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Published on: February 16, 2011
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Firm quality and health maintenance.
1ELTE Centre for Economic and Regional Studies, Hungary.
Journal of Health Economics
|August 21, 2025
Summary
Moving to a higher-paying firm improves employee health, increasing healthcare use for physical conditions and decreasing it for mental health issues. This suggests better amenities in high-quality firms.
Area of Science:
- Health Economics
- Labor Economics
- Occupational Health
Background:
- Firm quality is a significant determinant of employee well-being.
- Understanding the link between firm-level factors and health maintenance is crucial for public health and labor policy.
- Previous research has not fully explored the causal impact of firm quality on diverse health outcomes.
Purpose of the Study:
- To estimate the impact of firm quality, proxied by the wage premium, on employee health maintenance.
- To analyze changes in healthcare utilization following job transitions to firms of varying quality.
- To investigate potential mechanisms linking firm quality to health improvements.
Main Methods:
- Utilized linked employer-employee administrative panel data from Hungary.
- Analyzed healthcare consumption patterns (medications, visits) before and after employees moved to new firms.
- Employed robust statistical methods controlling for firm size, individual wage, and peer effects.
Main Results:
- Transitioning to higher-paying firms correlated with increased use of cardiovascular drugs and more diagnostic/primary care visits.
- No evidence of deteriorating physical health was observed.
- Men and older workers experienced reduced consumption of mental health medications after moving to higher-quality firms.
- Results were consistent across alternative firm quality indicators.
Conclusions:
- Higher-paying firms appear to offer beneficial health amenities, potentially through improved occupational health services and reduced workplace stress.
- These amenities facilitate the detection of undiagnosed chronic conditions and promote better mental health.
- Firm quality is an important, actionable factor for enhancing employee health outcomes.
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