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Spillovers from gatekeeping – Peer effects in absenteeism

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  • Godøy, Anna
  • Dale-Olsen, Harald

Abstract

We study peer effects in absenteeism among workplace colleagues. Gatekeeping is an essential task in many insurance systems. In this study we exploit exogenous shifts of general practitioners (GPs) occurring when physicians quit or retire. We find that these shifts induce changes in absenteeism for affected workers. By utilizing high-quality Norwegian matched employer-employee data with detailed individual information on certified sick leave during the period 2003–2012, we can study how the transfer of workers between GPs affects co-workers' absenteeism. We identify strong causal positive peer effects in absenteeism: a one day change in focal worker sickness absence transfers to a 0.41 day shift in peer absence.

Suggested Citation

  • Godøy, Anna & Dale-Olsen, Harald, 2018. "Spillovers from gatekeeping – Peer effects in absenteeism," Journal of Public Economics, Elsevier, vol. 167(C), pages 190-204.
    • Handle: RePEc:eee:pubeco:v:167:y:2018:i:c:p:190-204
    DOI: 10.1016/j.jpubeco.2018.08.015
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    2. Simonsen, Marianne & Skipper, Lars & Skipper, Niels & Thingholm, Peter Rønø, 2021. "Discontinuity in care: Practice closures among primary care providers and patient health care utilization," Journal of Health Economics, Elsevier, vol. 80(C).
    3. Emilia Simeonova & Niels Skipper & Peter R. Thingholm, 2020. "Physician Health Management Skills and Patient Outcomes," NBER Working Papers 26735, National Bureau of Economic Research, Inc.
    4. Gershenson, Seth & Lindsay, Constance A. & Papageorge, Nicholas W. & Campbell, Romaine & Rendon, Jessica H., 2023. "Spillover Effects of Black Teachers on White Teachers' Racial Competency: Mixed Methods Evidence from North Carolina," IZA Discussion Papers 16258, Institute of Labor Economics (IZA).
    5. Rinsky-Halivni, Lilah & Hovav, Boaz & Christiani, David C. & Brammli-Greenberg, Shuli, 2022. "Aging workforce with reduced work capacity: From organizational challenges to successful accommodations sustaining productivity and well-being," Social Science & Medicine, Elsevier, vol. 312(C).
    6. Willén, Alexander & Willage, Barton & Riise, Julie, 2022. "Employment Protection and Child Development," Discussion Paper Series in Economics 19/2022, Norwegian School of Economics, Department of Economics.
    7. Mario Lackner & Hendrik Sonnabend, 2023. "Presenteeism when employers are under pressure: evidence from a high‐stakes environment," Economica, London School of Economics and Political Science, vol. 90(358), pages 477-507, April.

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    More about this item

    Keywords

    Sickness absence; Social interaction; General practitioners; Co-workers; Panel data;
    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
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • Z13 - Other Special Topics - - Cultural Economics - - - Economic Sociology; Economic Anthropology; Language; Social and Economic Stratification

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