The determinants of sick leave durations of Dutch self-employed
This paper analyzes sickness absenteeism among self-employed in the Netherlands. Using a unique data set provided by a large Dutch private insurance company, we assess the determinants of sick leave durations. Our study suggests that several risk factors affect the sick leave durations of self-employed in a similar way as they influence the absence spells of employees according to the literature. For example, the recovery rate decreases with age and claimants suffering from psychological diseases have a lower recovery rate relative to claimants with other disorders. Furthermore, the sick leave durations of self-employed last longer when the economy is booming. In contrast to what the literature generally documents for employees, we do not find any evidence for moral hazard effects with respect to the benefit compensation level. Moreover, the absence spells of self-employed last longer in periods of high unemployment, whereas the opposite effect is usually documented for employees. We do not establish any significant gender differences in the sick leave durations of self-employed. Contract-specific factors such as insurance brand and deferment period are typical characteristics of insurance contracts for self-employed and play an important role in explaining their sick leave durations. Finally, the introduction of insurer-based case management significantly increased the recovery rate of self-employed with an ongoing spell up to 1 year. By contrast, case management did not succeed in improving the recovery rate of claimants trapped in long-term sickness absence.
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- Hogelund, Jan & Holm, Anders, 2006.
"Case management interviews and the return to work of disabled employees,"
Journal of Health Economics,
Elsevier, vol. 25(3), pages 500-519, May.
- Jan Høgelund & Anders Holm, 2004. "Case Management Interviews and the Return to Work of Disabled Employees," CAM Working Papers 2004-24, University of Copenhagen. Department of Economics. Centre for Applied Microeconometrics.
- Askildsen, Jan Erik & Bratberg, Espen & Nilsen, Øivind Anti, 2002.
"Unemployment, labour force composition and sickness absence. A panel data study,"
Working paper Series
0205, Department of Economics, University of Bergen.
- Jan Erik Askildsen & Espen Bratberg & Øivind Anti Nilsen, 2005. "Unemployment, labor force composition and sickness absence: a panel data study," Health Economics, John Wiley & Sons, Ltd., vol. 14(11), pages 1087-1101.
- Askildsen, Jan Erik & Bratberg, Espen & Nilsen, Øivind Anti, 2002. "Unemployment, labour force composition and sickness absence. A panel data study," Working Papers in Economics 05/02, University of Bergen, Department of Economics.
- Askildsen, Jan Erik & Bratberg, Espen & Nilsen, Øivind Anti, 2002. "Unemployment, Labour Force Composition and Sickness Absence: A Panel Data Study," IZA Discussion Papers 466, Institute for the Study of Labor (IZA).
- Thomas C. Buchmueller & Robert G. Valletta, 1996.
"The effect of health insurance on married female labor supply,"
Working Papers in Applied Economic Theory
96-09, Federal Reserve Bank of San Francisco.
- Thomas C. Buchmueller & Robert G. Valletta, 1999. "The Effect of Health Insurance on Married Female Labor Supply," Journal of Human Resources, University of Wisconsin Press, vol. 34(1), pages 42-70.
- Van den Berg, Gerard J., 2000.
"Duration Models: Specification, Identification, and Multiple Durations,"
9446, University Library of Munich, Germany.
- Van den Berg, Gerard J., 2001. "Duration models: specification, identification and multiple durations," Handbook of Econometrics, in: J.J. Heckman & E.E. Leamer (ed.), Handbook of Econometrics, edition 1, volume 5, chapter 55, pages 3381-3460 Elsevier.
- Roope Uusitalo, 2001.
Taylor & Francis Journals, vol. 33(13), pages 1631-1638.
- Chung-cheng Lin, 2002. "Effects of Job Security Laws in a Shirking Model with Heterogeneous Workers," Southern Economic Journal, Southern Economic Association, vol. 69(2), pages 479-486, October.
- Rick Audas & Tim Barmby & John Treble, 2004. "Luck, Effort, and Reward in an Organizational Hierarchy," Journal of Labor Economics, University of Chicago Press, vol. 22(2), pages 379-396, April.
- Henrekson, Magnus & Persson, Mats, 2001.
"The Effects on Sick Leave of Changes in the Sickness Insurance System,"
SSE/EFI Working Paper Series in Economics and Finance
0444, Stockholm School of Economics, revised 08 Aug 2001.
- Magnus Henrekson & Mats Persson, 2004. "The Effects on Sick Leave of Changes in the Sickness Insurance System," Journal of Labor Economics, University of Chicago Press, vol. 22(1), pages 87-114, January.
- Henrekson, Magnus & Persson, Mats, 2001. "The Effects on Sick Leave of Changes in the Sickness Insurance System," Seminar Papers 697, Stockholm University, Institute for International Economic Studies.
- Barmby, Tim & Stephan, Gesine, 2000. "Worker Absenteeism: Why Firm Size May Matter," Manchester School, University of Manchester, vol. 68(5), pages 568-77, September.
- Monojit Chatterji & Colin J. Tilley, 2002. "Sickness, absenteeism, presenteeism, and sick pay," Oxford Economic Papers, Oxford University Press, vol. 54(4), pages 669-687, October.
- Barmby, Tim & Orme, Chris D & Treble, John, 1990.
"Worker Absenteeism: An Analysis Using Microdata,"
CEPR Discussion Papers
434, C.E.P.R. Discussion Papers.
- Julie Zissimopoulos & Lynn A. Karoly, 2003.
"Transitions to Self-Employment at Older Ages: The Role of Wealth, Health, Health Insurance, and Other Factors,"
135, RAND Corporation Publications Department.
- Zissimopoulos, Julie M. & Karoly, Lynn A., 2007. "Transitions to self-employment at older ages: The role of wealth, health, health insurance and other factors," Labour Economics, Elsevier, vol. 14(2), pages 269-295, April.
- Brown, Sarah & Sessions, John G, 1996. " The Economics of Absence: Theory and Evidence," Journal of Economic Surveys, Wiley Blackwell, vol. 10(1), pages 23-53, March.
- Heckman, James & Singer, Burton, 1984. "A Method for Minimizing the Impact of Distributional Assumptions in Econometric Models for Duration Data," Econometrica, Econometric Society, vol. 52(2), pages 271-320, March.
- Jaap H. Abbring & Pierre-Andre Chiappori, 2004.
"Moral Hazard and Dynamic Insurance Data,"
2004 Meeting Papers
316, Society for Economic Dynamics.
- Abbring, Jaap H & van den Berg, Gerard J, 2007.
"The Unobserved Heterogeneity Distribution in Duration Analysis,"
CEPR Discussion Papers
6219, C.E.P.R. Discussion Papers.
- Jaap H. Abbring & Gerard J. Van Den Berg, 2007. "The unobserved heterogeneity distribution in duration analysis," Biometrika, Biometrika Trust, vol. 94(1), pages 87-99.
- Spierdijk, Laura, 2008. "Nonparametric conditional hazard rate estimation: A local linear approach," Computational Statistics & Data Analysis, Elsevier, vol. 52(5), pages 2419-2434, January.
- Fenn, Paul T, 1981. "Sickness Duration, Residual Disability, and Income Replacement: An Empirical Analysis," Economic Journal, Royal Economic Society, vol. 91(361), pages 158-73, March.
- Jonathan Gruber, 2002.
"Taxes and Health Insurance,"
in: Tax Policy and the Economy, Volume 16, pages 37-66
National Bureau of Economic Research, Inc.
- Allen, Steven G, 1981. "An Empirical Model of Work Attendance," The Review of Economics and Statistics, MIT Press, vol. 63(1), pages 77-87, February.
- Johansson, Per & Palme, Marten, 1996. "Do economic incentives affect work absence? Empirical evidence using Swedish micro data," Journal of Public Economics, Elsevier, vol. 59(2), pages 195-218, February.
- 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.
- Johansson, Per & Palme, Mårten, 2001. "Assessing the effect of public policy on worker absenteeism," Working Paper Series 2002:13, IFAU - Institute for Evaluation of Labour Market and Education Policy.
- Coles, Melvyn G. & Treble, John G., 1996. "Calculating the price of worker reliability," Labour Economics, Elsevier, vol. 3(2), pages 169-188, September.
- Dunn, L F & Youngblood, Stuart A, 1986. "Absenteeism as a Mechanism for Approaching an Optimal Labor Market Equilibrium: An Empirical Study," The Review of Economics and Statistics, MIT Press, vol. 68(4), pages 668-74, November.
- Jaap H. Abbring & James J. Heckman & Pierre-André Chiappori & Jean Pinquet, 2003. "Adverse Selection and Moral Hazard In Insurance: Can Dynamic Data Help to Distinguish?," Journal of the European Economic Association, MIT Press, vol. 1(2-3), pages 512-521, 04/05.
- Johansson, Per & Palme, Marten, 2005. "Moral hazard and sickness insurance," Journal of Public Economics, Elsevier, vol. 89(9-10), pages 1879-1890, September.
- Barmby, Tim & Sessions, John G & Treble, John G, 1994. " Absenteeism, Efficiency Wages and Shirking," Scandinavian Journal of Economics, Wiley Blackwell, vol. 96(4), pages 561-66.
- Daniela Andrén, 2007. "Long-term absenteeism due to sickness in Sweden. How long does it take and what happens after?," The European Journal of Health Economics, Springer, vol. 8(1), pages 41-50, March.
- Skatun, John Douglas, 2003. "Take some days off, why don't you?: Endogenous sick leave and pay," Journal of Health Economics, Elsevier, vol. 22(3), pages 379-402, May.
- Doherty, N A, 1979. "National Insurance and Absence from Work," Economic Journal, Royal Economic Society, vol. 89(353), pages 50-65, March.
- Coles, Melvyn G. & Treble, John G., 1993. "The price of worker reliability," Economics Letters, Elsevier, vol. 41(2), pages 149-155.
- Daniel Aaronson & Ellen Rissman & Daniel G. Sullivan, 2004. "Assessing the jobless recovery," Economic Perspectives, Federal Reserve Bank of Chicago, issue Q II, pages 2-21.
- Shapiro, Carl & Stiglitz, Joseph E, 1984. "Equilibrium Unemployment as a Worker Discipline Device," American Economic Review, American Economic Association, vol. 74(3), pages 433-44, June.
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