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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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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. |
format | Online Article Text |
id | pubmed-9304067 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
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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