法国私人养老院护理人员的高流动率:当地环境和工资的影响

Q3 Social Sciences

Economie et Statistique Pub Date : 2017-07-07 DOI:10.24187/ECOSTAT.2017.493S.1912

C. Martin, Mélina Ramos-Gorand

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引用次数: 9

摘要

在法国，为受赡养老人服务的养老院(ehpad)工作的护理人员的高流动率对居民的护理成本和质量都产生了负面影响。我们使用probit模型对两个样本进行估计，一个是5,478名护士，另一个是13,444名在开放式合同下在私营ehpad工作的护理辅助人员。护士和护理辅助人员离职的概率受到与雇员居住地周围环境相关的因素的显著影响，这些因素在高度分解的地理层面上进行计算，包括离医院近、养老院之间的竞争、护理人员短缺以及自雇专业部门对护士的吸引力。工资水平，纠正内生性，有一个积极的影响护理辅助人员的保留在EHPADs工作，但它似乎没有对护士的情况下的影响。

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High turnover among nursing staff in private nursing homes for dependent elderly people in France: impact of the local environment and the wage

[eng] The high turnover among nursing staff working in nursing homes for dependent elderly people (EHPADs) in France has negative consequences in terms both of cost and of quality of care for the residents. We study the causes of this staff turnover using the estimate from a probit model estimated on two samples, one of 5,478 nurses and the other of 13,444 nursing auxiliaries working in private EHPADs under open-ended contracts. The probability of the nurses and nursing auxiliaries leaving is significantly influenced by factors t related to the environment around the employee’s place of residence, computed at a highly disaggregated geographical level, including closeness to a hospital, competition between residential care facilities for elderly people, shortage of nursing staff, and attractiveness of the self-employed professional sector for nurses. The wage level, corrected for endogeneity, has a positive effect on the retention of nursing auxiliaries working in EHPADs, but it does not seem to have an influence in the case of nurses.

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来源期刊

Economie et Statistique Social Sciences-Sociology and Political Science

CiteScore

0.70

自引率

0.00%

发文量