Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis

1. Person: Johansson, Per
Weitere Personen: Nilsson, Martin
Format: Online-Artikel
Sprache: English
Veröffentlicht: Institute for Labour Market Policy Evaluation 2012
Serien: Working Paper
Schlagworte: Gesetzliche Krankenversicherung
Erwerbsunfähigkeitsrente
Dezentralisierung
Bewertung
Kosten-Nutzen-Analyse
Schweden
Public health insurance
Disability benefits
Decentralization
Evaluation
Cost-benefit analysis
Sweden
Online Zugang: https://www.econstor.eu/bitstream/10419/82242/1/685223833.pdf
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recordtype
econstor
institution
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ECONSTOR
title
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
spellingShingle
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
Gesetzliche Krankenversicherung
Erwerbsunfähigkeitsrente
Dezentralisierung
Bewertung
Kosten-Nutzen-Analyse
Schweden
Public health insurance
Disability benefits
Decentralization
Evaluation
Cost-benefit analysis
Sweden
Johansson, Per
Working Paper
title_short
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
title_full
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
title_fullStr
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
title_full_unstemmed
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
title_sort
Should sickness insurance and health care be administrated by the same jurisdiction? An empirical analysis
format
electronic Article
format_phy_str_mv
Paper
publisher
Institute for Labour Market Policy Evaluation
publishDate
2012
language
English
topic
Gesetzliche Krankenversicherung
Erwerbsunfähigkeitsrente
Dezentralisierung
Bewertung
Kosten-Nutzen-Analyse
Schweden
Public health insurance
Disability benefits
Decentralization
Evaluation
Cost-benefit analysis
Sweden
topic_facet
Public health insurance
Disability benefits
Decentralization
Evaluation
Cost-benefit analysis
Sweden
author
Johansson, Per
author2
Nilsson, Martin
author2Str
Nilsson, Martin
description
Sweden has obligatory sickness and disability insurance which is both financed (from payroll taxes) and administrated by the government. In order to receive sickness benefits, insured individuals must have certificates issued by a medical doctor. Since health care is administrated at the county level, this means that monitoring is, to some extent, decentralized at a lower jurisdictional level than the funding and governance of the insurance. This paper studies one consequence of such decentralization: the effet on individual sickness absence when such certificates are not approved be the Sickness Insurance Agency (SIA) and are instead re-remitted to the doctor completion and, potential, reapproval by the SIA. We find that this re-remission increases the length of sickness absence spells by an average of 30 percent. A suggestive test of the reason for the observed effect indicates that it is due to a decrease in health caused by increased stress related to the uncertainty about entitlement and future sickness benefits. Given that added resorces improve the quality of the patients' medical certificates, directed intergovernmental grants from the state to the counties would be cost saving.
url
https://www.econstor.eu/bitstream/10419/82242/1/685223833.pdf
series
Working Paper
seriesStr
Working Paper
Working Paper
series2
Working Paper
series2_facet
Working Paper
up_date
2019-09-23T02:54:22.661Z
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1645433102490664962

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