A central problem in contemporary employment relations is the fragmentation of work. This process is occurring in health systems as they decentralize services from hospitals to outpatient centers. While some unions have maintained inclusive employment systems, others have not. What explains this variation? The authors address this question through a matched case comparison of healthcare unions in Rochester and Buffalo, New York. The cities share many similarities, but in Buffalo unions have expanded their power, while in Rochester they have not. The authors show how path dependency from institutional legacies of employer power has shaped union capacity in the current period.

中文翻译：

---

医疗保健中的路径依赖与社会工会主义：让雇主回归

当代雇佣关系的一个核心问题是工作的分散。这个过程正在卫生系统中发生，因为它们将服务从医院分散到门诊中心。虽然一些工会保持了包容性的就业体系，但其他工会则没有。什么解释了这种变化？作者通过对纽约州罗彻斯特和布法罗的医疗工会进行匹配案例比较来解决这个问题。这些城市有许多相似之处，但在布法罗工会扩大了他们的权力，而在罗切斯特却没有。作者展示了雇主权力制度遗产的路径依赖如何塑造了当前时期的工会能力。