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The changing of the guards

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  • Markussen, Simen
  • Røed, Knut
  • Røgeberg, Ole

Abstract

Using administrative data from Norway, we examine the extent to which family doctors influence their clients’ propensity to claim sick-pay. The analysis exploits exogenous switches of family doctors occurring when physicians quit, retire, or for other reasons sell their patient lists. We find that family doctors have significant influence on their clients’ absence behavior, particularly on absence duration. Their influence is stronger in geographical areas with weaker competition between physicians. We conclude that it is possible for family doctors to contain sick-pay expenditures to some extent, and that there is a considerable variation in the way they perform this task.

Suggested Citation

  • Markussen, Simen & Røed, Knut & Røgeberg, Ole, 2013. "The changing of the guards," Journal of Health Economics, Elsevier, vol. 32(6), pages 1230-1239.
  • Handle: RePEc:eee:jhecon:v:32:y:2013:i:6:p:1230-1239
    DOI: 10.1016/j.jhealeco.2013.10.005
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    References listed on IDEAS

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    Cited by:

    1. Gaute Torsvik & Kjell Vaage, 2014. "Gatekeeping versus Monitoring: Evidence from a Case with Extended Self-Reporting of Sickness Absence," CESifo Working Paper Series 5113, CESifo.

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    More about this item

    Keywords

    Sick-pay; GP practice styles; Absence certification; Gatekeepers; Family doctors;
    All these keywords.

    JEL classification:

    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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