The effectiveness of medical and vocational interventions for reducing sick leave of self-employed workers

Stijn Baert*, Bas van der Klaauw, Gijsbert van Lomwel

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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Abstract

We investigate whether interventions by (a) medical doctors and (b) occupational specialists are effective in reducing sick leave durations among self-employed workers. Therefore, we exploit unique administrative data comprising all sick leave claims by self-employed workers insured with a major Dutch private insurer between January 2009 and March 2014. We estimate a multivariate duration model dealing with nonrandom selection into the two intervention types by controlling for observable and unobservable claimant characteristics. We find adverse treatment effects for both interventions, irrespective of whether they are started early or (middle) late in the sickness spell.

Original languageEnglish
Pages (from-to)e139-e152
Number of pages14
JournalHealth Economics (United Kingdom)
Volume27
Issue number2
Early online date22 Aug 2017
DOIs
Publication statusPublished - Feb 2018

Keywords

  • dynamic treatment effects
  • medical interventions
  • moral hazard
  • self-employment
  • sick leave

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