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

Summary 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 m...

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Bibliographic Details
Published in:Health economics 2018-02, Vol.27 (2), p.e139-e152
Main Authors: Baert, Stijn, van der Klaauw, Bas, van Lomwel, Gijsbert
Format: Article
Language:English
Subjects:
Adult
Claimants
Cost-Benefit Analysis
dynamic treatment effects
Early intervention
Employment - statistics & numerical data
Female
Health care
Health economics
Humans
Insurance Claim Review
Male
medical interventions
Middle Aged
Models, Econometric
moral hazard
Netherlands
Occupations
Physicians
Self employment
Sick leave
Sick Leave - statistics & numerical data
Studies
Workers
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Summary:Summary 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.
ISSN:1057-9230
1099-1050
DOI:10.1002/hec.3578