ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2014
Employment effects of hospital privatization in Germany.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 24 citations in OpenAlex.
- Article
- What motivates physicians to propose private services in a mixed private-public healthcare system? A mixed methods study.BMC health services research · 2022Article
- Resource dependency and strategy in healthcare organizations during a time of scarce resources: evidence from the metropolitan area of cologne.Journal of health organization and management · 2021Article
- The impact of nurse staffing levels on nursing-sensitive patient outcomes: a multilevel regression approach.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Autonomy, accountability, and competition: The privatisation of the Saudi health care system.Journal of Taibah University Medical Sciences · 2021Article
- For-Profit Hospitals Have Thrived Because of Generous Public Reimbursement Schemes, Not Greater Efficiency: A Multi-Country Case Study.International journal of health services : planning, administration, evaluation · 2021Article
- Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review.The International journal of health planning and management · 2018Review
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.