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Articles 1 - 10 of 10
Full-Text Articles in Medicine and Health Sciences
Job Mobility Of Entry-Level Workers: Black And Latina Women In Hospital Corridors, Maria Estella Carrión
Job Mobility Of Entry-Level Workers: Black And Latina Women In Hospital Corridors, Maria Estella Carrión
New England Journal of Public Policy
Based on data from interviews with fifteen black and fifteen Latina women in entry-level jobs, this article discusses job access strategies, patterns of job mobility, and barriers to upward job mobility for low-income minority women in the hospital industry. Concentrated in the lowest wage levels and job tiers, they are quite diverse in subgroup composition, in age, and in training requirements. The research confirms that deficiencies in schooling and skills remain the major obstacles minority women confront when they apply for hospital jobs and restrict their opportunities once they are within the hospital labor market. Efforts to provide training and …
Labor's Response To Hospital And Workplace Transformation, Enid Eckstein
Labor's Response To Hospital And Workplace Transformation, Enid Eckstein
New England Journal of Public Policy
The health care industry and the nation's hospitals are in the throes of revolutionary change. The shift to managed care resulted in fundamental changes in the delivery of care and the structure of health care, For the past ten years, hospitals have actively been merging and creating large-scale integrated delivery systems. Employers, eager to expand market share and reduce costs, are engaged in radical reorganization of the hospital and the structure of work from which no group is immune. Physicians, nurses, technicians, and housekeepers are all affected by these changes. Hospitals are reducing their personnel, shifting work outside the hospital, …
Nursing: A New Day, A New Way, Lin Zhan, Jane Cloutterback
Nursing: A New Day, A New Way, Lin Zhan, Jane Cloutterback
New England Journal of Public Policy
The U.S. health care environment is changing rapidly. Its structure, financing, and delivery are being reconfigured toward an integrated system based on managed care. Increasingly, national interest in health promotion and disease prevention is moving care away from a disease-oriented, institutionally based model to a population-focused, wellness-oriented, and community-based system. Health care consumers are diversifying in age, ethnicity, and socioeconomic status. The approach emerging from these changes and others requires nursing to rethink, redesign, and retool its workforce to meet new challenges. This article analyzes nursing education, practice, and operations. The authors discuss the dilemmas and complexity of developing an …
We Are The Roots: The Culture Of Home Health Aides, Ruth Glasser, Jeremy Brecher
We Are The Roots: The Culture Of Home Health Aides, Ruth Glasser, Jeremy Brecher
New England Journal of Public Policy
This article focuses on the contributions of its workers' culture to the success of Cooperative Home Care Associates (CHCA). It examines what the home healthaides bring to the culture of the company, how their contribution develops through their experience with the company, and how their heritage contributes to their CHCA work and to the company as an organization. This is one segment of a larger study that will deal with the background and history of CHCA, the vision of the founders and its implementation, the role of organizational policy, and the contribution of management philosophy to its accomplishment.
Distance Learning In Retrospect, Kathryn C. Cauble, Judith D. Burnett, S. Suzanne Roche
Distance Learning In Retrospect, Kathryn C. Cauble, Judith D. Burnett, S. Suzanne Roche
New England Journal of Public Policy
This article describes the design and implementation of a long-term education project, a joint effort of the Service Employees International Union, Bunker Hill Community College, and nine Massachusetts community hospitals. The object was to offer an associate degree in medical radiography to eleven participants. Details of the funding source, admission process, curriculum, student support services, quality assurance, and problems and solutions are outlined. The authors offer recommendations for future replication.
Performance And Accountability In Human Services: Ownership And Responsibility Of Professionals, Anna-Marie Madison
Performance And Accountability In Human Services: Ownership And Responsibility Of Professionals, Anna-Marie Madison
New England Journal of Public Policy
The recent frenzy of grant makers and government agencies in requiring impact evaluations of all grant recipients has created consternation among human service providers. To ensure their agencies' survival and worker job security, the leaders are faced with meeting the demands offunder-driven programming. Agencies seeking funding must comply with funder-defined needs and accountability criteria rather than their public missions. This article describes the use of mission-based performance evaluation rather than funder compliance to demonstrate accountability for mission accomplishment.
Improving Workforce Conditions In Private Human Service Agencies: A Partnership Between A Union And Human Service Providers, James Green
New England Journal of Public Policy
In 1995 the Service Employees International Union Local 509 and four Massachusetts human service providers signed an unusual agreement to forge a partnership in which employers would remain neutral while the union approached its workers with an offer to advocate in the state legislature for greater funding for private human service employees and to promote cooperative relations with their employers. This study examines the context of the agreement and the pressures on public employee unions and small human service providers whose workforce copes with low wages, high turnover, meager benefits, and poor public image as well as the give-and-take between …
From Welfare To What?: The Limitations Of Low-Income Work, Lande Ajose
From Welfare To What?: The Limitations Of Low-Income Work, Lande Ajose
New England Journal of Public Policy
The premise of the welfare law enacted by Congress is that people living in poverty could vastly improve their economic status if only they were employed. The author argues that economic security for welfare recipients will not be realized simply by increasing the labor-force attachment. Home health aides comprise an occupation that could absorb many of the large pool of workers expected to join the labor market because demand for their services is high and barriers to entry are low. However, as this survey shows, the home health field offers limited promise to welfare recipients because, significantly for women rolling …
Workplace Education At The Bottom Rungs, Andrés Torres
Workplace Education At The Bottom Rungs, Andrés Torres
New England Journal of Public Policy
In the late 1980s, observers of the Massachusetts hospital industry were predicting a severe shortfall in skilled technical workers. The Worker Education Program (WEP) emerged as one of several responses to this projected labor shortage. It was premised on the idea of an internal solution to the need for workforce development, shifting the focus from external recruitment to upgrading of incumbents — nutrition, maintenance, clerical, and secretarial staff— and from traditional classroom training to workplace education. Other features of the WEP model made it an extremely interesting experiment: it was operated by labor-management partnership, it was located statewide in nine …
The Potential Impact Of Workforce Development Legislation On Cbos, Edwin Meléndez
The Potential Impact Of Workforce Development Legislation On Cbos, Edwin Meléndez
New England Journal of Public Policy
The proposed congressional legislation revamping the employment and training system will result in budget cuts, program consolidation, and block grants for the states. These changes are potentially harmful to community-based organizations (CBOs) because (J ) they eliminate categorical funding that traditionally has required contracting with organizations which specialize in servicing the disadvantaged, and (2) they introduce stricter performance standards that may be unattainable for many small-scale operations. However, the adoption of best practices in serving non-English-speaking and poor populations, increasing connections to emerging government intermediaries in labor markets, and establishing greater linkages to postsecondary educational institutions may offer CBOs the …