IDEAS home Printed from https://ideas.repec.org/a/eee/labeco/v94y2025ics0927537125000430.html
   My bibliography  Save this article

The supply of nursing labor in French hospitals: Outflows, part-time work and motherhood

Author

Listed:
  • Pora, Pierre

Abstract

This paper quantifies the supply of nursing labor in French hospitals over the course of hospital nurses’ careers, using detailed longitudinal payroll tax data matched with birth certificates and census data. Over the first ten years of their careers, the nursing hours supplied to hospitals decrease by more than a third on average. This decline is primarily driven by hospital nurses leaving these positions, and to a lesser extent by transitions to part-time schedules within hospital nursing jobs. Nurses who leave hospital positions predominantly transition to other jobs, usually within the healthcare sector, rather than to non-employment. These job transitions are mostly unrelated to motherhood, whereas having children frequently leads mothers to switch to part-time schedules within hospital nursing jobs. In fact, without the effect of motherhood, the prevalence of part-time work among hospital nurses would be significantly lower. Finally, while hospitals offset the loss of nursing hours due to unanticipated staff departures by hiring new nurses, they struggle to compensate for nursing hours lost to part-time transitions.

Suggested Citation

  • Pora, Pierre, 2025. "The supply of nursing labor in French hospitals: Outflows, part-time work and motherhood," Labour Economics, Elsevier, vol. 94(C).
  • Handle: RePEc:eee:labeco:v:94:y:2025:i:c:s0927537125000430
    DOI: 10.1016/j.labeco.2025.102716
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0927537125000430
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.labeco.2025.102716?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

    for a different version of it.

    References listed on IDEAS

    as
    1. Philippe Choné & David Le Blanc & Isabelle Robert-Bobée, 2004. "Offre de travail féminine et garde des jeunes enfants," Economie & Prévision, La Documentation Française, vol. 162(1), pages 23-50.
    2. Joseph, Olivier & Pailhé, Ariane & Recotillet, Isabelle & Solaz, Anne, 2013. "The economic impact of taking short parental leave: Evaluation of a French reform," Labour Economics, Elsevier, vol. 25(C), pages 63-75.
    3. Clément de Chaisemartin & Xavier D'Haultfœuille, 2020. "Two-Way Fixed Effects Estimators with Heterogeneous Treatment Effects," American Economic Review, American Economic Association, vol. 110(9), pages 2964-2996, September.
    4. Mathias Jensen & Abigail Adams & Barbara Petrongolo, 2024. "Birth Timing and Spacing: Implications for Parental Leave Dynamics and Child Penalties," Economics Series Working Papers 1048, University of Oxford, Department of Economics.
    5. Jonathan Gruber & Samuel A. Kleiner, 2012. "Do Strikes Kill? Evidence from New York State," American Economic Journal: Economic Policy, American Economic Association, vol. 4(1), pages 127-157, February.
    6. Carole Sylvestre & Sophie Randon, 2012. "Une approche empirique du processus de choix dans la recherche de leur premier emploi par les étudiants en soins infirmiers," Post-Print hal-00762121, HAL.
    7. Carol Propper & John Van Reenen, 2010. "Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets on Hospital Performance," Journal of Political Economy, University of Chicago Press, vol. 118(2), pages 222-273, April.
    8. Henrik Kleven & Camille Landais & Johanna Posch & Andreas Steinhauer & Josef Zweimüller, 2024. "Do Family Policies Reduce Gender Inequality? Evidence from 60 Years of Policy Experimentation," American Economic Journal: Economic Policy, American Economic Association, vol. 16(2), pages 110-149, May.
    9. Hélène Périvier & Gregory Verdugo, 2024. "Where Are the Fathers? Effects of Earmarking Parental Leave for Fathers in France," ILR Review, Cornell University, ILR School, vol. 77(1), pages 88-118, January.
    10. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    11. Phillips, V. L., 1995. "Nurses' labor supply: Participation, hours of work, and discontinuities in the supply function," Journal of Health Economics, Elsevier, vol. 14(5), pages 567-582, December.
    12. Henrik Kleven & Camille Landais & Jakob Egholt Søgaard, 2019. "Children and Gender Inequality: Evidence from Denmark," American Economic Journal: Applied Economics, American Economic Association, vol. 11(4), pages 181-209, October.
    13. Lionel Wilner, 2016. "Worker-firm matching and the parenthood pay gap: Evidence from linked employer-employee data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(4), pages 991-1023, October.
    14. Goodman-Bacon, Andrew, 2021. "Difference-in-differences with variation in treatment timing," Journal of Econometrics, Elsevier, vol. 225(2), pages 254-277.
    15. repec:adr:anecst:y:2012:i:107-108:p:10 is not listed on IDEAS
    16. Jäger, Simon & Heining, Jörg, 2019. "How Substitutable Are Workers? Evidence from Worker Deaths," MPRA Paper 109757, University Library of Munich, Germany, revised 01 Jan 2019.
    17. Henrik Kleven & Camille Landais & Johanna Posch & Andreas Steinhauer & Josef Zweimüller, 2019. "Child Penalties across Countries: Evidence and Explanations," AEA Papers and Proceedings, American Economic Association, vol. 109, pages 122-126, May.
    18. Karolina Socha-Dietrich & Jean-Christophe Dumont, 2021. "International migration and movement of nursing personnel to and within OECD countries - 2000 to 2018: Developments in countries of destination and impact on countries of origin," OECD Health Working Papers 125, OECD Publishing.
    19. Kirill Borusyak & Xavier Jaravel & Jann Spiess, 2024. "Revisiting Event-Study Designs: Robust and Efficient Estimation," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 91(6), pages 3253-3285.
    20. P. Pora & L. Wilner, 2019. "Child Penalties and Financial Incentives: Exploiting Variation along the Wage Distribution," Documents de Travail de l'Insee - INSEE Working Papers g2019-08, Institut National de la Statistique et des Etudes Economiques.
    21. Paul Frijters & Michael A. Shields & Stephen Wheatley Price, 2007. "Investigating the quitting decision of nurses: panel data evidence from the british national health service," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 57-73, January.
    22. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    23. 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.
    24. Petter Lundborg & Erik Plug & Astrid Würtz Rasmussen, 2017. "Can Women Have Children and a Career? IV Evidence from IVF Treatments," American Economic Review, American Economic Association, vol. 107(6), pages 1611-1637, June.
    25. Nooney, Jennifer G. & Unruh, Lynn & Yore, Michelle M., 2010. "Should I stay or should I go? Career change and labor force separation among registered nurses in the U.S," Social Science & Medicine, Elsevier, vol. 70(12), pages 1874-1881, June.
    26. Laurent Lequien, 2012. "The Impact of Parental Leave Duration on Later Wages," Annals of Economics and Statistics, GENES, issue 107-108, pages 267-285.
    27. 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.
    28. Anne Ardila Brenøe & Serena Canaan & Nikolaj A. Harmon & Heather N. Royer, 2024. "Is Parental Leave Costly for Firms and Coworkers?," Journal of Labor Economics, University of Chicago Press, vol. 42(4), pages 1135-1174.
    29. Jan Erik Askildsen & Badi H. Baltagi & Tor Helge Holmås, 2003. "Wage policy in the health care sector: a panel data analysis of nurses' labour supply," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 705-719, September.
    30. Patricia Cortés & Jessica Pan, 2023. "Children and the Remaining Gender Gaps in the Labor Market," Journal of Economic Literature, American Economic Association, vol. 61(4), pages 1359-1409, December.
    31. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    32. Toren, Orly & Zelker, Revital & Lipschuetz, Michal & Riba, Shoshana & Reicher, Sima & Nirel, Nurit, 2012. "Turnover of registered nurses in Israel: Characteristics and predictors," Health Policy, Elsevier, vol. 105(2), pages 203-213.
    33. 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.
    34. Martin Eckhoff Andresen & Emily Nix, 2022. "What Causes the Child Penalty? Evidence from Adopting and Same-Sex Couples," Journal of Labor Economics, University of Chicago Press, vol. 40(4), pages 971-1004.
    35. Benjamin U Friedrich & Martin B Hackmann, 2021. "The Returns to Nursing: Evidence from a Parental-Leave Program [Access to Cardiac Rehabilitation and the Role of Language Barriers in the Provision of Cardiac Rehabilitation to Migrants]," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 88(5), pages 2308-2343.
    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. Dominique Meurs & Pierre Pora, 2025. "Traditional Views, Egalitarian Views, and the Child Penalty: Insights from Immigrant Populations in France," Working Papers hal-04947430, HAL.
    2. Gørtz, Mette & Sander, Sarah & Sevilla, Almudena, 2025. "Does the child penalty strike twice?," European Economic Review, Elsevier, vol. 172(C).
    3. Simon Bensnes & Ingrid Huitfeldt & Edwin Leuven, 2023. "Reconciling estimates of the long-term earnings effect of fertility," Discussion Papers 1004, Statistics Norway, Research Department.
    4. Moscelli, G.; & Sayli, M.; & Blanden, J.; & Mello, M.; & Castro-Pires, H.; & Bojke, C.;, 2023. "Non-monetary interventions, workforce retention and hospital quality: evidence from the English NHS," Health, Econometrics and Data Group (HEDG) Working Papers 23/13, HEDG, c/o Department of Economics, University of York.
    5. Albanese, Andrea & Nieto, Adrián & Tatsiramos, Konstantinos, 2022. "Job Location Decisions and the Effect of Children on the Employment Gender Gap," GLO Discussion Paper Series 1113, Global Labor Organization (GLO).
    6. Arold, W. Benjamin & Woessmann, Ludger & Zierow, Larissa, 2022. "Can Schools Change Religious Attitudes? Evidence from German State Reforms of Compulsory Religious Education," IZA Discussion Papers 14989, Institute of Labor Economics (IZA).
    7. Ivandić, Ria & Lassen, Anne Sophie, 2023. "Gender gaps from labor market shocks," Labour Economics, Elsevier, vol. 83(C).
    8. Cheung, T. Terry & Kan, Kamhon & Yang, Tzu-Ting, 2025. "Parental responses to child disability: Gender differences and relative earnings," Journal of Development Economics, Elsevier, vol. 174(C).
    9. Moscelli, Giuseppe & Sayli, Melisa & Blanden, Jo & Mello, Marco & Castro-Pires, Henrique & Bojke, Chris, 2023. "Non-monetary Interventions, Workforce Retention and Hospital Quality: Evidence from the English NHS," IZA Discussion Papers 16379, Institute of Labor Economics (IZA).
    10. Mathias Jensen & Abigail Adams & Barbara Petrongolo, 2024. "Birth Timing and Spacing: Implications for Parental Leave Dynamics and Child Penalties," Economics Series Working Papers 1048, University of Oxford, Department of Economics.
    11. Alessandra Casarico & Salvatore Lattanzio, 2023. "Behind the child penalty: understanding what contributes to the labour market costs of motherhood," Journal of Population Economics, Springer;European Society for Population Economics, vol. 36(3), pages 1489-1511, July.
    12. Freise, Diana & Schmitz, Hendrik & Westphal, Matthias, 2022. "Late-career unemployment and cognitive abilities," Journal of Health Economics, Elsevier, vol. 86(C).
    13. Glogowsky, Ulrich & Hansen, Emanuel & Sachs, Dominik & Lüthen, Holger, 2025. "The evolution of child-related gender inequality in Germany and the role of family policies, 1960–2018," European Economic Review, Elsevier, vol. 175(C).
    14. Nieto, Adrián, 2022. "Can subsidies to permanent employment change fertility decisions?," Labour Economics, Elsevier, vol. 78(C).
    15. Jonathan Gruber & Kristiina Huttunen & Tuomas Kosonen, 2022. "Paying Moms to Stay Home: Short and Long Run Effects on Parents and Children," Working Papers 4, Finnish Centre of Excellence in Tax Systems Research.
    16. Brenøe, Anne Ardila & Canaan, Serena & Harmon, Nikolaj & Royer, Heather, 2019. "Is Parental Leave Costly for Firms and Coworkers?," IZA Discussion Papers 12870, Institute of Labor Economics (IZA).
    17. Malisa, Amedeus, 2024. "Grand-parenthood and retirement," Labour Economics, Elsevier, vol. 90(C).
    18. Katrin Huber & Geske Rolvering, 2023. "Public child care and mothers’ career trajectories," CEPA Discussion Papers 64, Center for Economic Policy Analysis.
    19. Kamila Cygan-Rehm, 2022. "Lifetime Consequences of Lost Instructional Time in the Classroom: Evidence from Shortened School Years," CESifo Working Paper Series 9892, CESifo.
    20. Yung-Yu Tsai & Hsing-Wen Han & Kuang-Ta Lo & Tzu-Ting Yang, 2022. "The Effect of Financial Resources on Fertility: Evidence from Administrative Data on Lottery Winners," Papers 2212.06223, arXiv.org, revised Dec 2023.

    More about this item

    Keywords

    ;
    ;
    ;
    ;
    ;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • 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:eee:labeco:v:94:y:2025:i:c:s0927537125000430. 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: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/labeco .

    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.