Skip to main content
Log in

Wages, productivity, and costs in union and nonunion hospitals

  • Articles
  • Published:
Journal of Labor Research Aims and scope Submit manuscript

Abstract

This paper considers the effects of labor unions on the economic performance of hospitals. Two data sets are considered. The first includes 275 hospitals from 13 urban areas; the second includes 114 hospitals from Ohio. The analysis is designed to determine whether or not union-induced productivity improvements occur within the rather noncompetitive hospital market and questions whether or not there are cost differences between union and nonunion hospitals. On the question of productivity, both data sets indicate that positive effects occur in the hospital sector. The answer to the second question is less clear. The primary data set indicates that unionized hospitals actually have lower costs than their nonunion counterparts, while the Ohio sample indicates that unionized hospital costs are lower, but not significantly so.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Allen, Steven G. “Unionization and Productivity in Office Building and School Construction.”Industrial and Labor Relations Review 39 (January 1986): 187–201.

    Article  Google Scholar 

  • _____. “Can Union Labor Ever Cost Less?”The Quarterly Journal of Economics 102 (May 1987): 347–73.

    Article  Google Scholar 

  • American Hospital Association.Annual Survey. Chicago: The American Hospital Association, 1985.

    Google Scholar 

  • Bauerschmidt, Alan and Philip Jacobs. “Pricing Objectives in Nonprofit Hospitals.”Health Services Research 20 (June 1985): 153–63.

    Google Scholar 

  • Becker, E. R. and F. A. Sloan. “Hospital Ownership and Performance.”Economic Inquiry 23 (January 1985): 21–36.

    Article  Google Scholar 

  • Brown, Charles and James Medoff. “Trade Unions in the Production Process.”Journal of Political Economy 86 (June 1978): 355–78.

    Article  Google Scholar 

  • Bruggink, Thomas H., Keith C. Finan, Eugene B. Gendel, and Jeffrey S. Todd. “Direct and Indirect Effects of Unionization on the Wage Levels of Nurses: A Case Study of New Jersey Hospitals.”Journal of Labor Research 6 (Fall 1985): 405–16.

    Google Scholar 

  • Clark, Kim. “The Impact of Unionization on Productivity: A Case Study.”Industrial and Labor Relations Review 34 (June 1980): 466–82.

    Google Scholar 

  • _____. “Unionization and Firm Performance: The Impact on Profits, Growth and Productivity.”American Economic Review 74 (December 1984): 893–919.

    Google Scholar 

  • Connerton, Marguarita, Richard B. Freeman, and James L. Medoff. “Productivity and Industrial Relations: The Case of U.S. Bituminous Coal.” Mimeograph. Harvard University, Cambridge, MA, 1979.

    Google Scholar 

  • Frantz, J. R. “The Impact of Trade Unions on Production in the Wooden Household Furniture Industry.” Senior Honors Thesis, Harvard University, Cambridge, MA, 1976.

    Google Scholar 

  • Freeman, Richard B. “Individual Mobility and Union Voice in the Labor Market.”American Economic Review 66 (May 1976): 361–68.

    Google Scholar 

  • _____ and James L. Medoff.What Do Unions Do? New York: Basic Books, Inc., 1984.

    Google Scholar 

  • Graddy, Duane B. and Gary Hall. “Unionization and Productivity in Commercial Banking.”Journal of Labor Research 6 (Summer 1985): 249–62.

    Google Scholar 

  • Hirsch, Barry T. and John T. Addison.The Economic Analysis of Unions: New Approaches and Evidence. Winchester, MA: Allen and Unwin, Inc. 1986.

    Google Scholar 

  • Hirschman, A. O.Exit, Voice, and Loyalty. Cambridge, MA: Harvard University Press, 1970.

    Google Scholar 

  • Lee, Maw Lin. “A Conspicuous Production Theory of Hospital Behavior.”Southern Economic Journal 38 (April 1971): 48–58.

    Article  Google Scholar 

  • Leibenstein, Harvey. “Allocative Efficiency vs.X-Efficiency.”American Economic Review 56 (June 1966): 392–415.

    Google Scholar 

  • Miller, Richard, Brian Becker, and Edward Krinsky. “Union Effects on Hospital Administration: Preliminary Results from a Three-State Study.”Labor Law Journal (August 1977): 512–19.

  • van Montfort, G. “Production Functions for General Hospitals.”Social Science Medicine 15 (1981): 87–98.

    Google Scholar 

  • Ogur, J. “The Nonprofit Firm: A Test of the Theory of the Hospital Industry.”Journal of Economics and Business 16 (Winter 1974): 115–23.

    Google Scholar 

  • Sloan, Frank A. and Killard W. Adamache. “The Role of Unions in Hospital Cost Inflation.”Industrial and Labor Relations Review 37 (January 1984): 252–62.

    Article  Google Scholar 

  • Register, Charles A., Ansel M. Sharp, and Lonnie K. Stevens. “Profit Incentives and the Hospital Industry: New Evidence.”The Atlantic Economic Journal (forthcoming).

  • U.S. Bureau of the Census.County and City Data Book. Washington, D.C.: Government Printing Office, 1983.

    Google Scholar 

  • U.S. Bureau of Labor Statistics.Employment and Earnings. Washington, D.C.: Government Printing Office, 1984a.

    Google Scholar 

  • _____.Industry Wage Survey: Hospitals. Washington, D.C.: Government Printing Office, 1984b.

    Google Scholar 

  • Warren, Ronald A., Jr. “The Effect of Unionization on Labor Productivity: Some Time Series Evidence.”Journal of Labor Research 6 (Spring 1985); 199–207.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

The author wishes to thank Donald R. Williams and an anonymous referee for their valuable comments.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Register, C.A. Wages, productivity, and costs in union and nonunion hospitals. Journal of Labor Research 9, 325–345 (1988). https://doi.org/10.1007/BF02685468

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02685468

Keywords

Navigation