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  1. Managed care and the nurse workforce.

    Article - En anglais

    Objectives

    - To identify recent national trends in the employment and earnings of nursing personnel and determine whether managed care is associated with changes in the employment and wage growth of nursing personnel.

    Design

    - Retrospective analysis of trends in data on employment and eamings of nursing personnel based on monthly US Bureau of the Census Current Population Surveys between 1983 and 1994, and comparison of trends between states with high and low rates of enrollment in health maintenance organizations (HMOs).

    Population. - Registered nurses (RNs), licensed practical nurses (LPNs), and nurse aides/assistants, orderlies, and attendants (referred to collectively as aides) between the ages of 21 and 64 years.

    Outcome Measures

    - Full-and part-time employment, unemployment, percentage of nursing personnel employed in key sectors of the nurse labor market, and inflation-adjusted hourly wages.

    Results

    - From 1983 through 1994, there was strong overall growth in both RN employment (37%) and inflation-adjusted wages (22%). Beginning in the early 1990s, however, RNs experienced stagnant wages and a small but steady shift toward employment in lower-paying nonhospital settings, particularly in home health care.

    In states with high HMO enrollment, RN and LPN employment has grown more slowly since 1990, and the shift of RN employment out of the hospital was strongest. (...)

    Mots-clés Pascal : Soin intégré, Infirmier, Nursing, Organisation santé, Emploi, Salaire, Homme, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Managed care, Nurse, Nursing, Public health organization, Employment, Wage, Human, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0044159

    Code Inist : 002B30A05. Création : 21/05/1997.