医院排队、患者健康与劳动供给
Hospital Queues, Patient Health, and Labor Supply
American Economic Journal: Economic Policy · 2024 · [{"name": "Anna Godøy", "affiliation": ["Norwegian Institute of Public Health", "University of Oslo"]}, {"name": "Venke Furre Haaland", "affiliation": ["Statistics Norway", "University of Stavanger"]}, {"name": "Ingrid Huitfeldt", "affiliation": ["Statistics Norway", "BI Norwegian Business School"]}, {"name": "Mark Votruba", "affiliation": ["MetroHealth Medical Center", "Case Western Reserve University"]}]
中文摘要
医疗服务的长时间等待引发了人们对延迟治疗后果的担忧。我们利用排队拥堵程度的变异来估计骨科手术等待时间的影响。我们没有发现更长的等待时间会导致医疗服务利用的增加。然而，我们确实发现劳动供给出现了持续性减少：长时间等待增加了中长期的工作缺勤和永久性残疾救济的领取。这些效应主要由转诊时处于病假状态的个体所驱动。我们的结果与状态依赖模式一致，即在等待治疗期间长期处于暂时性残疾状态，会对重返工作造成持续性障碍。(JEL I11, I12, I18, J22)
Abstract
Long waits for health care raise concerns about the consequences of delayed treatment. We use variation in queue congestion to estimate effects of wait time for orthopedic surgery. We do not find that longer wait times lead to increased health care utilization. However, we do find persistent reductions in labor supply: long waits increase medium to long-term work absences and permanent disability receipt. Effects are driven by individuals who are on sick leave at referral. Our results are consistent with patterns of state dependence, where extended periods of temporary disability while awaiting treatment create persistent barriers to returning to work. (JEL I11, I12, I18, J22)