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The market for paid sick leave

Lenke til artikkel:

[DOI] [PDF]

Forfattere:

Markussen, Simen and Knut Røed

År:

2017

Referanse:

Journal of Health Economics

Summary

In many countries, general practitioners (GPs) are assigned the task of controlling the validity of their own patients’ insurance claims. At the same time, they operate in a market where patients are customers free to choose their GP. Are these roles compatible? Can we trust that the gatekeeping decisions are untainted by private economic interests? Based on administrative registers from Norway with records on sick pay certification and GP-patient relationships, we present evidence to the contrary: GPs are more lenient gatekeepers the more competitive is the physician market, and a reputation for lenient gatekeeping increases the demand for their services.

Nøkkelord:

Absenteeism, Gatekeeping, Competition, Role-conflicts

JEL:

H55,I11,I18

Prosjekt info:

Oppdragsgiver: Norges forskningsråd
Oppdragsgivers prosjektnr.: 227103
Frisch prosjekt: 4134 - Disentangling absence patterns