医生、病假证明与患者后续就业结果

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

Health Economics · 2018
被引 10
人大 A-

中文导读

研究全科医生通过决定病假时长间接影响患者就业结果,发现因医生倾向而多开的病假会降低就业概率并增加失业风险,对低工龄工人影响更大。

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.

全科医生病假证明就业结局工具变量