Cleaning Up

Cleaning Up

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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. In Cleaning Up, the first book to examine this transformation in the healthcare industry, Dan Zuberi looks at the consequences of outsourcing from two perspectives: its impact on patient safety and its role in increasing socioeconomic inequality. Drawing on years of field research in Vancouver, Canada as well as data from hospitals in the U.S. and Europe, he argues that outsourcing has been disastrous for the cleanliness of hospitalsa€”leading to an increased risk of hospital-acquired infections, a leading cause of severe illness and deatha€”as well as for the effective delivery of other hospital services and the workers themselves. Zuberia€™s 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. Zuberi 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. He makes the case that hospital outsourcing exemplifies the trend towards a€œlow-roada€ service-sector jobs that threatens to undermine societya€™s social health, as well as the physical health and well-being of patients in health care settings globally.a€œIt was difficult for a mother to leave her children back home and move to another part of the world to find money to ... Nicdao has an undergraduate degree in banking and finance from the Philippines, but the best job she could find in ... She owes $16, 000 on her credit cards and has taken out $5, 000 on line of credit.

Title:Cleaning Up
Author: Dan Zuberi
Publisher:Cornell University Press - 2013-09-20

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