[go: up one dir, main page]

IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v31y2022i6p1012-1032.html
   My bibliography  Save this article

The effect of involuntary retirement on healthcare use

Author

Listed:
  • Anikó Bíró
  • Réka Branyiczki
  • Péter Elek
Abstract
We analyze the causal effect of involuntary retirement on detailed indicators of healthcare use and mortality. We leverage a pension reform in Hungary which forced public sector workers above the statutory retirement age to full time retirement. Using rich administrative data, we find that on the 3‐year horizon, involuntary retirement decreases the number of primary care doctor visits, the use of systemic antiinfectives and respiratory drugs, and the non‐zero spending on antiinfectives, the drugs of the alimentary tract and metabolism and of the cardiovascular system. The impact on the latter two drug categories is driven by the drop in income due to involuntary retirement. We conclude that there is little evidence for health deteriorating effects of involuntary retirement and discuss the possible mechanisms behind our results.

Suggested Citation

  • Anikó Bíró & Réka Branyiczki & Péter Elek, 2022. "The effect of involuntary retirement on healthcare use," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1012-1032, June.
  • Handle: RePEc:wly:hlthec:v:31:y:2022:i:6:p:1012-1032
    DOI: 10.1002/hec.4493
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4493
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.4493?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Frimmel, Wolfgang & Pruckner, Gerald J., 2020. "Retirement and healthcare utilization," Journal of Public Economics, Elsevier, vol. 184(C).
    2. Kuhn, Michael & Wrzaczek, Stefan & Prskawetz, Alexia & Feichtinger, Gustav, 2015. "Optimal choice of health and retirement in a life-cycle model," Journal of Economic Theory, Elsevier, vol. 158(PA), pages 186-212.
    3. Warman, Casey & Worswick, Christopher, 2010. "Mandatory Retirement Rules and the Retirement Decisions of University Professors in Canada," Labour Economics, Elsevier, vol. 17(6), pages 1022-1029, December.
    4. Zhang, Yi & Salm, Martin & van Soest, Arthur, 2018. "The effect of retirement on healthcare utilization: Evidence from China," Journal of Health Economics, Elsevier, vol. 62(C), pages 165-177.
    5. Coe, Norma B. & Zamarro, Gema, 2011. "Retirement effects on health in Europe," Journal of Health Economics, Elsevier, vol. 30(1), pages 77-86, January.
    6. Eibich, Peter, 2015. "Understanding the Effect of Retirement on Health: Mechanisms and Heterogeneity," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 43, pages 1-12.
    7. Kevin Neuman, 2008. "Quit Your Job and Get Healthier? The Effect of Retirement on Health," Journal of Labor Research, Springer, vol. 29(2), pages 177-201, June.
    8. Orley Ashenfelter & David Card, 2002. "Did the Elimination of Mandatory Retirement Affect Faculty Retirement?," American Economic Review, American Economic Association, vol. 92(4), pages 957-980, September.
    9. Rose, Liam, 2020. "Retirement and health: Evidence from England," Journal of Health Economics, Elsevier, vol. 73(C).
    10. Celidoni, Martina & Dal Bianco, Chiara & Weber, Guglielmo, 2017. "Retirement and cognitive decline. A longitudinal analysis using SHARE data," Journal of Health Economics, Elsevier, vol. 56(C), pages 113-125.
    11. Gove, Walter R., 1984. "Gender differences in mental and physical illness: The effects of fixed roles and nurturant roles," Social Science & Medicine, Elsevier, vol. 19(2), pages 77-84, January.
    12. Emslie, Carol & Fuhrer, Rebecca & Hunt, Kate & Macintyre, Sally & Shipley, Martin & Stansfeld, Stephen, 2002. "Gender differences in mental health: evidence from three organisations," Social Science & Medicine, Elsevier, vol. 54(4), pages 621-624, February.
    13. Clémentine Garrouste & Elsa Perdrix, 2021. "Is there a consensus on the health consequences of retirement? A literature review," Post-Print hal-03384922, HAL.
    14. Nielsen, Nick Fabrin, 2019. "Sick of retirement?," Journal of Health Economics, Elsevier, vol. 65(C), pages 133-152.
    15. Hessel, Philipp, 2016. "Does retirement (really) lead to worse health among European men and women across all educational levels?," Social Science & Medicine, Elsevier, vol. 151(C), pages 19-26.
    16. Titus Galama & Arie Kapteyn & Raquel Fonseca & Pierre‐Carl Michaud, 2013. "A Health Production Model With Endogenous Retirement," Health Economics, John Wiley & Sons, Ltd., vol. 22(8), pages 883-902, August.
    17. Stefanie Behncke, 2012. "Does retirement trigger ill health?," Health Economics, John Wiley & Sons, Ltd., vol. 21(3), pages 282-300, March.
    18. William T. Gallo & Elizabeth H. Bradley & Michele Siegel & Stanislav V. Kasl, 2000. "Health Effects of Involuntary Job Loss Among Older Workers," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 55(3), pages 131-140.
    19. William T. Gallo & Elizabeth H. Bradley & Joel A. Dubin & Richard N. Jones & Tracy A. Falba & Hsun-Mei Teng & Stanislav V. Kasl, 2006. "The Persistence of Depressive Symptoms in Older Workers Who Experience Involuntary Job Loss: Results From the Health and Retirement Survey," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(4), pages 221-228.
    20. Anikó Bíró & Péter Elek, 2018. "How does retirement affect healthcare expenditures? Evidence from a change in the retirement age," Health Economics, John Wiley & Sons, Ltd., vol. 27(5), pages 803-818, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Todd Morris & Benoit Dostie, 2023. "Graying and staying on the job: The welfare implications of employment protection for older workers," Cahiers de recherche / Working Papers 15, Institut sur la retraite et l'épargne / Retirement and Savings Institute.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anikó Bíró & Réka Branyiczki & Péter Elek, 2021. "The Effect of Involuntary Retirement on Healthcare Use and Health Status," CERS-IE WORKING PAPERS 2122, Institute of Economics, Centre for Economic and Regional Studies.
    2. Clémentine Garrouste & Elsa Perdrix, 2022. "Is there a consensus on the health consequences of retirement? A literature review," Journal of Economic Surveys, Wiley Blackwell, vol. 36(4), pages 841-879, September.
    3. Mattia Filomena & Matteo Picchio, 2023. "Retirement and health outcomes in a meta‐analytical framework," Journal of Economic Surveys, Wiley Blackwell, vol. 37(4), pages 1120-1155, September.
    4. Eibich, Peter & Goldzahl, Léontine, 2021. "Does retirement affect secondary preventive care use? Evidence from breast cancer screening," Economics & Human Biology, Elsevier, vol. 43(C).
    5. Barschkett, Mara & Geyer, Johannes & Haan, Peter & Hammerschmid, Anna, 2022. "The effects of an increase in the retirement age on health — Evidence from administrative data," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    6. Leimer, Birgit & van Ewijk, Reyn, 2022. "No “honeymoon phase”: whose health benefits from retirement and when," Economics & Human Biology, Elsevier, vol. 47(C).
    7. Kuusi, T. & Martikainen, P. & Valkonen, T., 2020. "The influence of old-age retirement on health: Causal evidence from the Finnish register data," The Journal of the Economics of Ageing, Elsevier, vol. 17(C).
    8. Jan C. van Ours, 2022. "How Retirement Affects Mental Health, Cognitive Skills and Mortality; An Overview of Recent Empirical Evidence," De Economist, Springer, vol. 170(3), pages 375-400, August.
    9. Yuanrong Xu, 2023. "The effect of retirement on health and mortality in the United States," Journal of Population Research, Springer, vol. 40(2), pages 1-22, June.
    10. Zhang, Yi & Salm, Martin & van Soest, Arthur, 2018. "The effect of retirement on healthcare utilization: Evidence from China," Journal of Health Economics, Elsevier, vol. 62(C), pages 165-177.
    11. Anikó Bíró & Péter Elek, 2018. "How does retirement affect healthcare expenditures? Evidence from a change in the retirement age," Health Economics, John Wiley & Sons, Ltd., vol. 27(5), pages 803-818, May.
    12. Thang Dang, 2022. "Retirement and health services utilization in a low‐income country," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 30(3), pages 597-620, July.
    13. Mohamed Ebeid & Umut Oguzoglu, 2023. "Short‐term effect of retirement on health: Evidence from nonparametric fuzzy regression discontinuity design," Health Economics, John Wiley & Sons, Ltd., vol. 32(6), pages 1323-1343, June.
    14. Yingying Zhang & Steve Bradley & Robert Crouchley, 2023. "Gender Differences in the Effect of Retirement Duration on Cognitive Functioning," Working Papers 379420912, Lancaster University Management School, Economics Department.
    15. Chen, Fengming & Wakabayashi, Midori & Yuda, Michio, 2024. "The impact of retirement on health: Empirical evidence from the change in public pensionable age in Japan," The Journal of the Economics of Ageing, Elsevier, vol. 28(C).
    16. Qin Zhou & Karen Eggleston & Gordon G. Liu, 2021. "Healthcare utilization at retirement in China," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2618-2636, November.
    17. Pedron, Sara & Maier, Werner & Peters, Annette & Linkohr, Birgit & Meisinger, Christine & Rathmann, Wolfgang & Eibich, Peter & Schwettmann, Lars, 2020. "The effect of retirement on biomedical and behavioral risk factors for cardiovascular and metabolic disease," Economics & Human Biology, Elsevier, vol. 38(C).
    18. Matteo Picchio & Jan C. van Ours, 2020. "Mental Health Effects of Retirement," De Economist, Springer, vol. 168(3), pages 419-452, September.
    19. Aspen Gorry & Devon Gorry & Sita Nataraj Slavov, 2018. "Does retirement improve health and life satisfaction?," Health Economics, John Wiley & Sons, Ltd., vol. 27(12), pages 2067-2086, December.
    20. Eyjólfsdóttir, H.S. & Baumann, I. & Agahi, N. & Fritzell, J. & Lennartsson, C., 2019. "Prolongation of working life and its effect on mortality and health in older adults: Propensity score matching," Social Science & Medicine, Elsevier, vol. 226(C), pages 77-86.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:31:y:2022:i:6:p:1012-1032. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.