The Anatomy of Absenteeism Markussen, Simen; Roed, Knut; R√łgeberg, Ole J.; ...

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Markussen, Simen ; Roed, Knut ; R√łgeberg, Ole J. ; Gaure, Simen
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Journal of Health Economics
Absenteeism (Labour) Analysis ; Health care industry; Absenteeism (Labor) -- Analysis
To link to full-text access for this article, visit this link: Byline: Simen Markussen, Knut Roed, Ole J. Rogeberg, Simen Gaure Keywords: Sickness absence; Multivariate hazards; MMPH; NPMLE Abstract: Based on comprehensive administrative register data from Norway, we examine the determinants of sickness absence behavior; in terms of employee characteristics, workplace characteristics, panel doctor characteristics, and economic conditions. The analysis is based on a novel concept of a worker's steady state sickness absence propensity, computed from a multivariate hazard rate model designed to predict the incidence and duration of sickness absence for all workers. Key conclusions are that (i) most of the cross-sectional variation in absenteeism is caused by genuine employee heterogeneity; (ii) the identity of a person's panel doctor has a significant impact on absence propensity; (iii) sickness absence insurance is frequently certified for reasons other than sickness; and (iv) the recovery rate rises enormously just prior to the exhaustion of sickness insurance benefits. Author Affiliation: Ragnar Frisch Centre for Economic Research, Gaustadalleen 21, 0349 Oslo, Norway Article History: Received 14 April 2009; Revised 17 August 2010; Accepted 9 December 2010 Article Note: (footnote) [star] This paper is part of the project "A viable welfare state" financed by the Norwegian Research Council. One of the authors (Ole Rogeberg) has also received financial support from the Health Economics Research Programme at the University of Oslo - HERO. We wish to thank Erik Biorn, Harald Goldstein, and participants at the ESPE 2009 congress in Seville for comments.
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