this paper we test this, using the British National Health Service as our test bed. We predict that areas with higher outside wages should suffer from problems of recruiting, retaining and motivating 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 labor 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. We quantify the magnitudes of these "hidden costs" of labour market regulation, which appear to be substantial.

Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets on Hospital Performance
Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets on Hospital Performance

Author: Emma P. Hall

Publisher:

Published: 2010

Total Pages: 72

ISBN-13:

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Labor 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 labor markets. We would predict that this will mean labor supply problems and potential falls in the quality of service provision in areas with stronger labor 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 labor 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 quot;agency staffquot; 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.

Can Pay Regulation Kill?
Can Pay Regulation Kill?

Author: Emma Hall

Publisher:

Published: 2008

Total Pages: 0

ISBN-13:

DOWNLOAD EBOOK

Labor 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 labor markets. We would predict that this will mean labor supply problems and potential falls in the quality of service provision in areas with stronger labor 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 labor 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.

Does Regulation Kill Jobs?
Does Regulation Kill Jobs?

Author: Cary Coglianese

Publisher: University of Pennsylvania Press

Published: 2014-01-06

Total Pages: 299

ISBN-13: 0812209249

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As millions of Americans struggle to find work in the wake of the Great Recession, politicians from both parties look to regulation in search of an economic cure. Some claim that burdensome regulations undermine private sector competitiveness and job growth, while others argue that tough new regulations actually create jobs at the same time that they provide other benefits. Does Regulation Kill Jobs? reveals the complex reality of regulation that supports neither partisan view. Leading legal scholars, economists, political scientists, and policy analysts show that individual regulations can at times induce employment shifts across firms, sectors, and regions—but regulation overall is neither a prime job killer nor a key job creator. The challenge for policymakers is to look carefully at individual regulatory proposals to discern any job shifting they may cause and then to make regulatory decisions sensitive to anticipated employment effects. Drawing on their analyses, contributors recommend methods for obtaining better estimates of job impacts when evaluating regulatory costs and benefits. They also assess possible ways of reforming regulatory institutions and processes to take better account of employment effects in policy decision-making. Does Regulation Kills Jobs? tackles what has become a heated partisan issue with exactly the kind of careful analysis policymakers need in order to make better policy decisions, providing insights that will benefit both politicians and citizens who seek economic growth as well as the protection of public health and safety, financial security, environmental sustainability, and other civic goals. Contributors: Matthew D. Adler, Joseph E. Aldy, Christopher Carrigan, Cary Coglianese, E. Donald Elliott, Rolf Färe, Ann Ferris, Adam M. Finkel, Wayne B. Gray, Shawna Grosskopf, Michael A. Livermore, Brian F. Mannix, Jonathan S. Masur, Al McGartland, Richard Morgenstern, Carl A. Pasurka, Jr., William A. Pizer, Eric A. Posner, Lisa A. Robinson, Jason A. Schwartz, Ronald J. Shadbegian, Stuart Shapiro.

Burning Our Money
Burning Our Money

Author: Mike Denham

Publisher: Biteback Publishing

Published: 2013-02-21

Total Pages: 252

ISBN-13: 1849545596

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Britain is in the midst of a fierce battle over government spending. With debts mounting rapidly, the ?700 billion annual bill is no longer sustainable. But cuts face a wall of opposition, with dire warnings that they will ravage our society: hospital waiting lists will grow, schools will close and the poor will tumble into a new Dickensian abyss. Yet much of what the government currently spends is wasted, and public sector performance is often woeful. In Burning Our Money, Mike Denham casts a critical eye over the services we receive for our hard-earned cash, and finds them radically - often shockingly - wanting. For all the media insistence that the NHS is 'the envy of the world', it stacks up poorly against European healthcare systems. For all our apparently soaring exam grades, our children significantly underperform their future competitors in China, Korea and elsewhere. And for all our hand-wringing about abolishing poverty, our huge welfare system actually damages many of the poor it's supposed to help. Drawing on extensive research and up-to-the-minute reporting, Burning Our Money comprehensively debunks the myth that more public spending means better public services, and shows how we can - and must - get more for less.

Market-facing Pay
Market-facing Pay

Author: NHS Pay Review Body

Publisher: The Stationery Office

Published: 2012-12-05

Total Pages: 182

ISBN-13: 9780101850124

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This report considers how to make pay more market-facing in local areas for NHS Agenda for Change (AfC) staff and recommends market-facing pay to support recruitment and staff retention. The AfC system is perceived as fair and objective by all parties, supports stable industrial relations, and is viewed as compliant with equal pay principles. Analysis does not provide firm evidence for further investment in additional market -facing pay in the NHS at this time and further development of AfC is needed to meet the challenges and cost pressures in the NHS. AfC is considered the appropriate vehicle through which to develop market-facing pay as it already has positive features for it. The Review Body therefore specifically recommends a fundamental review of high cost area supplements, appropriate use of local recruitment and retention premia, and regular review of AfC, including its flexibilities, with any necessary negotiations brought to a conclusion at a reasonable pace

The Routledge Companion to Reward Management
The Routledge Companion to Reward Management

Author: Stephen J. Perkins

Publisher: Routledge

Published: 2018-11-14

Total Pages: 436

ISBN-13: 1351865862

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The Routledge Companion to Reward Management provides a prestige reference work and a state-of-the-art compilation, mapping out contemporary developments and debates on rewarding people in employment, and how they relate to business, corporate governance and management. Reward management stands at the interdisciplinary interface between economics, industrial relations and HRM, industrial psychology and organisational sociology, and increasingly corporate governance incorporating debates around equity and fairness in and around the employment relationship and wider capital-labour relations. In recent years, trade union decline and widening differentials between those employed at the top of organisations have generated critical commentary in the popular media which can negatively impact on social cohesion. Theoretically underpinned but practically oriented, this Companion will synthesise these trends and controversies around issues while tracing conceptual and empirical provenance, currency and future prospects. It will be an invaluable resource for student and researchers in reward management, corporate governance, management and HRM seeking convenient access to an area which is highly complex and controversial in application.

Handbook of Health Economics
Handbook of Health Economics

Author: Mark V. Pauly

Publisher: Elsevier

Published: 2012-01-05

Total Pages: 1149

ISBN-13: 0444535926

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"As a relatively new subdiscipline of economics, health economics has made many contributions to areas of the main discipline, such as insurance economics. This volume provides a survey of the burgeoning literature on the subject of health economics." {source : site de l'éditeur].