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

Author

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  • 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
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    1. 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.
    2. 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).
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    11. repec:iab:iabfda:201902(en is not listed on IDEAS
    12. 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.
    13. 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].
    14. 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.
    15. 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.
    16. 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.
    17. 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.
    18. 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.
    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. 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.
    22. 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.
    23. 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.
    24. 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].
    25. 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.
    26. 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).
    27. 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.
    28. 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.
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    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

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