TY  - RPRT
        AU  - Markussen, Simen
AU  - Røed, Knut
        TI  - The Market for Paid Sick Leave
        PY  - 2016/Mar/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 9825
        UR  - https://www.iza.org/index.php/publications/dp9825
        AB  - In many countries, general practitioners (GPs) are assigned the task of controlling the validity of their own patients' insurance claims. At the same time, they operate in a market where patients are customers free to choose their GP. Are these roles compatible? Can we trust that the gatekeeping decisions are untainted by private economic interests? Based on administrative registers from Norway with records on sick pay certification and GP-patient relationships, we present evidence to the contrary: GPs are more lenient gatekeepers the more competitive is the physician market, and a reputation for lenient gatekeeping increases the demand for their services.
        KW  - absenteeism
KW  - gatekeeping
KW  - competition
KW  - role-conflicts
        ER  -