Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/252250 
Year of Publication: 
2022
Series/Report no.: 
IZA Discussion Papers No. 15126
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
We investigate the relationship among staff engagement, job complementarities and labour supply in the hospital sector, where excessive turnover of the clinical staff (doctors and nurses) can be detrimental for quality of care. We exploit a unique and rich panel dataset constructed by combining employee-level payroll and survey records from the universe of English NHS hospitals. System-GMM estimates remove the endogeneity bias due to reverse causality, revealing nurses' elasticities of retention with respect to engagement of 0.1 and 0.85, and doctors' elasticities of retention with respect to nurses' retention of 0.16 and 0.2, respectively within the hospital and the NHS. Estimates of unconditional quantile regressions confirm these findings, with nurses' engagement-elasticities as large as 1.4 for providers with low retention. Higher engagement is also beneficial to reduce staff absences. Our work is informative on the role played by staff engagement and labour supply complementarities in the workforce planning and management of large organizations.
Subjects: 
labour supply
workforce retention
staff engagement
job complementarities
healthcare organization
endogeneity
JEL: 
C33
C36
I11
J22
J28
J63
Document Type: 
Working Paper

Files in This Item:
File
Size
1.53 MB





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.