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Marketization in the healthcare sector affects the quality and delivery of care, as well as healthcare workers’ working conditions. Based on a comparison of England and Germany, along with an in-depth case study looking at New York, USA, this volume examines how trade unions respond to marketization processes and the determinants of successful strategies. The author draws on a rich empirical study to develop a theoretical framework that accounts for sector-specific opportunity structures stemming from marketization processes and on the relevant unions’ local-level leeway that opens if they build up and mobilise the available resources and capacities. The book identifies determinants of successful trade union strategies, explains the puzzling observation of similar strategic choices across different systems, and draws conclusions for prospects of trade unionism in the marketized healthcare sector. This book emphasizes the transformative effect of marketization on healthcare and the opportunities this change creates for unions, while giving special attention to the local-level conditions of trade unionism in the analysis of conflicts evolving around marketization in the hospital sector. It is of interest to academics and practitioners working in healthcare management, human resource management, and employment relations.
Marketization trends and trade unions in the health sectors -- Marketization, opportunity structures and local-level determinants of trade union action -- Handling the beginnings of marketization: Partnership approaches to corporatization -- Negotiating outsourcing effects: Combining partnership and organizing strategies -- Resisting medical service privatization: Exploiting market specificities and high salience -- Reversing marketization effects: Mobilizing workers and the public for staffing levels -- Trade unionism in times of marketization.
`Everyone concerned over the construction of a truly social Europe will learn much from this thoughtful and probing study." - Professor Colin Crouch, Istituto Universitario Europeo In this comprehensive overview of trade unionism in Europe and beyond, Richard Hyman offers a fresh perspective on trade union identity, ideology and strategy. He shows how the varied forms and impact of different national movements reflect historical choices on whether to emphasize a role as market bargainers, mobilizers of class opposition or partners in social integration. The book demonstrates how these inherited traditions can serve as both resources and constraints in responding to the challenges which confront trade unions in
How do markets function? Who creates, shapes and organizes them? And what do they mean for the relationship between labor and capital? Marketization examines how the state and capital use markets to discipline the working class. Ian Greer and Charles Umney provide a comprehensive overview of the European political economy, from the European Commission to the workplace, to show how neoliberal principles translate into market mechanisms and reshape the lives of workers. Drawing on dozens of conversations with policymakers, administrators, businesses, workers, and trade unionists across many European countries, Greer and Umney unpack marketization. They go beyond liberal theories that see markets as natural forms of economic organization and broad-brush left critiques of neoliberalism, looking behind the scenes in the current European political economy to examine the practicalities of how markets are created and manipulated by employers, policymakers and bureaucrats in pursuit of greater profitability. Far from leading to greater freedom, these processes often override the rights of individuals, degrade the status and security of workers, and undermine democratic accountability.
This insightful Research Handbook delivers a comprehensive analysis of the significant contemporary trends and issues affecting human resource management (HRM) for health care, and their subsequent impact on individuals, organisations and national health services. This title contains one or more Open Access chapters.
Organizing Matters demonstrates the interplay between two distinct logics of labour’s collective action: on the one hand, workers coming together, usually at their place of work, entrusting the union to represent their interests and, on the other hand, social bargaining in which the trade union constructs labour’s interests from the top down. The book investigates the tensions and potential complementarities between the two logics through the combination of a strong theoretical framework and an extensive qualitative case study of trade union organizing and recruitment in four countries – Austria, Germany, Israel and the Netherlands. These countries still utilize social-wide bargaining but find it necessary to draw and develop strategies transposed from Anglo-American countries in response to continuously declining membership.
Richard B. Freeman and James L. Medoff’s now classic 1984 book What Do Unions Do? stimulated an enormous theoretical and empirical literature on the economic impact of trade unions. Trade unions continue to be a significant feature of many labor markets, particularly in developing countries, and issues of labor market regulations and labor institutions remain critically important to researchers and policy makers. The relations between unions and management can range between cooperation and conflict; unions have powerful offsetting wage and non-wage effects that economists and other social scientists have long debated. Do the benefits of unionism exceed the costs to the economy and society writ large, or do the costs exceed the benefits? The Economics of Trade Unions offers the first comprehensive review, analysis and evaluation of the empirical literature on the microeconomic effects of trade unions using the tools of meta-regression analysis to identify and quantify the economic impact of trade unions, as well as to correct research design faults, the effects of selection bias and model misspecification. This volume makes use of a unique dataset of hundreds of empirical studies and their reported estimates of the microeconomic impact of trade unions. Written by three authors who have been at the forefront of this research field (including the co-author of the original volume, What Do Unions Do?), this book offers an overview of a subject that is of huge importance to scholars of labor economics, industrial and employee relations, and human resource management, as well as those with an interest in meta-analysis.
This book takes a case study approach to explore leadership narratives of women in healthcare and science, paying attention to the intersection of gender, identity, and race in each story. Putting forward a new vision and pathway inclusive of the lived experiences and contributions of women worldwide, this text proposes a strength-based approach to meeting leadership challenges. Key themes discussed include leadership redefined by those not identifying as leaders, the influence of the intersectionality of race and gender on leadership, and the implications for how we teach about leadership in healthcare and science. Grounded in theory that is translated into practice and evidenced by the leadership case studies described, the book draws out useful tools and organizational learnings to support transformation of the landscape of clinical care, education, research and policies healthcare and science. This book is an invaluable reference for leaders at all levels across healthcare and science. It is also of interest to students and academics from gender studies, leadership studies, organization and governance, anthropology, sociology, higher education, public health, social work, nursing and medicine.
This publication contains eight essays which explore the changing role of trade unions in ex-communist countries during the 15 years of transition from a planned to a market economy. It is intended to provide a mechanism to stimulate debate and discussion amongst trade unions in the region as to how they can improve representation of members, examine structures and strengthen their influence in public policy. It seeks to provide a framework for the process of union strategic planning, and also to help guide ILO technical work in this area.
This publication sets out a practical framework for specific measures for trade union involvement at the local, national and international levels to protect against the use of child labour, based on the variety of approaches taken by workers' organisations around the world. The book summarises the nature and extent of the child labour problem; gives examples of trade union activities in the campaign against child labour; sets out a framework for action based on these case studies; and examines the international response to child labour.