The global per diem nurse staffing market size was valued at USD 7.6 billion in 2020 and is expected to expand at a compound annual growth rate (CAGR) of 4.9% from 2021 to 2028. High demand for Medical-surgical nurses and increasing utilization of staffing agencies, shortage in demand for primary care physicians, in turn, increasing demand for Family Nurse Practitioners are some of the factors expected to boost the market growth. Per diem nursing staff is preferred to meet requirements comprising immediate needs or to compensate for last-moment shift cancellations, where other nursing staff including travel nurses cannot be employed. Proper nursing care is one of the most important factors that determine patient satisfaction and facilitates the speedy recovery of patients. Thus, maintaining a sufficient nurse-to-bed ratio is very important to ensure that each patient receives required nursing services.
The nurse-to-bed ratio generally means the number of nurses per available hospital bed. Due to long working shifts and high patient volume in hospitals, nurses are sometimes overburdened. Per diem nursing services can help in reducing the work burden of nurses. Per diem nurses are employed in healthcare facilities on a temporary basis. These nurses fill in for regular staff or can be employed during flu seasons or for sick calls. According to the 2020 data of the United Nations Department of economic & social affairs, the global geriatric population is 727 million. The rise in life expectancy is resulting in a higher risk of age-related chronic diseases like cardiovascular diseases (CVDs), diabetes, arthritis, etc.
This, in turn, is resulting in a higher burden on healthcare systems giving a boost to the demand for per diem nurse staffing. Employment & payment of per diem nurses are done on a day-to-day basis via hospital staffing pools or specialized job placement agencies. Nurses are looking for opportunities to gain more work experience for exploring future job prospects. The per diem assignments though are temporary, the nurses get good compensation for working flexible schedules, which are driving more nurses to do these assignments. One of the important factors driving the market growth is the benefits and advantages of becoming a per diem nurse. Apart from their passion to serve others, nurses give high importance to flexible work schedules.
Pandemic Impact |
Post-Covid Outlook |
To increase the supply of healthcare professionals in the current health crisis, governments of many countries have eased regulations for nursing licenses. In the U.S. the government allowed licensed nurses of one state to practice in another, through enhanced Nursing Licensure Compact (eNLC). Currently, over 34 U.S. states have enacted eNLC |
Improving healthcare infrastructure in developing countries and rising healthcare spending are leading to a rise in the number of hospitals. Setting up a new hospital requires the employment of well-trained medical staff. |
As the pandemic continues, governments of many countries are considering rehiring retired nurses to address the demand, providing retired nurses an opportunity to work again as per diem nurses. Many hospitals and staffing agencies are ready to hire retired nurses as they do not require additional training. The rising number of retiring nurses willing to work on a temporary basis can provide new growth opportunities to the market |
Increasing awareness about current healthcare services, shortage of healthcare professionals, growing geriatric population, and rising demand for these professionals-due to an increase in the prevalence of chronic diseases associated with unhealthy lifestyle-are factors likely to drive the market growth over the coming years |
However, the American Hospital Association Annual Survey of Hospitals found that nearly 65% of the nurses already work 12 or 13-hour shifts. Flexibility in the work schedule is a key factor when choosing any profession. Per diem nurses can choose when they are willing to work. This gives them flexibility with locations & shifts and work-life balance. They can choose to work on holidays and thus can get higher pay. Moreover, by working in various healthcare facilities in different wards and with different equipment, they gain a lot of experience. Owing to these factors, many nurses are willing to work under the per diem nursing system, which is fueling the market growth.
North America dominated the global market in 2020 with a revenue share of over 54%. The region experienced a shortage of nurses even before the pandemic hit. The adoption of staffing services to allocate nurses at various healthcare facilities is expected to drive the market growth. For instance, in a survey conducted by Avant Healthcare Professionals in 2019, a higher number of hospitals are open to staffing agencies than before. Moreover, the number of international staffing services, with organizations such as the American Association of International Recruitment (AAIHR), overlooking the ethical standards of staffing agencies involved in international recruitment, is increasing. The adoption of technology by staffing agencies to improve client experience, the launch of new software for staffing agencies, and the recruitment of nurses on a temporary basis from other regions of the country are some of the trends observed in the region.
Asia Pacific is expected to be the fastest-growing regional market during the forecast period. Developed countries already have a significant number of healthcare facilities and easy access to public health services. An increasing number of government initiatives to strengthen the healthcare systems and improve healthcare access in rural areas have resulted in the initiation of various hospital projects. In October 2020, the Prime Minister of the U.K. announced funding to build 40 hospitals by 2030.
Similarly, in May 2019, the State Council of China decided to increase support for the development of private hospitals in the country. In November 2018, the Indian government drafted a policy to support the opening of private hospitals in tier II and tier III cities. The government has asked states to provide loans for setting up new hospitals at agricultural interest rates and aid in other services, such as electricity. Such initiatives are expected to increase the number of healthcare facilities, thus boosting the market growth.
The market is fragmented with the presence of well-established as well as small-scale players, leading to higher competition among smaller players to sustain their market position. The high demand for nursing services by healthcare facilities leads to the adoption of various strategies, such as mergers & acquisitions, by players to maintain their market stronghold. In December 2018, Cross Country Healthcare, Inc. acquired American Personnel, Inc., which helped expand its presence in the Northeast region of the U.S. Some of the key players in the global per diem nurse staffing market are:
Cross Country Healthcare, Inc.
Health trust Workforce Solutions
Maxim Healthcare Group
Supplemental Healthcare
Accountable Healthcare Staffing
AMN Healthcare
Nurse Staffing LLC
GHR Healthcare
Interim HealthCare, Inc.
CareerStaff Unlimited
Report Attribute |
Details |
The market size value in 2021 |
USD 7.9 billion |
The revenue forecast in 2028 |
USD 11.1 billion |
Growth rate |
CAGR of 4.9% from 2021 to 2028 |
The base year for estimation |
2020 |
Historical data |
2016 – 2019 |
Forecast period |
2021 – 2028 |
Quantitative units |
Revenue in USD million/billion and CAGR from 2021 to 2028 |
Report coverage |
Revenue forecast, company ranking, competitive landscape, growth factors, and trends |
Segments covered |
Region |
Regional scope |
North America; Europe; Asia Pacific; Latin America; Middle East & Africa |
Country scope |
U.S.; Canada; U.K.; Germany; France; Italy; Spain; Japan; China; India; Brazil; Mexico; South Africa |
Key companies profiled |
Cross Country Healthcare, Inc.; Healthtrust Workforce Solutions; Maxim Healthcare Group; Supplemental Healthcare; Accountable Healthcare Staffing; AMN Healthcare; Nurse Staffing LLC; GHR Healthcare; Interim HealthCare, Inc.; CareerStaff Unlimited |
Customization scope |
Free report customization (equivalent to up to 8 analyst’s working days) with purchase. Addition or alteration to country, regional, and segment scope. |
Pricing and purchase options |
Avail of customized purchase options to meet your exact research needs. Explore purchase options |
This report forecasts revenue growth at the global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2016 to 2028. For the purpose of this study, Grand View Research has segmented the global per diem nurse staffing market report based on region:
Regional Outlook (Revenue, USD Million, 2016 - 2028)
North America
U.S.
Canada
Europe
UK
Germany
France
Italy
Spain
Asia Pacific
Japan
China
India
Latin America
Brazil
Mexico
Middle East & Africa
South Africa
b. The global per diem nurse staffing market size was estimated at USD 7.6 billion in 2020 and is expected to reach USD 7.9 billion in 2021.
b. The global per diem nurse staffing market is expected to grow at a compound annual growth rate of 4.9% from 2021 to 2028 to reach USD 11.1 billion by 2028.
b. North America dominated the per diem nurse staffing market with a share of 54.9% in 2020. This is attributable to the lack of skilled professionals, the growing baby boomer population, and the presence of several healthcare recruitment agencies in the region.
b. Some key players operating in the per diem nurse staffing market are Cross Country Healthcare; Health trust Workforce Solutions; Maxim Healthcare Group; Supplemental Healthcare; Accountable Healthcare Staffing; AMN Healthcare; Nurse Staffing LLC; GHR Healthcare; Interim HealthCare Inc.; CareerStaff Unlimited.
b. Key factors that are driving the per diem nurse staffing market growth include the rising demand for healthcare facilities and the shortage of skilled healthcare staff, and growth in the incidence rate of diseases such as cardiovascular diseases, arthritis, Alzheimer’s disease among the older population.
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With COVID-19 infections rising globally, the apprehension regarding a shortage of essential life-saving devices and other essential medical supplies in order to prevent the spread of this pandemic and provide optimum care to the infected also widens. In addition, till a pharmacological treatment is developed, ventilators act as a vital treatment preference for the COVID-19 patients, who may require critical care. Moreover, there is an urgent need for a rapid acceleration in the manufacturing process for a wide range of test-kits (antibody tests, self-administered, and others). The report will account for Covid19 as a key market contributor.
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