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Sickness absence in compulsory and voluntary health insurance: the case of Sweden at the turn of the twentieth century

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  • Lars Fredrik Andersson
  • Liselotte Eriksson

Abstract

At the turn of the twentieth century, Swedish health insurance was organised according to the Western European models of both voluntary, ‘fraternal’ principles and compulsory, ‘factory scheme’ principles. In this paper, we trace the characteristics of both organisational forms, and compare the sickness absence by considering the role of risk selection and mitigation across a large panel of voluntary and compulsory health insurance societies operating in Sweden between 1900 and 1910. We find that voluntary societies used a wide set of rules and practices in order to select and monitor members in order to keep down the number of sick cases. Compulsory societies applied shorter waiting periods and offered more medical treatment, leading to more frequent but shorter sickness absences.

Suggested Citation

  • Lars Fredrik Andersson & Liselotte Eriksson, 2017. "Sickness absence in compulsory and voluntary health insurance: the case of Sweden at the turn of the twentieth century," Scandinavian Economic History Review, Taylor & Francis Journals, vol. 65(1), pages 6-27, January.
    • Handle: RePEc:taf:sehrxx:v:65:y:2017:i:1:p:6-27
    DOI: 10.1080/03585522.2016.1274677
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    Cited by:

    1. Maria Stanfors & Tobias Karlsson & Lars‐Fredrik Andersson & Liselotte Eriksson, 2024. "Between voluntarism and compulsion: Membership in mutual health insurance societies in Swedish manufacturing, c. 1900," Economic History Review, Economic History Society, vol. 77(1), pages 244-267, February.
    2. Lars Fredrik Andersson & Liselotte Eriksson & Paul Nystedt, 2022. "Workplace accidents and workers’ solidarity: mutual health insurance in early twentieth‐century Sweden†," Economic History Review, Economic History Society, vol. 75(1), pages 203-234, February.
    3. Stanfors, Maria & Karlsson, Tobias & Andersson, Lars-Fredrik & Eriksson, Liselotte, 2022. "Membership in Mutual Health Insurance Societies: The Case of Swedish Manufacturing, circa 1900," Lund Papers in Economic History 238, Lund University, Department of Economic History.

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