Giuseppe Moscelli, PhD
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joemoscelli.bsky.social
Giuseppe Moscelli, PhD
@joemoscelli.bsky.social
Health, Labour, Organizational economics | Econ. Prof. @economicssurrey | RF @iza_bonn | Posts on: Econ, politics, food, wine, travels | Own views only
Very happy to see the work from a fruitful 2-year journey come to life: the Labour Economics Special Issue on the “Economics of the Healthcare Workforce”, edited with Osea Giuntella Nicolas R. Ziebarth, is finally out!!!
Link: www.sciencedirect.com/special-issu...
September 19, 2025 at 12:28 PM
Finally, we use our structural model estimates to simulate the effect of alternative policies on regional hospital vacancy rates.
March 31, 2025 at 1:23 AM
The importance of of organizational quality fades when doctors are approaching retirement, as we should expect, as their occupational risk becomes smaller at that point.
Higher quality (lower mortality) + important for surgeons, as role + exposed to patient mortality risk
March 31, 2025 at 1:23 AM
What do we find❓
Main findings 1:
Organization quality (proxied by hospital risk-adjusted mortality) is a factor as important as performance-based pay for the mobility of hospital doctors.
March 31, 2025 at 1:23 AM
Therefore, the increased in-hospital mortality risk for #NHS #hospital #patients likely stems from a #workforce #composition shock, rather than #staff #shortages. These empirical findings are supported by a theoretical model.
March 27, 2025 at 12:06 PM
Main finding 4:
As further support, using #NHS #staff #survey records, we find a lower satisfaction with the quality of care provided to patients as of self-reported by employed nurses. Results (Table 2) are in odds ratios:
March 27, 2025 at 12:03 PM
Main finding 3:
Using worker-level payslip records we show that, after BR, NHS hospitals compensated the missing inflow of new EU nurses by hiring new non-EU nurses placed on a lower salary scale levels, so probably less skilled nurses (see Fig. 7 below).
March 27, 2025 at 12:03 PM
Main finding 2:
Using patient-level admission records, our event-study shows that the risk-adjusted patient #mortality #risk increased more for hospitals that were more exposed to the #Brexit #Referendum shock: in-hospital mortality risk increased by +5.31%.
March 27, 2025 at 12:03 PM
Main finding 1:
BR reduced the inflow of #EU #nurses in the #NHS, so there was a compositional change w/ an increase of non-EU overseas nurses. This is confirmed by overall trends in the #NHS #workforce (see Figure 5) and by regressions at #hospital #Trust level (see Table 1)
March 27, 2025 at 12:03 PM
What a pleasure today presenting my research on the effect of Brexit on NHS hospital quality (joint w/ @Marco__Mello @kai__fischer HenriqueCastro-Pires) @ 1st Bari Economics Workshop! Kudos to the awesome organisers @BarbaraBiasi @J_ArellanoBover @Raffaele_Lagrav! Till next year!
December 20, 2024 at 10:25 PM
Many thanks to Elisabetta Listorti, Oriana Ciani, Carlo Federici & colleagues for the warm hospitality @Unibocconi (my Alma mater) to speak about 'non-monetary incentives, nurse retention and hospital quality in the English NHS'. #Milan has always a big place in my heart.
October 8, 2023 at 11:20 AM