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Closing the Gates? Evidence from a Natural Experiment on Physicians’ Sickness Certification
By Markussen, Simen
Memorandum 19/2009
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Abstract |
This paper exploits a Norwegian physician directed reform aimed to reduce sick-leave. Physicians were required to consider part-time sick-leave as the default treatment and – in the case of long lasting full-time sick-leave – to file a report documenting why the worker was unable to perform any work related activities. The reform had a large impact, reducing sick-leave by 18.8 percent. The main effect came from reduced spell duration – which can be directly linked to the extended documentation requirement laid on physicians within the first 8 weeks of a sick-leave spell. Physician-directed policies may be an (cost-) effective way of reducing sick-leave. |
| JEL Classification:
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H53, I18, J28 |
| Keywords:
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Labor market policies, sick-leave, physicians’ gate keeping |
| Project:
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4132 Absenteeism in Norway - Causes, Censequences, and Policy Implications
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