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Bargaining for health: A case study of a collective agreement-based health program for manual workers

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  • Pedersen, Morten Saaby
  • Arendt, Jacob Nielsen

Abstract

This paper examines the short- and medium-term effects of the PensionDanmark Health Scheme, the largest privately administered health program for workers in Denmark, which provides prevention and early management of work-related injuries. We use a difference-in-differences approach that exploits a natural variation in the program rollout across collective agreement areas in the construction sector and over time. The results show only little evidence of an effect on the prevention of injuries requiring medical attention in the first 3 years after the program was introduced. Despite this, we find evidence of significant positive effects on several labor market outcomes, suggesting that the program enables some work-injured individuals to maintain their work and earnings capacity. In view of its low costs, the program appears to be cost-effective overall.

Suggested Citation

  • Pedersen, Morten Saaby & Arendt, Jacob Nielsen, 2014. "Bargaining for health: A case study of a collective agreement-based health program for manual workers," Journal of Health Economics, Elsevier, vol. 37(C), pages 123-136.
    • Handle: RePEc:eee:jhecon:v:37:y:2014:i:c:p:123-136
    DOI: 10.1016/j.jhealeco.2014.06.004
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    1. Jason M. Fletcher & Jody L. Sindelar & Shintaro Yamaguchi, 2011. "Cumulative effects of job characteristics on health," Health Economics, John Wiley & Sons, Ltd., vol. 20(5), pages 553-570, May.
    2. Meyer, Bruce D & Viscusi, W Kip & Durbin, David L, 1995. "Workers' Compensation and Injury Duration: Evidence from a Natural Experiment," American Economic Review, American Economic Association, vol. 85(3), pages 322-340, June.
    3. Markus Frölich & Almas Heshmati & Michael Lechner, 2004. "A microeconometric evaluation of rehabilitation of long-term sickness in Sweden," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 19(3), pages 375-396.
    4. Datta Gupta Nabanita & Lau Daniel & Pozzoli Dario, 2016. "The Impact of Education and Occupation on Temporary and Permanent Work Incapacity," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 16(2), pages 577-617, April.
    5. Anne Case & Angus S. Deaton, 2005. "Broken Down by Work and Sex: How Our Health Declines," NBER Chapters, in: Analyses in the Economics of Aging, pages 185-212, National Bureau of Economic Research, Inc.
    6. Høgelund, Jan & Holm, Anders & McIntosh, James, 2010. "Does graded return-to-work improve sick-listed workers' chance of returning to regular working hours?," Journal of Health Economics, Elsevier, vol. 29(1), pages 158-169, January.
    7. Aakvik, Arild & Holmas, Tor Helge & Kjerstad, Egil, 2003. "A low-key social insurance reform--effects of multidisciplinary outpatient treatment for back pain patients in Norway," Journal of Health Economics, Elsevier, vol. 22(5), pages 747-762, September.
    8. Robert Stewart Smith, 1979. "The Impact of OSHA Inspections on Manufacturing Injury Rates," Journal of Human Resources, University of Wisconsin Press, vol. 14(2), pages 145-170.
    9. Kenkel, Donald & Supina, Dylan, 1992. "The determinants of worksite health promotion," Economics Letters, Elsevier, vol. 40(3), pages 345-351, November.
    10. Baicker, Katherine & Cutler, David M. & Song, Zirui, 2010. "Workplace Wellness Programs Can Generate Savings," Scholarly Articles 5345879, Harvard University Department of Economics.
    11. Laun, Lisa & Thoursie, Peter Skogman, 2014. "Does privatisation of vocational rehabilitation improve labour market opportunities? Evidence from a field experiment in Sweden," Journal of Health Economics, Elsevier, vol. 34(C), pages 59-72.
    12. Hogelund, Jan & Holm, Anders, 2006. "Case management interviews and the return to work of disabled employees," Journal of Health Economics, Elsevier, vol. 25(3), pages 500-519, May.
    13. Ziebarth, Nicolas R. & Karlsson, Martin, 2010. "A natural experiment on sick pay cuts, sickness absence, and labor costs," Journal of Public Economics, Elsevier, vol. 94(11-12), pages 1108-1122, December.
    14. Auld, M Christopher & Emery, J C Herbert & Gordon Daniel V & McClintock, Douglas, 2001. "The Efficacy of Construction Site Safety Inspections," Journal of Labor Economics, University of Chicago Press, vol. 19(4), pages 900-921, October.
    15. Rajeev H. Dehejia & Sadek Wahba, 2002. "Propensity Score-Matching Methods For Nonexperimental Causal Studies," The Review of Economics and Statistics, MIT Press, vol. 84(1), pages 151-161, February.
    16. Galizzi, Monica & Boden, Leslie I., 2003. "The return to work of injured workers: evidence from matched unemployment insurance and workers' compensation data," Labour Economics, Elsevier, vol. 10(3), pages 311-337, June.
    17. Morefield Brant & Ribar David C. & Ruhm Christopher J., 2012. "Occupational Status and Health Transitions," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 11(3), pages 1-29, March.
    18. Puhani, Patrick A. & Sonderhof, Katja, 2010. "The effects of a sick pay reform on absence and on health-related outcomes," Journal of Health Economics, Elsevier, vol. 29(2), pages 285-302, March.
    19. Cawley, John & Price, Joshua A., 2013. "A case study of a workplace wellness program that offers financial incentives for weight loss," Journal of Health Economics, Elsevier, vol. 32(5), pages 794-803.
    20. Heckman, J.J. & Hotz, V.J., 1988. "Choosing Among Alternative Nonexperimental Methods For Estimating The Impact Of Social Programs: The Case Of Manpower Training," University of Chicago - Economics Research Center 88-12, Chicago - Economics Research Center.
    21. Leslie I. Boden & John W. Ruser, 2003. "Workers' Compensation "Reforms," Choice of Medical Care Provider, and Reported Workplace Injuries," The Review of Economics and Statistics, MIT Press, vol. 85(4), pages 923-929, November.
    22. Krueger, Alan & Rouse, Cecilia, 1998. "The Effect of Workplace Education on Earnings, Turnover, and Job Performance," Journal of Labor Economics, University of Chicago Press, vol. 16(1), pages 61-94, January.
    23. Huber, Martin & Lechner, Michael & Wunsch, Conny, 2013. "The performance of estimators based on the propensity score," Journal of Econometrics, Elsevier, vol. 175(1), pages 1-21.
    24. Leslie I. Boden & Monica Galizzi, 2003. "Income Losses of Women and Men Injured at Work," Journal of Human Resources, University of Wisconsin Press, vol. 38(3).
    25. Paul Lanoie, 1992. "The Impact of Occupational Safety and Health Regulation on the Risk of Workplace Accidents: Quebec, 1983-87," Journal of Human Resources, University of Wisconsin Press, vol. 27(4), pages 643-660.
    26. Richard J. Butler & Marjorie L. Baldwin & William G. Johnson, 2006. "The Effects of Occupational Injuries After Returns to Work: Work Absences and Losses of On‐the‐Job Productivity," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 73(2), pages 309-334, June.
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    More about this item

    Keywords

    Private sector health program; Work-related injury; Difference-in-differences; Collective agreements; Manual workers;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply
    • J28 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Safety; Job Satisfaction; Related Public Policy
    • J52 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - Dispute Resolution: Strikes, Arbitration, and Mediation

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