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 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.
Zuberi'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 "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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