Necessary Changes in Healthcare of German-Speaking Countries

Krebs, Stéphanie; Lietz, Anna Larina; Hasseler, Martina

doi:10.4018/978-1-7998-6948-1.ch001

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…Germany, for example, introduced a nationwide action plan, the Concerted Action on Nursing [ 17 ]. The shortage in nursing personnel has become a severe problem during the COVID-19 pandemic [ 8 , 24 , 50 ]. One strategy to increase the supply of nurses is to raise their retention rates.…”

Section: Introductionmentioning

confidence: 99%

Analyzing nurses’ decisions to leave their profession—a duration analysis

Kroczek

2023

Eur J Health Econ

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Many countries suffer from skilled labor shortages in nursing. One way to increase the nurse labor supply is to raise their retention rates. Yet, though several studies exist on factors associated with the nurse labor supply at different levels, literature on factors associated with nurses’ decisions to leave their occupation is relatively scarce. Based on German administrative data, I analyze the determinants of nurses’ decisions to leave their profession. My results suggest that younger nurses, nurses in the social sector, and nurses working with smaller employers leave their occupation more often than their counterparts, irrespective of their specific nursing occupations and care settings. Nurses leave more often where more alternative occupational options are available. Nurses who have been unemployed and nurses who have been employed in a different field have a higher probability of leaving the occupation, whereas nurses who just finished vocational training only have a moderate propensity to leave. Female nurses leave less often if employed part time. Female nurses in part time leave even more seldom if they have children. A change in the hospital reimbursement system and introducing a nursing minimum wage during the first decade of the century did not change nurses’ occupation durations.

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Section: Introductionmentioning

confidence: 99%

Analyzing nurses’ decisions to leave their profession—a duration analysis

Kroczek

2023

Eur J Health Econ

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“…Although limits in capacities where never reached in Germany, the lack of nurses has been more tangible than ever in the recent Covid‐19 pandemic (Begerow et al., 2020). As a consequence quality in care decreased (Kaltwasser et al., 2021; Krebs et al., 2021). To counteract this development, it is important to analyze and to understand the occupational behavior of nurses.…”

Section: Introductionmentioning

confidence: 99%

The role of wage beliefs in the decision to become a nurse

Kugler

2021

Health Economics

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In light of skilled‐labor shortage, the effect of a change in the wage of nurses on their labor supply is intensely discussed in recent literature. Using extensive data of German 14‐ to 15‐year‐olds, I analyze the role of the beliefs about a nurse's wage in the decision to become one. To estimate a partial effect, I select controls and their functional form using post‐double‐selection, which is a data‐driven selection method based on regression shrinkage. Highlighting the importance of wages at the extensive margin of labor supply, the wage beliefs play a positive and statistically significant role. Although information is publicly available, educational choices knowingly suffer from misinformation. I find that especially those who do not become a nurse understate the wage. The results lead to two important policy implications. First, increasing the wage may help to overcome the shortage observed in many countries. Second, providing more information on the (relative) wage may be a successful strategy to attract more individuals into this profession. To assess the sensitivity of the results regarding omitted variable bias, I apply a novel approach. It turns out that potential unobserved confounders would have to be strong to overrule the conclusions.

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Necessary Changes in Healthcare of German-Speaking Countries

Cited by 2 publications

References 43 publications

Analyzing nurses’ decisions to leave their profession—a duration analysis

Analyzing nurses’ decisions to leave their profession—a duration analysis

The role of wage beliefs in the decision to become a nurse

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