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Cleaning Up: How Hospital Outsourcing Is Hurting Workers and Endangering Patients

Online ISBN:
9780801469824
Print ISBN:
9780801450723
Publisher:
Cornell University Press
Book

Cleaning Up: How Hospital Outsourcing Is Hurting Workers and Endangering Patients

Dan Zuberi
Dan Zuberi
Associate Professor of Social Policy, the University of Toronto
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Published:
5 September 2013
Online ISBN:
9780801469824
Print ISBN:
9780801450723
Publisher:
Cornell University Press

Abstract

To cut costs and maximize profits, hospitals in the United States and many other countries are outsourcing such tasks as cleaning and food preparation to private contractors. To examine this transformation in the healthcare industry, this book looks at the consequences of outsourcing from two perspectives: its impact on patient safety and its role in increasing socioeconomic inequality. The book argues that outsourcing has been disastrous for the cleanliness of hospitals—leading to an increased risk of hospital-acquired infections, a leading cause of severe illness and death—as well as for the effective delivery of other hospital services and the workers themselves. Interviews with the low-wage workers who keep hospitals running uncover claims of exposure to near-constant risk of injury and illness. Many report serious concerns about the quality of the work due to understaffing, high turnover, poor training and experience, inadequate cleaning supplies, and on-the-job injuries. The book also presents policy recommendations for improving patient safety by reducing the risk of hospital-acquired infection and ameliorating the work conditions and quality of life of hospital support workers. It makes the case that hospital outsourcing exemplifies the trend towards “low-road” service-sector jobs that threatens to undermine society's social health, as well as the physical health and well-being of patients in health care settings globally.

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