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This chapter discusses the healthcare workforce. The chapter begins by discussing how we think about how much labor is available at any given time. It then moves on to discuss inflows and outflows from the overall labor force with deeper discussions of education and training as well as of locational choice of workers. Next, the role of licensure is explored. Finally, the chapter covers labor markets, how they adjust to changes in demand, and the role of market concentration of employers. The end of chapter supplement shows how to calculate the Herfindahl–Hirschman Index, a commonly used measure of market concentration.
This chapter considers some of the mental health consequences of work and unemployment. Two major changes involved the nature of work and participation of women in the labor force. This chapter describes each of these changes, providing a context for the consideration of the relation of work and unemployment to mental health. First, there have been a number of changes in the types of work available in the United States. Second, women have entered the labor force in increasing numbers, partly in response to changes in the occupational structure. The chapter focuses on the stressful aspects of work; the benefits of work are examined indirectly when the authors consider the effects of unemployment. Many studies have found that the effect of unemployment is more negative among persons of low socioeconomic status. Several investigators have shown the importance of examining the economic context in which individuals experience unemployment.
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