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Trends in unionization of nursing homes
Aaron J Sojourner1, David C Grabowski, Min Chen
1Department of Human Resources and Industrial Relations, Carlson School of Management, University of Minnesota, USA.
Summary
Unionization in nursing homes has declined, but is more prevalent in larger, hospital-affiliated, or chain facilities serving more Medicaid patients. Policymakers should consider unionization
Area of Science:
- Healthcare Management
- Labor Relations
- Geriatric Care
Background:
- Unionization's impact on nursing home care delivery is understudied.
- Nursing home worker union contract coverage decreased from 14.6% in 1985 to 9.9%.
Purpose of the Study:
- To analyze national-scale data on nursing home unionization.
- To identify factors associated with union presence in nursing homes.
Main Methods:
- Utilized national-scale data on nursing home unionization.
- Examined facility-level characteristics and patient demographics.
Main Results:
- Unionization is more common in nursing homes with more residents.
- Hospital-based or chain-affiliated facilities show higher unionization rates.
- Facilities serving a higher proportion of Medicaid patients are more likely to be unionized.
Conclusions:
- New federal policies may increase nursing home organizing efforts.
- Understanding unionization's impact on workers, patients, and markets is crucial for policymakers.
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