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Does compulsory schooling affect health? Evidence from ambulatory claims data

Using claims data on more than 23 million statutorily insured, we investigate the causal effect of schooling on health in the largest and most comprehensive analysis for Germany to date. In a regression discontinuity approach, we exploit changes in compulsory schooling in West Germany to estimate th...

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Autores principales: Begerow, Tatjana, Jürges, Hendrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9304067/
https://www.ncbi.nlm.nih.gov/pubmed/34779933
http://dx.doi.org/10.1007/s10198-021-01404-y
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author Begerow, Tatjana
Jürges, Hendrik
author_facet Begerow, Tatjana
Jürges, Hendrik
author_sort Begerow, Tatjana
collection PubMed
description Using claims data on more than 23 million statutorily insured, we investigate the causal effect of schooling on health in the largest and most comprehensive analysis for Germany to date. In a regression discontinuity approach, we exploit changes in compulsory schooling in West Germany to estimate the reduced form effect of the reforms on health, measured by doctor diagnoses in ICD-10 format covering physical as well as mental health conditions. To mitigate the problem that empirical results depend on subjective decisions made by the researcher, we perform specification curve analyses to assess the robustness of findings across various model specifications. We find that the reforms have, at best, very small impacts on the examined doctor diagnoses. In most of the specifications we estimate insignificant effects that are close to zero and often of the “wrong” sign. Therefore, our study questions the presence of the large positive effects of education on health that are found in the previous literature. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10198-021-01404-y.
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spelling pubmed-93040672022-07-23 Does compulsory schooling affect health? Evidence from ambulatory claims data Begerow, Tatjana Jürges, Hendrik Eur J Health Econ Original Paper Using claims data on more than 23 million statutorily insured, we investigate the causal effect of schooling on health in the largest and most comprehensive analysis for Germany to date. In a regression discontinuity approach, we exploit changes in compulsory schooling in West Germany to estimate the reduced form effect of the reforms on health, measured by doctor diagnoses in ICD-10 format covering physical as well as mental health conditions. To mitigate the problem that empirical results depend on subjective decisions made by the researcher, we perform specification curve analyses to assess the robustness of findings across various model specifications. We find that the reforms have, at best, very small impacts on the examined doctor diagnoses. In most of the specifications we estimate insignificant effects that are close to zero and often of the “wrong” sign. Therefore, our study questions the presence of the large positive effects of education on health that are found in the previous literature. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10198-021-01404-y. Springer Berlin Heidelberg 2021-11-15 2022 /pmc/articles/PMC9304067/ /pubmed/34779933 http://dx.doi.org/10.1007/s10198-021-01404-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Begerow, Tatjana
Jürges, Hendrik
Does compulsory schooling affect health? Evidence from ambulatory claims data
title Does compulsory schooling affect health? Evidence from ambulatory claims data
title_full Does compulsory schooling affect health? Evidence from ambulatory claims data
title_fullStr Does compulsory schooling affect health? Evidence from ambulatory claims data
title_full_unstemmed Does compulsory schooling affect health? Evidence from ambulatory claims data
title_short Does compulsory schooling affect health? Evidence from ambulatory claims data
title_sort does compulsory schooling affect health? evidence from ambulatory claims data
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9304067/
https://www.ncbi.nlm.nih.gov/pubmed/34779933
http://dx.doi.org/10.1007/s10198-021-01404-y
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