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The medical doctors as gatekeepers in the sickness insurance?

  • Engström, Per

    ()

    (Uppsala Center for Labor Studies)

  • Johansson, Per

    ()

    (Uppsala Center for Labor Studies)

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.ucls.nek.uu.se/digitalAssets/136/136456_20104.pdf
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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
Contact details of provider: 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
Web page: http://www.nek.uu.se/
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  1. 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.
  2. Hesselius, Patrik & Johansson, Per & Nilsson, Peter, 2009. "Sick of your colleagues' absence?," Working Paper Series 2009:2, IFAU - Institute for Evaluation of Labour Market and Education Policy.
  3. Assar Lindbeck & Marten Palme & Mats Persson, 2008. "Social Interaction and Sickness Absence," CESifo Working Paper Series 2215, CESifo Group Munich.
  4. 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.
  5. Johansson, Per & Palme, Mårten, 1998. "Assessing the effect of a compulsory sickness insurance on worker absenteeism," SSE/EFI Working Paper Series in Economics and Finance 287, Stockholm School of Economics.
  6. Johansson, Per & Palme, Marten, 2005. "Moral hazard and sickness insurance," Journal of Public Economics, Elsevier, vol. 89(9-10), pages 1879-1890, September.
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