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The determinants of sick leave durations of Dutch self-employed

机译:荷兰自雇人员的病假持续时间的决定因素

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摘要

This paper analyzes sickness absenteeism among self-employed in the Netherlands. Using a unique data set provided by a large Dutch private insurance company, we assess the determinants of sick leave durations. Our study suggests that several risk factors affect the sick leave durations of self-employed in a similar way as they influence the absence spells of employees according to the literature. For example, the recovery rate decreases with age and claimants suffering from psychological diseases have a lower recovery rate relative to claimants with other disorders. Furthermore, the sick leave durations of self-employed last longer when the economy is booming. In contrast to what the literature generally documents for employees, we do not find any evidence for moral hazard effects with respect to the benefit compensation level. Moreover, the absence spells of self-employed last longer in periods of high unemployment, whereas the opposite effect is usually documented for employees. We do not establish any significant gender differences in the sick leave durations of self-employed. Contract-specific factors such as insurance brand and deferment period are typical characteristics of insurance contracts for self-employed and play an important role in explaining their sick leave durations. Finally, the introduction of insurer-based case management significantly increased the recovery rate of self-employed with an ongoing spell up to 1 year. By contrast, case management did not succeed in improving the recovery rate of claimants trapped in long-term sickness absence.
机译:本文分析了荷兰自雇者的疾病缺勤情况。我们使用荷兰大型私人保险公司提供的独特数据集来评估病假持续时间的决定因素。我们的研究表明,根据文献,有几种风险因素以类似的方式影响自雇者的病假时间,因为它们影响员工的缺勤时间。例如,康复率随着年龄的增长而降低,患有心理疾病的索赔人的康复率相对于患有其他疾病的索赔人而言较低。此外,经济繁荣时,个体经营的病假持续时间更长。与文献中通常为雇员所记录的文献相比,我们没有发现任何关于福利补偿水平的道德风险影响的证据。此外,在高失业率时期,自谋职业的缺席持续时间更长,而对雇员而言,相反的效果通常被证明。在自雇人员的病假期间,我们没有发现任何明显的性别差异。特定于合同的因素,例如保险品牌和延期,是自雇保险合同的典型特征,在解释病假期限方面起着重要作用。最后,基于保险人的案例管理的引入大大提高了自雇人士的恢复率,持续时间长达1年。相比之下,案件管理未能成功地提高长期病假期间被困索赔人的康复率。

著录项

  • 来源
    《Journal of health economics》 |2009年第6期|1185-1196|共12页
  • 作者单位

    Department of Economics & Econometrics, Faculty of Economics and Business, University of Groningen, P.O. Box 800, NL-9700 AV Groningen, The Netherlands;

    Achmea, Occupational Health Division, P.O. Box 700, NL-7300 HC Apeldoorn, The Netherlands;

    Achmea, Occupational Health Division, P.O. Box 700, NL-7300 HC Apeldoorn, The Netherlands;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    sick leave durations; self-employed; case management;

    机译:病假持续时间;自雇;案例管理;

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