The medical doctors as gatekeepers in the sickness insurance?
AbstractBased on a randomized experiment, we estimate effects from notification to medical doctors of tighter monitoring of their Medical Certificates (MCs). Both the time prescribed by the doctor certificates for sick leave (prescribed sick leave) and the impact on the length of the actual sickness absence (actual sick leave) is studied. We find no effect on the total number of prescribed sick leave days. However, we do find an increase in both prescribed and actual sick leave with a 25% work inability. We also find that the notification letter causes an increase in actual sick leave (i.e. the number of reimbursed sick days). We discuss a number of potential explanations for this rather surprising result.
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Bibliographic InfoArticle provided by Taylor & Francis Journals in its journal Applied Economics.
Volume (Year): 44 (2012)
Issue (Month): 28 (October)
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Web page: http://www.tandfonline.com/RAEC20
Other versions of this item:
- Engström, Per & Johansson, Per, 2009. "The medical doctors as gatekeepers in the sickness insurance?," Working Paper Series, Center for Labor Studies 2010:4, Uppsala University, Department of Economics.
- C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
- H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions
- J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
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- Assar Lindbeck & Marten Palme & Mats Persson, 2008.
"Social Interaction and Sickness Absence,"
CESifo Working Paper Series
2215, CESifo Group Munich.
- Lindbeck, Assar & Palme, Mårten & Persson, Mats, 2009. "Social Interaction and Sickness Absence," Research Papers in Economics 2009:4, Stockholm University, Department of Economics.
- Lindbeck, Assar & Palme, Mårten & Persson, Mats, 2007. "Social Interaction and Sickness Absence," Working Paper Series 725, Research Institute of Industrial Economics.
- Avdic, Daniel & Johansson, Per, 2013.
"Gender differences in preferences for health-related absences from work,"
Working Paper Series
2013:13, IFAU - Institute for Evaluation of Labour Market and Education Policy.
- Avdic, Daniel & Johansson, Per, 2013. "Gender Differences in Preferences for Health-Related Absences from Work," IZA Discussion Papers 7480, Institute for the Study of Labor (IZA).
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