Is There Monopsony in the Labor Market? Evidence from a Natural Experiment

Staiger, Douglas O.; Spetz, Joanne; Phibbs, Ciaran S.

doi:10.1086/652734

Cited by 217 publications

(157 citation statements)

References 21 publications

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“…Although nurses are paid relatively well in the United States, wages are compressed (Greipp, 2003) and hospitals can set nurses’ wages below their value (Staiger, Spetz, & Phibbs, 2010). This has not gone unnoticed.…”

Section: Discussionmentioning

confidence: 99%

Wage, Work Environment, and Staffing: Effects on Nurse Outcomes

McHugh

Ma²

2014

Policy, Politics, & Nursing Practice

120

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Research has shown that hospitals with better nurse staffing and work environments have better nurse outcomes—less burnout, job dissatisfaction, and intention to leave the job. Many studies, however, have not accounted for wage effects, which may confound findings. By using a secondary analysis with cross-sectional administrative data and a four-state survey of nurses, we investigated how wage, work environment, and staffing were associated with nurse outcomes. Logistic regression models, with and without wage, were used to estimate the effects of work environment and staffing on burnout, job dissatisfaction, and intent to leave. We discovered that wage was associated with job dissatisfaction and intent to leave but had little influence on burnout, while work environment and average patient-to-nurse ratio still have considerable effects on nurse outcomes. Wage is important for good nurse outcomes, but it does not diminish the significant influence of work environment and staffing on nurse outcomes.

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Section: Discussionmentioning

confidence: 99%

Wage, Work Environment, and Staffing: Effects on Nurse Outcomes

McHugh

Ma²

2014

Policy, Politics, & Nursing Practice

120

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“…More broad firm‐level studies of monopsony focus instead on particular occupations like nurses (Staiger et al ., ) or teachers (Falch , 2011; Ransom and Sims, ), or on a well‐defined type of worker like low‐wage workers in restaurants (Dube et al ., ) or undocumented workers in Georgia, USA (Hotchkiss et al ., ). In these and related studies, identification is attempted through the exploitation of natural or quasi‐experiments arising from policy changes, via policy differences across contiguous local labour markets, or using very rich data in relatively homogeneous labour market environments.…”

Section: Research On Individual Drivers Of Inequalitymentioning

confidence: 99%

The Drivers of Income Inequality in Rich Countries

Nolan

Richiardi

Valenzuela

2019

Journal of Economic Surveys

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Rising income inequality has recently come centre‐stage as a core societal concern for rich countries. The diagnosis of the forces driving inequality upwards and their relative importance remain hotly contested, notably with respect to the roles of globalization versus technology and of market forces versus institutions and policy choices. This survey provides a critical review and synthesis of recent research. The focus is on income inequality across the entire distribution, rather than only on what has been happening at the very top. We pay particular attention to include what has been learned from the analysis of micro‐data, to ensure that the coverage is not unduly US‐centric and to analyses of the interrelations between the different drivers of inequality. The marked differences in inequality trends across countries and time periods reflect how global economic forces such as globalization and technological change have interacted with differing national contexts and institutions. Major analytical challenges stand in the way of a consensus emerging on the relative importance of different drivers in how income inequality has evolved in recent decades.

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“…For the US, Staiger, Spetz and Phibbs () exploit a 1991 policy reform that led to area‐specific shocks in the wages of nurses working in Veterans Affairs hospitals in the US. They find the nurse wage elasticity to be highly inelastic.…”

Section: Medical Labour Supplymentioning

confidence: 99%

Medical Labour Supply and the Production of Healthcare

2019

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Medical labour markets are important because of their size and the importance of medical labour in the production of healthcare and in subsequent patient outcomes. We present a summary of important trends in the UK medical labour market, and we review the latest research on factors that determine medical labour supply and the impact of labour on patient outcomes. The topics examined include: the responsiveness of labour supply to changes in wages, regulation and other incentives; factors that determine the wide variation in physician practice and style; and the effect of teams and management quality on patient outcomes. This literature reveals that while labour supply is relatively unresponsive to changes in wages, medical personnel do react strongly to other incentives, even in the short run. This is likely to have consequences for the quality of care provided to patients. We set out a series of unanswered questions in the UK setting, including: the importance of non‐financial incentives in recruiting and retaining medical staff; how individuals can be incentivised to work in particular specialties and regions; and how medical teams can be best organised to improve care.

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Is There Monopsony in the Labor Market? Evidence from a Natural Experiment

Cited by 217 publications

References 21 publications

Wage, Work Environment, and Staffing: Effects on Nurse Outcomes

Wage, Work Environment, and Staffing: Effects on Nurse Outcomes

The Drivers of Income Inequality in Rich Countries

Medical Labour Supply and the Production of Healthcare

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