The Structure of Collective Bargaining: An Assessment of Its Development and Impact in Metropolitan Hospital Bargaining
Maxey, Charles Thomas, Jr.
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https://hdl.handle.net/2142/71535
Description
Title
The Structure of Collective Bargaining: An Assessment of Its Development and Impact in Metropolitan Hospital Bargaining
Author(s)
Maxey, Charles Thomas, Jr.
Issue Date
1982
Department of Study
Labor and Industrial Relations
Discipline
Labor and Industrial Relations
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Sociology, Industrial and Labor Relations
Health Sciences, Health Care Management
Abstract
The dissertation examines the development of the structure of collective bargaining in metropolitan hospital bargaining in six U.S. cities, and the impact of unionization and bargaining on the employer organizations. In the first part of the study, the long term development of bargaining structures is examined in order to identify its principal determinants. Power considerations, related to the character of labor and product markets and the scope of union organization, were identified as one major set of influences on structural development. Constituency considerations, related to the occupational interests of various categories of hospital employees, were also found to be important. Public policies related to unit composition and the role of "third party payers" were seen to be of minor importance.
In the second part of the study, the concept of bargaining structure was integrated into a predictive model based on the industrial relations systems framework. Regression analysis was used to estimate the effects of elements of bargaining structure on several dimensions of the effectiveness of the hospitals as organizations, and on a variety of problems commonly associated with collective bargaining. Structure was found to influence the degree of union impact on the hospital both directly, and through its inter-relationship with the level of union militancy.
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