Path Dependency versus Social Unionism in Healthcare: Bringing Employers Back in
A central problem in contemporary employment relations is the fragmentation of work. This process is occurring in health systems as they decentralize services from hospitals to outpatient centers. While some unions have maintained inclusive employment systems, others have not. What explains this var...
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| Published in | Work and occupations Vol. 47; no. 3; pp. 406 - 436 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Los Angeles, CA
SAGE Publications
01.08.2020
SAGE PUBLICATIONS, INC |
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| Abstract | A central problem in contemporary employment relations is the fragmentation of work. This process is occurring in health systems as they decentralize services from hospitals to outpatient centers. While some unions have maintained inclusive employment systems, others have not. What explains this variation? The authors address this question through a matched case comparison of healthcare unions in Rochester and Buffalo, New York. The cities share many similarities, but in Buffalo unions have expanded their power, while in Rochester they have not. The authors show how path dependency from institutional legacies of employer power has shaped union capacity in the current period. |
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| AbstractList | A central problem in contemporary employment relations is the fragmentation of work. This process is occurring in health systems as they decentralize services from hospitals to outpatient centers. While some unions have maintained inclusive employment systems, others have not. What explains this variation? The authors address this question through a matched case comparison of healthcare unions in Rochester and Buffalo, New York. The cities share many similarities, but in Buffalo unions have expanded their power, while in Rochester they have not. The authors show how path dependency from institutional legacies of employer power has shaped union capacity in the current period. |
| Author | Kallas, John Appelbaum, Eileen Batt, Rosemary |
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| Keywords | unions regional variation employer power path dependence labor healthcare |
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| References | Piore, Safford 2006; 45 Ellem, Goods, Todd 2019; 2019 Hirsch, Macpherson 2003; 56 Katz 1993; 47 Appelbaum 2018; 49 Bronfenbrenner 1997; 50 Katz, Batt, Keefe 2003; 56 Locke 1992; 45 Frege, Kelly 2003; 9 Budd 1992; 45 Mahoney 2000; 29 Wills 1996; 30 bibr16-0730888420919465 bibr84-0730888420919465 bibr92-0730888420919465 bibr76-0730888420919465 bibr2-0730888420919465 Fine J. (bibr25-0730888420919465) 2018 bibr67-0730888420919465 bibr24-0730888420919465 bibr66-0730888420919465 bibr91-0730888420919465 Goldman M. (bibr32-0730888420919465) 2007 Kochan T. (bibr46-0730888420919465) 1986 Reich A. (bibr70-0730888420919465) 2012 bibr74-0730888420919465 bibr49-0730888420919465 bibr1-0730888420919465 bibr40-0730888420919465 bibr83-0730888420919465 bibr5-0730888420919465 Juravich T. (bibr41-0730888420919465) 1999 bibr35-0730888420919465 bibr14-0730888420919465 Ellem B. (bibr22-0730888420919465) 2019; 2019 bibr30-0730888420919465 bibr48-0730888420919465 bibr90-0730888420919465 bibr56-0730888420919465 Industrial Management Council (bibr39-0730888420919465) 1985 bibr43-0730888420919465 Goldman M. (bibr31-0730888420919465) 1983 Woods S. (bibr93-0730888420919465) 1991 bibr69-0730888420919465 McKelvey B. (bibr58-0730888420919465) 1993 Katz H. (bibr44-0730888420919465) 2000 Fleron L. J. (bibr27-0730888420919465) 2000 Perlman S. (bibr68-0730888420919465) 1922 bibr85-0730888420919465 Fink L. (bibr26-0730888420919465) 1989 bibr77-0730888420919465 Taylor P. (bibr82-0730888420919465) 1987 bibr7-0730888420919465 bibr12-0730888420919465 bibr51-0730888420919465 M. Maurice (bibr55-0730888420919465) 2000 bibr64-0730888420919465 bibr38-0730888420919465 Herod A. (bibr36-0730888420919465) 1998 bibr71-0730888420919465 bibr89-0730888420919465 bibr37-0730888420919465 bibr8-0730888420919465 bibr20-0730888420919465 bibr63-0730888420919465 bibr80-0730888420919465 bibr28-0730888420919465 bibr9-0730888420919465 bibr79-0730888420919465 bibr45-0730888420919465 bibr61-0730888420919465 bibr88-0730888420919465 bibr87-0730888420919465 Dillaway D. (bibr17-0730888420919465) 2006 McKelvey B. (bibr57-0730888420919465) 1956 bibr62-0730888420919465 bibr10-0730888420919465 bibr53-0730888420919465 bibr60-0730888420919465 bibr78-0730888420919465 bibr65-0730888420919465 Appelbaum E. (bibr4-0730888420919465) 2020 Greer I. (bibr34-0730888420919465) 2007 bibr86-0730888420919465 Greenberg M. (bibr33-0730888420919465) 2017 bibr73-0730888420919465 bibr19-0730888420919465 bibr13-0730888420919465 Milkman R. (bibr59-0730888420919465) 2006 Lopez S. (bibr50-0730888420919465) 2004 bibr52-0730888420919465 bibr6-0730888420919465 Savage L. (bibr75-0730888420919465) 1998 Cutcher-Gershenfeld J. (bibr15-0730888420919465) 1988 bibr21-0730888420919465 bibr42-0730888420919465 Buttino L. (bibr11-0730888420919465) 1984 bibr47-0730888420919465 Fantasia R. (bibr23-0730888420919465) 1988 Maurice M. (bibr54-0730888420919465) 1986 bibr3-0730888420919465 Doellgast V. (bibr18-0730888420919465) 2019 bibr29-0730888420919465 bibr81-0730888420919465 |
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| SubjectTerms | Decentralization Dependency Employment Health care Health care industry Health problems Health services Hospitals Labor relations Labor unions Power Segmentation Unionization |
| Title | Path Dependency versus Social Unionism in Healthcare: Bringing Employers Back in |
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