IDEAS home Printed from https://ideas.repec.org/a/spr/eujhec/v23y2022i9d10.1007_s10198-022-01443-z.html
   My bibliography  Save this article

The attractiveness of jobs in the German care sector: results of a factorial survey

Author

Listed:
  • Martin Kroczek

    (Institute for Applied Economic Research (IAW))

  • Jochen Späth

    (Institute for Applied Economic Research (IAW))

Abstract

The skilled labour shortage in nursing is an issue not unique to Germany. Unattractive characteristics of nursing jobs are one reason for the low supply in nursing personnel. In our study, we analyse the influence of job characteristics on the attractiveness of nursing jobs. We address this issue via factorial survey analysis, an experimental method particularly suited to assessing personal opinions and less prone to social desirability bias than standard interview methods. Around 1300 (current and former) nurses in a distinct region in Germany were asked to rate a set of synthetic job postings, each of which contained information on 9 systematically varied job characteristics. We find that, first, attractiveness of care jobs is most strongly affected by rather “soft” characteristics such as atmosphere within the team and time for patients. “Hard” factors play a considerably smaller role. Second, one hard factor, contract duration, is estimated to be among the most important job factors, however. This is a remarkable finding given that nursing occupations suffer from severe skill shortages. Third, though wage has a statistically significant influence on attractiveness, enormous wage raises would be needed to yield higher attractiveness gains than the top-rated soft factors, or to compensate for less pleasant job characteristics with respect to those factors. Last, even after controlling for other job characteristics, hospital nursing is still rated as more attractive than geriatric nursing.

Suggested Citation

  • Martin Kroczek & Jochen Späth, 2022. "The attractiveness of jobs in the German care sector: results of a factorial survey," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(9), pages 1547-1562, December.
  • Handle: RePEc:spr:eujhec:v:23:y:2022:i:9:d:10.1007_s10198-022-01443-z
    DOI: 10.1007/s10198-022-01443-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10198-022-01443-z
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    File URL: https://libkey.io/10.1007/s10198-022-01443-z?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Martin Abraham & Katrin Auspurg & Sebastian Bähr & Corinna Frodermann & Stefanie Gundert & Thomas Hinz, 2013. "Unemployment and willingness to accept job offers: results of a factorial survey experiment [Arbeitslosigkeit und Stellenannahmebereitschaft: Erste Ergebnisse eines Faktoriellen Survey Moduls]," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 46(4), pages 283-305, December.
    2. Ruolz Ariste & Ali Béjaoui, 2019. "Impact of individual and institutional factors on wage rate for nurses in Canada: is there a monopsony market?," International Review of Applied Economics, Taylor & Francis Journals, vol. 33(5), pages 659-681, September.
    3. Di Tommaso, M.L. & Strøm, S. & Sæther, E.M., 2009. "Nurses wanted: Is the job too harsh or is the wage too low?," Journal of Health Economics, Elsevier, vol. 28(3), pages 748-757, May.
    4. Hirsch, Barry T. & Schumacher, Edward J., 2005. "Classic or new monopsony? Searching for evidence in nursing labor markets," Journal of Health Economics, Elsevier, vol. 24(5), pages 969-989, September.
    5. Hanel, Barbara & Kalb, Guyonne & Scott, Anthony, 2014. "Nurses’ labour supply elasticities: The importance of accounting for extensive margins," Journal of Health Economics, Elsevier, vol. 33(C), pages 94-112.
    6. Katharina Saunders & Christian Hagist & Alistair McGuire & Christian Schlereth, 2019. "Nursing without caring? A discrete choice experiment about job characteristics of German surgical technologist trainees," WHU Working Paper Series - Economics Group 19-02, WHU - Otto Beisheim School of Management.
    7. Mark Trappmann & Jonas Beste & Arne Bethmann & Gerrit Müller, 2013. "The PASS panel survey after six waves [Die PASS-Panelbefragung nach sechs Wellen]," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 46(4), pages 275-281, December.
    8. T. Kankaanranta & P. Rissanen, 2008. "Nurses’ intentions to leave nursing in Finland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(4), pages 333-342, November.
    9. Antoni, Manfred & Schmucker, Alexandra & Seth, Stefan & Vom Berge, Philipp, 2019. "Sample of integrated labour market biographies (SIAB) 1975-2017," FDZ Datenreport. Documentation on Labour Market Data 201902_en, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    10. Long Mark C & Goldfarb Marsha G. & Goldfarb Robert S, 2008. "Explanations for Persistent Nursing Shortages," Forum for Health Economics & Policy, De Gruyter, vol. 11(2), pages 1-37, November.
    11. Carsten Sauer & Katrin Auspurg & Thomas Hinz & Stefan Liebig & Jürgen Schupp, 2014. "Method Effects in Factorial Surveys: An Analysis of Respondents' Comments, Interviewers' Assessments, and Response Behavior," SOEPpapers on Multidisciplinary Panel Data Research 629, DIW Berlin, The German Socio-Economic Panel (SOEP).
    12. Denise Doiron & Jane Hall & Patricia Kenny & Deborah J. Street, 2014. "Job preferences of students and new graduates in nursing," Applied Economics, Taylor & Francis Journals, vol. 46(9), pages 924-939, March.
    13. Jeffrey M Wooldridge, 2010. "Econometric Analysis of Cross Section and Panel Data," MIT Press Books, The MIT Press, edition 2, volume 1, number 0262232588, December.
    14. Hackmann, Tobias & Moog, Stefan, 2008. "Pflege im Spannungsfeld von Angebot und Nachfrage," FZG Discussion Papers 33, University of Freiburg, Research Center for Generational Contracts (FZG).
    15. Shields, Michael A. & Ward, Melanie, 2001. "Improving nurse retention in the National Health Service in England: the impact of job satisfaction on intentions to quit," Journal of Health Economics, Elsevier, vol. 20(5), pages 677-701, September.
    16. Luis Huicho & J Jaime Miranda & Francisco Diez-Canseco & Claudia Lema & Andrés G Lescano & Mylene Lagarde & Duane Blaauw, 2012. "Job Preferences of Nurses and Midwives for Taking Up a Rural Job in Peru: A Discrete Choice Experiment," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-9, December.
    17. Harsch, Katrin & Verbeek, Hans, 2012. "Der Mindestlohn in der Pflegebranche : Die Folgen eines Mindestlohns in einer Wachstumsbranche," Journal for Labour Market Research, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany], vol. 45(3/4), pages 355-378.
    18. Katrin Harsch & Hans Verbeek, 2012. "Der Mindestlohn in der Pflegebranche – Die Folgen eines Mindestlohns in einer Wachstumsbranche [The Minimum Wage in the Care Secor—The Consequences of a Minimum Wage in a Growth Sector]," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 45(3), pages 355-378, December.
    19. Trappmann, Mark & Beste, Jonas & Bethmann, Arne & Müller, Gerrit, 2013. "The PASS panel survey after six waves," Journal for Labour Market Research, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany], vol. 46(4), pages 275-281.
    20. Michelle Cunich & Stephen Whelan, 2010. "Nurse Education and the Retention of Registered Nurses in New South Wales," The Economic Record, The Economic Society of Australia, vol. 86(274), pages 396-413, September.
    21. Wipada Kunaviktikul & Bunpitcha Chitpakdee & Wichit Srisuphan & Thomas Bossert, 2015. "Preferred choice of work setting among nurses in Thailand: A discrete choice experiment," Nursing & Health Sciences, John Wiley & Sons, vol. 17(1), pages 126-133, March.
    22. Zeytinoglu, Isik U. & Denton, Margaret & Plenderleith, Jennifer Millen, 2011. "Flexible employment and nurses' intention to leave the profession: The role of support at work," Health Policy, Elsevier, vol. 99(2), pages 149-157, February.
    23. Emanuela Antonazzo & Anthony Scott & Diane Skatun & Robert. F. Elliott, 2003. "The labour market for nursing: a review of the labour supply literature," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 465-478, June.
    24. repec:iab:iabfda:201902(en is not listed on IDEAS
    25. Antoni, Manfred & Ganzer, Andreas & Vom Berge, Philipp, 2016. "Sample of integrated labour market biographies (SIAB) 1975-2014," FDZ Datenreport. Documentation on Labour Market Data 201604_en, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    26. Leif Andreassen & Maria Laura Tommaso & Steinar Strøm, 2017. "Nurses and physicians: a longitudinal analysis of mobility between jobs and labor supply," Empirical Economics, Springer, vol. 52(4), pages 1235-1269, June.
    27. Michael A. Shields, 2004. "Addressing nurse shortages: what can policy makers learn from the econometric evidence on nurse labour supply?," Economic Journal, Royal Economic Society, vol. 114(499), pages 464-498, November.
    28. Harsch, Katrin & Verbeek, Hans, 2012. "Der Mindestlohn in der Pflegebranche : Die Folgen eines Mindestlohns in einer Wachstumsbranche," Journal for Labour Market Research, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany], vol. 45(3/4), pages 355-378.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Martin Kroczek, 2021. "Analyzing Nurses‘ Decisions to Leave Their Profession – a Duration Analysis," IAW Discussion Papers 136, Institut für Angewandte Wirtschaftsforschung (IAW).
    2. Schweri, Juerg & Hartog, Joop, 2017. "Do wage expectations predict college enrollment? Evidence from healthcare," Journal of Economic Behavior & Organization, Elsevier, vol. 141(C), pages 135-150.
    3. Juerg Schweri, 2021. "Predicting polytomous career choices in healthcare using probabilistic expectations data," Health Economics, John Wiley & Sons, Ltd., vol. 30(3), pages 544-563, March.
    4. Hanel, Barbara & Kalb, Guyonne & Scott, Anthony, 2014. "Nurses’ labour supply elasticities: The importance of accounting for extensive margins," Journal of Health Economics, Elsevier, vol. 33(C), pages 94-112.
    5. Martin Kroczek & Philipp Kugler & Anne Zühlke, 2022. "Erwerbsverläufe und Einkommensentwicklung in der Pflege," IAW Discussion Papers 137, Institut für Angewandte Wirtschaftsforschung (IAW).
    6. Barry T. Hirsch & Edward J. Schumacher, 2012. "Underpaid or Overpaid? Wage Analysis for Nurses Using Job and Worker Attributes," Southern Economic Journal, John Wiley & Sons, vol. 78(4), pages 1096-1119, April.
    7. Rowena Crawford & Richard Disney & Carl Emmerson, 2015. "The short run elasticity of National Health Service nurses’ labour supply in Great Britain," IFS Working Papers W15/04, Institute for Fiscal Studies.
    8. Barbara Eberth & Robert F. Elliott & Diane Skåtun, 2016. "Pay or conditions? The role of workplace characteristics in nurses’ labor supply," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(6), pages 771-785, July.
    9. Denise Doiron & Jane Hall & Patricia Kenny & Deborah J. Street, 2014. "Job preferences of students and new graduates in nursing," Applied Economics, Taylor & Francis Journals, vol. 46(9), pages 924-939, March.
    10. Philipp Kugler, 2022. "The role of wage beliefs in the decision to become a nurse," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 94-111, January.
    11. Divine Ikenwilo & Anthony Scott, 2007. "The effects of pay and job satisfaction on the labour supply of hospital consultants," Health Economics, John Wiley & Sons, Ltd., vol. 16(12), pages 1303-1318.
    12. T. Kankaanranta & P. Rissanen, 2009. "The labor supply of registered nurses in Finland: the effect of wages and working conditions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(2), pages 167-178, May.
    13. Bähr, Holger & Kirchmann, Andrea & Schafstädt, Christin & Sippli, Khira & Späth, Jochen & Boockmann, Bernhard, 2019. "Bedarfsgemeinschaften und ihre Mitglieder in der Beratungs- und Vermittlungsarbeit der Jobcenter," IAB-Forschungsbericht 201906, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    14. Christine Dauth & Julia Lang, 2019. "Can the unemployed be trained to care for the elderly? The effects of subsidized training in elderly care," Health Economics, John Wiley & Sons, Ltd., vol. 28(4), pages 543-555, April.
    15. Francesca Barigozzi & Gilberto Turati, 2009. "Human Health Care and Selection Effects. Understanding Labour Supply in the Market for Nurses," CHILD Working Papers wp18_09, CHILD - Centre for Household, Income, Labour and Demographic economics - ITALY.
    16. Lucas Hafner & Benjamin Lochner, 2022. "Do minimum wages improve self-rated health? Evidence from a natural experiment," Empirical Economics, Springer, vol. 62(6), pages 2989-3014, June.
    17. Eric Schuss, 2023. "Beyond windfall gains: The redistribution of apprenticeship costs and vocational education of care workers," Economica, London School of Economics and Political Science, vol. 90(359), pages 978-1002, July.
    18. Eric Schuss, 2021. "Beyond Windfall Gains: The Redistribution of Apprenticeship Costs and Vocational Education of Care Workers," Economics of Education Working Paper Series 0176, University of Zurich, Department of Business Administration (IBW), revised May 2023.
    19. Mueller, Kai-Uwe & Steiner, Viktor, 2013. "Behavioral effects of a federal minimum wage and income inequality in Germany," VfS Annual Conference 2013 (Duesseldorf): Competition Policy and Regulation in a Global Economic Order 79784, Verein für Socialpolitik / German Economic Association.
    20. T. Kankaanranta & P. Rissanen, 2008. "Nurses’ intentions to leave nursing in Finland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(4), pages 333-342, November.

    More about this item

    Keywords

    Nurse; Labour supply; Job choice; Factorial survey;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J44 - Labor and Demographic Economics - - Particular Labor Markets - - - Professional Labor Markets and Occupations
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:eujhec:v:23:y:2022:i:9:d:10.1007_s10198-022-01443-z. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.