IDEAS home Printed from https://ideas.repec.org/p/ver/wpaper/18-2015.html
   My bibliography  Save this paper

Who should monitor job sick leave?

Author

Listed:
  • Carlo Alberto Biscardo

    (INPS, Verona)

  • Alessandro Bucciol

    (Department of Economics (University of Verona))

  • Paolo Pertile

    (Department of Economics (University of Verona))

Abstract

We use a large and unique administrative dataset from Italy, covering the period 2009-2014, to investigate opportunistic behavior (moral hazard) and the effectiveness of monitoring policies related to insurance against illness-related income losses. The analysis is based on the outcome of mandatory medical visits aimed at verifying the health status of employees during sickness spells. We find that employers are more effective than the public insurer in selecting sickness episodes to monitor. However, a reduction in the number and a better targeting of visits with the support of appropriate statistical tools may close the gap. We discuss the impact of using direct measures of health, such as the outcome of a medical visit, on the study of the determinants of opportunistic behavior and argue that simply looking at days of work lost, without appropriately controlling for health status, may lead to misleading conclusions if the goal is studying moral hazard.

Suggested Citation

  • Carlo Alberto Biscardo & Alessandro Bucciol & Paolo Pertile, 2015. "Who should monitor job sick leave?," Working Papers 18/2015, University of Verona, Department of Economics.
    • Handle: RePEc:ver:wpaper:18/2015
    as

    Download full text from publisher

    File URL: http://dse.univr.it/home/workingpapers/wp2015n18.pdf
    File Function: First version
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Heywood, John S. & Jirjahn, Uwe & Wei, Xiangdong, 2008. "Teamwork, monitoring and absence," Journal of Economic Behavior & Organization, Elsevier, vol. 68(3-4), pages 676-690, December.
    2. Leigh, J. Paul, 1985. "The effects of unemployment and the business cycle on absenteeism," Journal of Economics and Business, Elsevier, vol. 37(2), pages 159-170, May.
    3. Stefan Pichler & Nicolas R. Ziebarth, 2015. "The Pros and Cons of Sick Pay Schemes: Testing for Contagious Presenteeism and Shirking Behavior," Discussion Papers of DIW Berlin 1509, DIW Berlin, German Institute for Economic Research.
    4. René Böheim & Thomas Leoni, 2014. "Firms' Sickness Costs and Workers' Sickness Absences," NBER Working Papers 20305, National Bureau of Economic Research, Inc.
    5. Tim A. Barmby & Marco G. Ercolani & John G. Treble, 2002. "Sickness Absence: An International Comparison," Economic Journal, Royal Economic Society, vol. 112(480), pages 315-331, June.
    6. Coles, Melvyn G. & Treble, John G., 1996. "Calculating the price of worker reliability," Labour Economics, Elsevier, vol. 3(2), pages 169-188, September.
    7. Gilleskie, Donna, 2010. "Work absences and doctor visits during an illness episode: The differential role of preferences, production, and policies among men and women," Journal of Econometrics, Elsevier, vol. 156(1), pages 148-163, May.
    8. Nicolas R. Ziebarth & Martin Karlsson, 2014. "The Effects Of Expanding The Generosity Of The Statutory Sickness Insurance System," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 29(2), pages 208-230, March.
    9. Hartman, Laura & Hesselius, Patrik & Johansson, Per, 2013. "Effects of eligibility screening in the sickness insurance: Evidence from a field experiment," Labour Economics, Elsevier, vol. 20(C), pages 48-56.
    10. 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.
    11. Andrea Ichino & Enrico Moretti, 2009. "Biological Gender Differences, Absenteeism, and the Earnings Gap," American Economic Journal: Applied Economics, American Economic Association, vol. 1(1), pages 183-218, January.
    12. Per Engström & Per Johansson, 2012. "The medical doctors as gatekeepers in the sickness insurance?," Applied Economics, Taylor & Francis Journals, vol. 44(28), pages 3615-3625, October.
    13. Xenia Scheil-Adlung & Lydia Sandner, 2010. "Evidence on paid sick leave: Observations in times of crisis," Intereconomics: Review of European Economic Policy, Springer;ZBW - Leibniz Information Centre for Economics;Centre for European Policy Studies (CEPS), vol. 45(5), pages 313-321, September.
    14. Mark V. Pauly & Sean Nicholson & Daniel Polsky & Marc L. Berger & Claire Sharda, 2008. "Valuing reductions in on‐the‐job illness: ‘presenteeism’ from managerial and economic perspectives," Health Economics, John Wiley & Sons, Ltd., vol. 17(4), pages 469-485, April.
    15. Olsson, Martin, 2009. "Employment protection and sickness absence," Labour Economics, Elsevier, vol. 16(2), pages 208-214, April.
    16. Weiss, Andrew, 1985. "Absenteeism and wages," Economics Letters, Elsevier, vol. 19(3), pages 277-279.
    17. Pichler, Stefan & Ziebarth, Nicolas R., 2015. "The Pros and Cons of Sick Pay Schemes: A Method to Test for Contagious Presenteeism and Shirking Behavior," VfS Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 112940, Verein für Socialpolitik / German Economic Association.
    18. Stefan Pichler, 2015. "Sickness Absence, Moral Hazard, and the Business Cycle," Health Economics, John Wiley & Sons, Ltd., vol. 24(6), pages 692-710, June.
    19. Mariesa A. Herrmann & Jonah E. Rockoff, 2012. "Does Menstruation Explain Gender Gaps in Work Absenteeism?," Journal of Human Resources, University of Wisconsin Press, vol. 47(2), pages 493-508.
    20. Christian Pfeifer, 2013. "Cyclical Absenteeism Among Private Sector, Public Sector And Self‐Employed Workers," Health Economics, John Wiley & Sons, Ltd., vol. 22(3), pages 366-370, March.
    21. 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, November.
    22. Paringer, Lynn, 1983. "Women and Absenteeism: Health or Economics?," American Economic Review, American Economic Association, vol. 73(2), pages 123-127, May.
    23. Maria De Paola & Vincenzo Scoppa & Valeria Pupo, 2014. "Absenteeism in the Italian Public Sector: The Effects of Changes in Sick Leave Policy," Journal of Labor Economics, University of Chicago Press, vol. 32(2), pages 337-360.
    24. Jody Heymann & Hye Jin Rho & John Schmitt & Alison Earle, 2009. "Contagion Nation: A Comparison of Paid Sick Day Policies in 22 Countries," CEPR Reports and Issue Briefs 2009-19, Center for Economic and Policy Research (CEPR).
    25. Jahangir Khan & Clas Rehnberg, 2009. "Perceived job security and sickness absence: a study on moral hazard," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 10(4), pages 421-428, October.
    26. Dew, Kevin & Keefe, Vera & Small, Keitha, 2005. "'Choosing' to work when sick: workplace presenteeism," Social Science & Medicine, Elsevier, vol. 60(10), pages 2273-2282, May.
    27. Geetha M. Waehrer & Ted R. Miller, 2003. "Restricted Work, Workers’ Compensation, and Days Away from Work," Journal of Human Resources, University of Wisconsin Press, vol. 38(4).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Carlo Alberto Biscardo & Alessandro Bucciol & Paolo Pertile, 2019. "Job sick leave: Detecting opportunistic behavior," Health Economics, John Wiley & Sons, Ltd., vol. 28(3), pages 373-386, March.
    2. Stefan Pichler & Nicolas R. Ziebarth, 2020. "Labor Market Effects of U.S. Sick Pay Mandates," Journal of Human Resources, University of Wisconsin Press, vol. 55(2), pages 611-659.
    3. Stefan Pichler & Nicolas R. Ziebarth, 2015. "The Pros and Cons of Sick Pay Schemes: Testing for Contagious Presenteeism and Shirking Behavior," Discussion Papers of DIW Berlin 1509, DIW Berlin, German Institute for Economic Research.
    4. Pichler, Stefan & Ziebarth, Nicolas R., 2019. "Reprint of: The pros and cons of sick pay schemes: Testing for contagious presenteeism and noncontagious absenteeism behavior," Journal of Public Economics, Elsevier, vol. 171(C), pages 86-104.
    5. Pichler, Stefan & Ziebarth, Nicolas R., 2017. "The pros and cons of sick pay schemes: Testing for contagious presenteeism and noncontagious absenteeism behavior," Journal of Public Economics, Elsevier, vol. 156(C), pages 14-33.
    6. Pichler, Stefan & Ziebarth, Nicolas R., 2015. "The Pros and Cons of Sick Pay Schemes: A Method to Test for Contagious Presenteeism and Shirking Behavior," VfS Annual Conference 2015 (Muenster): Economic Development - Theory and Policy 112940, Verein für Socialpolitik / German Economic Association.
    7. René Böheim & Thomas Leoni, 2014. "Firms' Sickness Costs and Workers' Sickness Absences," NBER Working Papers 20305, National Bureau of Economic Research, Inc.
    8. Maclean, J. Catherine & Pichler, Stefan & Ziebarth, Nicolas R., 2020. "Mandated Sick Pay: Coverage, Utilization, and Welfare Effects," IZA Discussion Papers 13132, Institute of Labor Economics (IZA).
    9. Ziebarth, Nicolas R., 2013. "Long-term absenteeism and moral hazard—Evidence from a natural experiment," Labour Economics, Elsevier, vol. 24(C), pages 277-292.
    10. Pouliakas, Konstantinos & Theodossiou, Ioannis, 2010. "An Inquiry Into The Theory, Causes And Consequences Of Monitoring Indicators Of Health And Safety At Work," SIRE Discussion Papers 2010-120, Scottish Institute for Research in Economics (SIRE).
    11. Sebastien Menard, 2021. "Optimal sickness benefits in a principal–agent model," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 57(1), pages 5-33, July.
    12. Aaviksoo, Evelyn & Kiivet, Raul Allan, 2016. "Influence of the sickness benefit reform on sickness absence," Health Policy, Elsevier, vol. 120(9), pages 1070-1078.
    13. Joyce Burnette, 2021. "Missing work: absenteeism at Pepperell Manufacturing Co. in 1883," Cliometrica, Springer;Cliometric Society (Association Francaise de Cliométrie), vol. 15(3), pages 755-786, September.
    14. Johanna Catherine Maclean & Stefan Pichler & Nicolas R. Ziebarth, 2020. "Mandated Sick Pay: Coverage, Utilization, and Crowding-In," NBER Working Papers 26832, National Bureau of Economic Research, Inc.
    15. Kieu‐Dung Nguyen & Van‐AnhThi Tran & Duc‐Thanh Nguyen, 2021. "Social insurance reform and absenteeism in Vietnam," International Journal of Social Welfare, John Wiley & Sons, vol. 30(2), pages 193-207, April.
    16. Boris HirschBy & Daniel S. J. Lechmann & Claus Schnabel, 2017. "Coming to work while sick: an economic theory of presenteeism with an application to German data," Oxford Economic Papers, Oxford University Press, vol. 69(4), pages 1010-1031.
    17. Thomas Leoni & René Böheim, 2018. "Fehlzeitenreport 2018. Krankheits- und unfallbedingte Fehlzeiten in Österreich – Präsentismus und Absentismus," WIFO Studies, WIFO, number 61487, April.
    18. Pichler, Stefan & Ziebarth, Nicolas R., 2024. "Sick leave and medical leave in the United States: A categorization and recent trends," ZEW Discussion Papers 24-011, ZEW - Leibniz Centre for European Economic Research.
    19. Ahn, Thomas & Yelowitz, Aaron, 2016. "Paid Sick Leave and Absenteeism: The First Evidence from the U.S," MPRA Paper 69794, University Library of Munich, Germany.
    20. De Paola, Maria, 2010. "Absenteeism and peer interaction effects: Evidence from an Italian Public Institute," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 39(3), pages 420-428, June.

    More about this item

    Keywords

    sick leave insurance; moral hazard; absenteeism; work ability;
    All these keywords.

    JEL classification:

    • D03 - Microeconomics - - General - - - Behavioral Microeconomics: Underlying Principles
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ver:wpaper:18/2015. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Michael Reiter (email available below). General contact details of provider: https://edirc.repec.org/data/isverit.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.