Employment effects of hospital privatization in Germany

The main argument for the ongoing privatization process is that privatization will lead to an increase in efficiency, which has been confirmed by a large number of studies. An important argument against privatization is that privatization may lead to employment reductions. In the hospital sector, po...

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Vydané v:	The European journal of health economics Ročník 15; číslo 7; s. 747 - 757
Hlavní autori:	Heimeshoff, Mareike, Schreyögg, Jonas, Tiemann, Oliver
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Berlin/Heidelberg Springer 01.09.2014 Springer Berlin Heidelberg Springer Nature B.V
Predmet:	Economic Policy Effects Employment Employment - statistics & numerical data Germany - epidemiology Health Care Management Health Economics Hospital beds Hospital costs Hospitals Hospitals - manpower Hospitals, Private - manpower Humans Investigations Medical personnel Medicine Medicine & Public Health Models, Statistical Nonprofit hospitals Nurses Original Paper Ownership changes Personnel, Hospital - statistics & numerical data Pharmacoeconomics and Health Outcomes Physicians Privatization Privatization - statistics & numerical data Psychiatric hospitals Public Finance Public Health Regression analysis Staffing Support personnel Germany Difference-in-difference J63 Propensity score matching Employment effects J12 J11 Hospital privatization L33
ISSN:	1618-7598, 1618-7601, 1618-7601
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Popis
Shrnutí:	The main argument for the ongoing privatization process is that privatization will lead to an increase in efficiency, which has been confirmed by a large number of studies. An important argument against privatization is that privatization may lead to employment reductions. In the hospital sector, potential employment reductions might also lead to a decrease in the quality of care. This is the first study to investigate the employment effects of different types of hospital privatization (i.e., for-profit vs non-profit privatization) on different categories of staff. A combination of propensity score matching and difference-in-difference methods was used to identify the causal effect. We found large employment reductions after for-profit privatization, while there were no permanent reductions after non-profit privatization. Moreover, even for-profit privatization does not affect all types of staff. While there are large reductions in non-clinical staff, we could not detect any reduction in the number of physicians. The consequences of the detected employment effects of privatization have to be addressed in greater detail in future research.
Bibliografia:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23
ISSN:	1618-7598 1618-7601 1618-7601
DOI:	10.1007/s10198-013-0520-1