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The medical doctors as gatekeepers in the sickness insurance?

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Author Info

  • Engström, Per

    () (Uppsala Center for Labor Studies)

  • Johansson, Per

    () (Uppsala Center for Labor Studies)

Abstract

Based on a randomised experiment we estimate effects from notification to medical doctors of tighter monitoring of their medical certificates. Both 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. We do, however, find an increase in both prescribed and actual sick leave with a 25 percent 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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File URL: http://www.nek.uu.se/Pdf/wp20104ucls.pdf
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Bibliographic Info

Paper provided by Uppsala University, Department of Economics in its series Working Paper Series, Center for Labor Studies with number 2010:4.

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Length: 35 pages
Date of creation: 01 Jun 2009
Date of revision:
Handle: RePEc:hhs:uulswp:2010_004

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Postal: Department of Economics, Uppsala University, P. O. Box 513, SE-751 20 Uppsala, Sweden
Phone: + 46 18 471 25 00
Fax: + 46 18 471 14 78
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Web page: http://www.nek.uu.se/
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Keywords: monitoring; moral hazard; public social insurance;

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  1. Lindbeck, Assar & Palme, Mårten & Persson, Mats, 2007. "Social Interaction and Sickness Absence," Working Paper Series 725, Research Institute of Industrial Economics.
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