Physicians, sick leave certificates, and patients' subsequent employment outcomes

B-Tier
Journal: Health Economics
Year: 2018
Volume: 27
Issue: 6
Pages: 923-936

Score contribution per author:

2.011 = (α=2.01 / 1 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

I analyze how general practitioners (GPs) indirectly affect their patients' employment outcomes by deciding the length of sick leaves. I use an instrumental variables framework where spell durations are identified through supply‐side certification measures. I find that a day of sick leave certified only because the worker's GP has a high propensity to certify sick leaves decreases the employment probability persistently by 0.45–0.69 percentage points, but increases the risk of becoming unemployed by 0.28–0.44 percentage points. These effects are mostly driven by workers with low job tenure. Several robustness checks show that endogenous matching between patients and GPs does not impair identification. My results bear important implications for doctors: Whenever medically justifiable, certifying shorter sick leaves to protect the employment status of the patient may be beneficial.

Technical Details

RePEc Handle
repec:wly:hlthec:v:27:y:2018:i:6:p:923-936
Journal Field
Health
Author Count
1
Added to Database
2026-01-24