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Results for “Collective Bargaining”

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PubMed1978

Determinants of multi-employer bargaining in metropolitan hospitals.

To join with the others or go it alone--that is the question faced by every hospital and health care facility where a unionization drive is either on the horizon or in progress. The factors that have entered into the decisions of hospital trustees and administrators on this touchy problem are the subject of this article. The authors discuss the experiences of the hospital industry in six areas across the country and analyze the factors involved in the evolution of different bargaining structures.

Collective Bargaining↗
PubMed1998

Pay in the British NHS: a local solution for a national service?

An important component of the reforms of the British National Health Service (NHS) has been devolution of a previously highly centralised pay bargaining system to the local provider level. As the wage bill is by far the single largest item of health care expenditure, the implications of this change may be far-reaching. This article surveys the available theory and evidence from an economic perspective. It reviews the development of pay determination mechanisms in the NHS and the extent to which local pay has been adopted since the reforms were introduced. It then considers the theory of local pay and general evidence on local pay variations in the UK, before turning to the available evidence on local labour markets in the health care sectors of the UK and USA. It concludes with a discussion of the policy and research implications of current developments on local pay bargaining in the NHS. In particular, it suggests that judgements over the success or failure of local pay bargaining will concern: first, whether the weakened monopsony position of the NHS at national level results in higher pay for the more powerful employee groups; second, whether fragmentation of bargaining weakens the negotiating and lobbying power of national trade unions and professional organisations; third, whether competition between providers leads to higher or lower costs; and fourth, whether any efficiency gains from local bargaining outweight the higher transaction costs involved.

Collective Bargaining↗
PubMed1998

Physician's unions: handle with care.

In an attempt to battle the growing number and expanding power of MCOs, physicians are attempting to form or become a part of unions. By banding together, doctors believe that they can fight the MCO's ever-tightening grip on their practices and gain bargaining power that has been lost.

Antitrust Laws↗
PubMed1987

The prospects for multifacility bargaining units in the health-care industry.

The 1974 amendments of the National Labor Relations Act expanded regulation of the health-care industry. Subsequently, as health-care providers have diversified their institutions, the scope of employees' bargaining units has become a confusing issue in labor relations. In the following article, the author reviews relevant post-1974 cases and examines apparently conflicting presumptions about the appropriateness of single- and multifacility bargaining units. The author predicts that, in view of the new "disparity-in-interests" standard for determining units, the future interplay of policies, presumptions, and the new standard will favor multifacility bargaining units--if labor and management appreciate their respective opportunities.

Collective Bargaining↗