Effect of mass layoffs on health insurance expenditures: the case of the Ostrava region

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dc.contributor.authorLouda, Jiří
dc.contributor.authorVojáček, Ondřej
dc.contributor.authorPechholdová, Markéta
dc.contributor.authorBarták, Miroslav
dc.contributor.otherEkonomická fakultacs
dc.date.accessioned2018-03-29
dc.date.available2018-03-29
dc.date.issued2018-03-29
dc.description.abstractThe objective of the paper is to make an analysis of the development of health insurance expenditures on healthcare for employees from the mass layoffs from ArcelorMittal Ostrava, a.s. The paper tests the hypothesis that closing down a large heavy industry plant in a structurally affected region will increase the risk of morbidity of the population being laid off, which will secondarily lead to increased healthcare expenditures in the form of ambulatory treatment or hospitalisation. The quantification of this hypothesis is based on a unique non-public data set provided by Česká průmyslová zdravotní pojišťovna, a. s., the chief insurance company for employees of ArcelorMittal Ostrava, a.s. The data set contains information about 2,265 insured persons. After some necessary methodological modifications, the analysed data set contained 1,408 insured persons. The relationship between unemployment and health, expressed here as morbidity by cause, is estimated using relative risk indicators. The calculation of the risk rates uses the person-year concept. The analysis carried out showed that the unemployed show 11% higher morbidity than the employed. We observed an increase in the morbidity of the unemployed by 21% for tumour diseases, 11% for mental illnesses, 23% for diseases related to alcohol, and 27% for other diseases. The annual costs per insured person at a productive age in the period 2008-2013 were CZK 15,081 without a differentiation by status. We found a significant difference between the annual costs of treatment of employed (CZK 13,420 a year) and unemployed persons (CZK 17,635 a year). The difference of CZK 4,215 means that the costs of treating the unemployed are 31% higher than those for treating the employed, being higher than the relative increase in the risk of disease. The conclusions confirm findings of published international studies.en
dc.formattext
dc.format.extent15 strancs
dc.identifier.doi10.15240/tul/001/2018-1-002
dc.identifier.eissn2336-5604
dc.identifier.issn1212-3609
dc.identifier.urihttps://dspace.tul.cz/handle/15240/22784
dc.language.isoen
dc.publisherTechnická Univerzita v Libercics
dc.publisherTechnical university of Liberec, Czech Republicen
dc.publisher.abbreviationTUL
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dc.relation.ispartofEkonomie a Managementcs
dc.relation.ispartofEconomics and Managementen
dc.relation.isrefereedtrue
dc.rightsCC BY-NC
dc.subjectunemploymenten
dc.subjecthealthen
dc.subjecthealthcare costsen
dc.subject.classificationE24
dc.subject.classificationI13
dc.titleEffect of mass layoffs on health insurance expenditures: the case of the Ostrava regionen
dc.typeArticleen
local.accessopen
local.citation.epage38
local.citation.spage24
local.facultyFaculty of Economics
local.filenameEM_1_2018_02
local.fulltextyes
local.relation.abbreviationE+Mcs
local.relation.abbreviationE&Men
local.relation.issue1
local.relation.volume21
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