The above links will take you to the Center for the Health Professions site.

The Effect of Hospital Systems on Nurse Staffing

In the past decade there has been a perception among the public,
legislators, and health care workers that for-profit companies and large
national corporations have been increasingly taking over hospitals and
health care organizations. This perception is correct. Changes in
hospital ownership, most often seen as purchases by multi-hospital
corporations, have become commonplace in California, and now over half
of the state's hospitals are affiliated with multi-hospital systems.
This study, supported in part by the Public Policy Institute of
California and the California HealthCare Foundation, examines the effect
of changes in hospital ownership on staffing and wages.

Spetz J, Seago JA, Mitchell S. (2003) The effect of hospital mergers and conversions on hospital employment. Working paper No. 2003.20, 2003. Public Policy Institute of California: Working Paper Series; San Francisco, CA. Working paper abstract | Working paper PDF

Seago JA, Spetz J, Mitchell S. (2004) Registered nurse staffing and hospital ownership in California. Journal of Nursing Administration. 34(5):228-237.Abstract

Contact: Joanne Spetz, PhD