Department of Economics, University of Copenhagen and Center for Economic Behavior and Inequality (CEBI), Denmark.
J Health Econ. 2019 May;65:133-152. doi: 10.1016/j.jhealeco.2019.03.008. Epub 2019 Apr 1.
This paper examines the causal effect of retirement on health and healthcare utilization using two identification strategies on Danish full population data. First, I use a reform of the statutory retirement age in an IV design. Second, I use a large discontinuity in retirement take-up at the earliest age of retirement (60) in a regression discontinuity design. The results show that early retirement leads to decreases in GP visits and hospitalizations of 8-10% in the short run. The reduction in GP visits is driven by a drop in female GP utilization, while both genders contribute equally to the decline in hospitalizations. Early retirement has no effect on health measured by comorbidities or mortality. Statutory retirement has no effect on health or healthcare utilization. The results suggest that gender, age at retirement and complier composition are important sources of heterogeneity.
本文利用丹麦全人群数据中的两种识别策略,考察了退休对健康和医疗保健利用的因果影响。首先,我采用法定退休年龄改革进行工具变量分析。其次,我利用最早退休年龄(60 岁)的一个大不连续处进行回归断点设计。结果表明,提前退休会导致短期内 GP 就诊次数和住院次数减少 8-10%。GP 就诊次数的减少主要是由于女性 GP 就诊量下降,而男性和女性对住院次数的下降均有贡献。提前退休对通过合并症或死亡率衡量的健康没有影响。法定退休对健康或医疗保健的利用没有影响。结果表明,性别、退休年龄和遵从者构成是异质性的重要来源。