Relative Quality of Foreign Nurses in the United States
AbstractIn recent years, the US has become increasingly reliant on foreign registered nurses to satisfy health care demands. The Philippines has emerged as the single largest source of nurses educated abroad, representing more than half of foreign nurses entering the US in the last decade. One of the main concerns raised by the importation of nurses is the quality of care that they provide. This paper addresses this question by analyzing the relative quality of foreign educated nurses and its evolution over time using Census data from 1980 to 2010 and wages as a measure of skill. We find a positive wage premium for nurses educated in the Philippines, but not for foreign nurses educated elsewhere. This premium cannot be explained by differences in demographics, education, work experience, location, or detailed job characteristics. The assimilation profile of Filipino nurses and the types of hospitals that hire them strongly suggest that the premium reflects quality differences and not just unobserved characteristics of the job that carry a higher wage but are unrelated to skill. We provide evidence that the wage premium is likely to be driven by strong positive selection into nursing among Filipinos resulting from the high and heterogeneous returns to the occupation generated by active government support for the migration of nurses in the Philippines.
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Bibliographic InfoPaper provided by Centre for Research and Analysis of Migration (CReAM), Department of Economics, University College London in its series CReAM Discussion Paper Series with number 1231.
Date of creation: Nov 2012
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Nurses; Migration; Selection; Skills.;
Find related papers by JEL classification:
- J61 - Labor and Demographic Economics - - Mobility, Unemployment, and Vacancies - - - Geographic Labor Mobility; Immigrant Workers
- J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
- J44 - Labor and Demographic Economics - - Particular Labor Markets - - - Professional Labor Markets and Occupations
This paper has been announced in the following NEP Reports:
- NEP-ALL-2012-11-17 (All new papers)
- NEP-HEA-2012-11-17 (Health Economics)
- NEP-HRM-2012-11-17 (Human Capital & Human Resource Management)
- NEP-LAB-2012-11-17 (Labour Economics)
- NEP-MIG-2012-11-17 (Economics of Human Migration)
- NEP-SEA-2012-11-17 (South East Asia)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Hirsch, Barry T. & Schumacher, Edward J., 2008.
"Underpaid or Overpaid? Wage Analysis for Nurses Using Job and Worker Attributes,"
IZA Discussion Papers
3833, Institute for the Study of Labor (IZA).
- Barry T. Hirsch & Edward J. Schumacher, 2012. "Underpaid or Overpaid? Wage Analysis for Nurses Using Job and Worker Attributes," Southern Economic Journal, Southern Economic Association, vol. 78(4), pages 1096-1119, April.
Blog mentionsAs found by EconAcademics.org, the blog aggregator for Economics research:
- Are immigrant nurses better than domestic ones in the US?
by Economic Logician in Economic Logic on 2012-12-11 15:05:00
- Claire Naiditch & Radu Vranceanu, 2013.
"A two-country model of high skill migration with public education,"
- Naiditch, Claire & Vranceanu, Radu, 2013. "A two-country model of high skill migration with public education," ESSEC Working Papers WP1301, ESSEC Research Center, ESSEC Business School.
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