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Health expenditure of employees versus self‐employed individuals; a 5 year study

It is unclear to what extent self‐employed choose to become self‐employed. This study aimed to compare the health care expenditures—as a proxy for health—of self‐employed individuals in the year before they started their business, to that of employees. Differences by sex, age, and industry were stud...

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Autores principales: Herber, Gerrie‐Cor, Schipper, Maarten, Koopmanschap, Marc, Proper, Karin, van der Lucht, Fons, Boshuizen, Hendriek, Polder, Johan, Uiters, Ellen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754352/
https://www.ncbi.nlm.nih.gov/pubmed/32852133
http://dx.doi.org/10.1002/hec.4149
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author Herber, Gerrie‐Cor
Schipper, Maarten
Koopmanschap, Marc
Proper, Karin
van der Lucht, Fons
Boshuizen, Hendriek
Polder, Johan
Uiters, Ellen
author_facet Herber, Gerrie‐Cor
Schipper, Maarten
Koopmanschap, Marc
Proper, Karin
van der Lucht, Fons
Boshuizen, Hendriek
Polder, Johan
Uiters, Ellen
author_sort Herber, Gerrie‐Cor
collection PubMed
description It is unclear to what extent self‐employed choose to become self‐employed. This study aimed to compare the health care expenditures—as a proxy for health—of self‐employed individuals in the year before they started their business, to that of employees. Differences by sex, age, and industry were studied. In total, 5,741,457 individuals aged 25–65 years who were listed in the tax data between 2010 and 2015 with data on their health insurance claims were included. Self‐employed and employees were stratified according to sex, age, household position, personal income, region, and industry for each of the years covered. Weighted linear regression was used to compare health care expenditures in the preceding (year x–1) between self‐employed and employees (in year x). Compared with employees, expenditures for hospital care, pharmaceutical care and mental health care were lower among self‐employed in the year before they started their business. Differences were most pronounced for men, individuals ≥40 years and those working in the industry and energy sector, construction, financial institutions, and government and care. We conclude that healthy individuals are overrepresented among the self‐employed, which is more pronounced in certain subgroups. Further qualitative research is needed to investigate the reasons why these subgroups are more likely to choose to become self‐employed.
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spelling pubmed-77543522020-12-23 Health expenditure of employees versus self‐employed individuals; a 5 year study Herber, Gerrie‐Cor Schipper, Maarten Koopmanschap, Marc Proper, Karin van der Lucht, Fons Boshuizen, Hendriek Polder, Johan Uiters, Ellen Health Econ Research Article It is unclear to what extent self‐employed choose to become self‐employed. This study aimed to compare the health care expenditures—as a proxy for health—of self‐employed individuals in the year before they started their business, to that of employees. Differences by sex, age, and industry were studied. In total, 5,741,457 individuals aged 25–65 years who were listed in the tax data between 2010 and 2015 with data on their health insurance claims were included. Self‐employed and employees were stratified according to sex, age, household position, personal income, region, and industry for each of the years covered. Weighted linear regression was used to compare health care expenditures in the preceding (year x–1) between self‐employed and employees (in year x). Compared with employees, expenditures for hospital care, pharmaceutical care and mental health care were lower among self‐employed in the year before they started their business. Differences were most pronounced for men, individuals ≥40 years and those working in the industry and energy sector, construction, financial institutions, and government and care. We conclude that healthy individuals are overrepresented among the self‐employed, which is more pronounced in certain subgroups. Further qualitative research is needed to investigate the reasons why these subgroups are more likely to choose to become self‐employed. John Wiley and Sons Inc. 2020-08-27 2020-12 /pmc/articles/PMC7754352/ /pubmed/32852133 http://dx.doi.org/10.1002/hec.4149 Text en © 2020 The Authors. Health Economics published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Article
Herber, Gerrie‐Cor
Schipper, Maarten
Koopmanschap, Marc
Proper, Karin
van der Lucht, Fons
Boshuizen, Hendriek
Polder, Johan
Uiters, Ellen
Health expenditure of employees versus self‐employed individuals; a 5 year study
title Health expenditure of employees versus self‐employed individuals; a 5 year study
title_full Health expenditure of employees versus self‐employed individuals; a 5 year study
title_fullStr Health expenditure of employees versus self‐employed individuals; a 5 year study
title_full_unstemmed Health expenditure of employees versus self‐employed individuals; a 5 year study
title_short Health expenditure of employees versus self‐employed individuals; a 5 year study
title_sort health expenditure of employees versus self‐employed individuals; a 5 year study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754352/
https://www.ncbi.nlm.nih.gov/pubmed/32852133
http://dx.doi.org/10.1002/hec.4149
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