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The effect of health care expenditure on sickness absence

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  • Granlund, David

    ()
    (Department of Economics, Umeå University)

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    Abstract

    Based on data from a panel of the Swedish municipalities during 1993-2004, the effects of public health care expenditure on absence from work due to sickness or disability were studied using an instrumental variable method. Public health care expenditure had no significant effect on absence due to sickness or disability and the standard errors were small enough to rule out all but a minimal effect. The same result was obtained when separate estimates were done for men and women and for absence due to sickness and disability.

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    File URL: http://www.econ.umu.se/DownloadAsset.action?contentId=48609&languageId=3&assetKey=ues701
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    Bibliographic Info

    Paper provided by Umeå University, Department of Economics in its series Umeå Economic Studies with number 701.

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    Length: 30 pages
    Date of creation: 16 Jan 2007
    Date of revision: 13 Apr 2007
    Handle: RePEc:hhs:umnees:0701

    Contact details of provider:
    Postal: Department of Economics, Umeå University, S-901 87 Umeå, Sweden
    Phone: 090 - 786 61 42
    Fax: 090 - 77 23 02
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    Web page: http://www.econ.umu.se/
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    Related research

    Keywords: health care expenditure; sick leave; disability; worker absenteeism; dynamic panel data models; endogeneity;

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    1. Granlund, David, 2005. "Sickness absence and health care in an economic federation," UmeÃ¥ Economic Studies, UmeÃ¥ University, Department of Economics 665, Umeå University, Department of Economics, revised 13 Apr 2007.
    2. James J. Heckman & Sergio Urzua & Edward Vytlacil, 2009. "Understanding Instrumental Variables in Models with Essential Heterogeneity," Working Papers, Geary Institute, University College Dublin 200941, Geary Institute, University College Dublin.
    3. John Nixon & Philippe Ulmann, 2006. "The relationship between health care expenditure and health outcomes," The European Journal of Health Economics, Springer, Springer, vol. 7(1), pages 7-18, March.
    4. Henrekson, Magnus & Persson, Mats, 2001. "The Effects on Sick Leave of Changes in the Sickness Insurance System," Seminar Papers, Stockholm University, Institute for International Economic Studies 697, Stockholm University, Institute for International Economic Studies.
    5. Grossman, Michael, 2000. "The human capital model," Handbook of Health Economics, Elsevier, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 7, pages 347-408 Elsevier.
    6. Paringer, Lynn, 1983. "Women and Absenteeism: Health or Economics?," American Economic Review, American Economic Association, American Economic Association, vol. 73(2), pages 123-27, May.
    7. Johansson, Per & Palme, Marten, 2005. "Moral hazard and sickness insurance," Journal of Public Economics, Elsevier, Elsevier, vol. 89(9-10), pages 1879-1890, September.
    8. Arellano, Manuel, 1989. "A note on the Anderson-Hsiao estimator for panel data," Economics Letters, Elsevier, Elsevier, vol. 31(4), pages 337-341, December.
    9. John Shea, 1996. "Instrument Relevance in Multivariate Linear Models: A Simple Measure," NBER Technical Working Papers 0193, National Bureau of Economic Research, Inc.
    10. Pierre-Yves Crémieux & Pierre Ouellette & Caroline Pilon, 1999. "Health care spending as determinants of health outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 8(7), pages 627-639.
    11. Aronsson, Thomas & Lundberg, Johan & Wikstrom, Magnus, 2000. "The impact of regional public expenditures on the local decision to spend," Regional Science and Urban Economics, Elsevier, Elsevier, vol. 30(2), pages 185-202, March.
    12. Aakvik, Arild & Holmås, Tor Helge, 2005. "Access to Primary Health Care and Health Outcomes: The Relationships between GP Characteristics and Mortality Rates," Working Papers in Economics, University of Bergen, Department of Economics 16/05, University of Bergen, Department of Economics.
    13. Jessica P. Vistnes, 1997. "Gender differences in days lost from work due to illness," Industrial and Labor Relations Review, ILR Review, Cornell University, ILR School, vol. 50(2), pages 304-323, January.
    14. James H. Stock & Motohiro Yogo, 2002. "Testing for Weak Instruments in Linear IV Regression," NBER Technical Working Papers 0284, National Bureau of Economic Research, Inc.
    15. Brown, Sarah & Sessions, John G, 1996. " The Economics of Absence: Theory and Evidence," Journal of Economic Surveys, Wiley Blackwell, Wiley Blackwell, vol. 10(1), pages 23-53, March.
    16. Per Johansson & Kurt Brafinnafis, 1998. "A household model for work absence," Applied Economics, Taylor & Francis Journals, Taylor & Francis Journals, vol. 30(11), pages 1493-1503.
    17. Per Johansson & Mårten Palme, 2002. "Assessing the Effect of Public Policy on Worker Absenteeism," Journal of Human Resources, University of Wisconsin Press, vol. 37(2), pages 381-409.
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