노동경제논집 (Journal of Labour Economics)

한국노동경제학회 (The Korean Labor Economic Association)
권호 표지

건강 충격의 고용과 소득 효과 분석

Effects of Health Shocks on Employment and Income

  • 권정현 (한국개발연구원 공공경제연구부)
  • 투고 : 2018.10.01
  • 심사 : 2018.12.21
  • 발행 : 2018.12.31
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초록

본 연구는 '예상하지 못한 입원'으로 정의한 건강 충격이 40~55세 중장년층 전일제 임금근로자의 일자리와 소득 수준에 미치는 영향을 단기 효과와 이후 3년간의 중기 효과로 나누어 분석하였다. 주요 결과는 다음과 같다. 첫째, 건강 충격 발생 이후 직접비용인 의료비 지출의 증가는 단기적인 효과만 유의하게 나타난다. 그러나 간접비용인 노동시장 참여 및 근로소득의 변화는 건강 충격 발생 이후 3년까지 지속된다. 둘째, 간접비용의 변화는 건강 충격발생 이전의 사회경제적 지위와 일자리 특성에 따라 다르게 나타난다. 고소득층은 저소득층에 비해 건강 충격 발생 이전 일자리에서 이탈할 위험이 낮은 반면, 저소득층은 원래의 전일제 근로상태에서 이탈할 가능성이 높아진다. 또한, 건강 충격을 경험한 비정규직 근로자는 정규직 근로자에 비해 전일제 근로 일자리를 잃을 가능성이 크다. 그러나 동일한 비정규직이라도 사업체 규모에 따라 경험하는 위험 정도는 달라지는데, 대기업에서 근로하는 비정규직은 소규모 기업에서 근로하는 비정규직보다 노동시장에서 이탈할 위험이 낮은 것으로 나타난다.

Using matching and difference-in-differences estimation method, this study estimates causal effects of health shocks on employment and income of full-time workers aged 40-55. Acute hospital admissions lower significantly the employment probability and earnings. The changes in employment and earnings persist up to three years after the health shock. The economic impacts of health shocks vary by socioeconomic status and job characteristics among individuals. Irregular workers are more likely to leave their jobs after health shocks than regular workers. Among irregular workers, the probability of leaving labor market after health shock decreases with the size of the firm.

키워드

참고문헌

  1. 권정현. 고령자의 건강과 은퇴연령 조정에 대한 연구. KDI 중간세미나 발표자료, 2018.
  2. 김대환.강성호, 중증질환으로 인한 소득상실 리스크와 정책적 시사점. 보험학회지 제102집 (2015.04): 35-57
  3. 이승렬. 은퇴자의 건강상태 분석. 노동경제논집 30권 2호 (2007.08) : 61-86.
  4. 이철희.이에스더, 한국 장년임금근로자의 퇴직: 사업체 규모별 위험모형분석, 노동경제논집 38권 1호 (2015.03): 31-65.
  5. 박종식.이경용, 가구조사를 통해 본 고용형태와 작업관련 손상 경험. 대한안전경영과학회지 14권 4호 (2012. 12) : 137-145.
  6. 최정규.정형선.신정우.여지영. 보장성강화정책이 만성질환자 및 중증질환자 보유가구의 과부담 의료비 발생에 미친 영향. 보건행정학회지 21권 2호 (2011. 06): 159-178.
  7. 홍정림. 암 보장성강화정책이 의료이용 및 건강성과에 미친 효과. 응용경제 18권 4호 (2016. 12) : 5-42.
  8. Coile, Courtney C. "Health Shocks and Couples' Labor Supply Decisions," NBER Working Papers No. 10810, (October 2004)
  9. Cutler, David., Meara, Ellen. and Richards-Shubik, Seth. "Health Shocks and Disability Transitions Among Near-elderly Workers." Boston College Retirement Research Center Working Paper No. 11-08, 2011.
  10. Cutler, D., Lleras-Muney, A. and Vogl, T. "Socioeconomic Status and Health: Dimensions and Mechanisms." Oxford Handbook of Health Economics, 2011.
  11. Currie, Janet. "Healthy, Wealthy, and Wise: Socioeconomic Status, Poor Health in Childhood, and Human Capital Development." Journal of Economic Literature 47 (1) (March 2009) : 87-122 https://doi.org/10.1257/jel.47.1.87
  12. Currie, Janet and Madrian, Brigitte C. "Health, Health Insurance and The Labor Market." Handbook of Labor Economic, Vol. 3, part C, : 3309-3416, Elsevier, 1999.
  13. Daly, Mary and Bound, John. "Worker Adaptation and Employer Accommodation Following the onset of a Health Impairment." NBER Working Paper No. 5169 (July 1995).
  14. Dobkin, Carlos., Finkelstein, Amy., Kluender, Raymond. and Notowidigdo, Matthew J. "The Economic Consequences of Hospital Admissions." American Economic Review 108 (2) (February 2018): 308-352. https://doi.org/10.1257/aer.20161038
  15. Fadlon, Itzik and Nielsen, Torben. "Family Labor Supply Responses to Severe Health Shocks." NBER Working Paper No.21352, (July 2015).
  16. Finkelstein, Amy, Luttmer, Erzo F. P. and Notowidigdo, Matthew. "What Good is Wealth without Health? The Effect of Health on the Marginal Utility of Consumption." Journal of the European Economic Association 11 (s3), (January 2013) : 221-258. https://doi.org/10.1111/j.1542-4774.2012.01101.x
  17. Garcia-Gomez, Pilar., van Kippersluis, Hans. O'Donnell, Owen. and van Doorslaer, Eddy. "Long Term and Spillover Effects of Health Shocks on Employment and Income." Journal of Human Resources 48 (4) (Fall 2013): 873-909.
  18. Gertler, Paul and Gruber, Jonathan., "Insuring Consumption Against Illness." American Economic Review 92 (1) (March 2002): 51-70.
  19. Heckman, James P., Ichimura, Hidehiko and Todd, Petra E. "Matching as an Econometric Evaluation Estimator: Evidence from Evaluating a Job Training Programme." Review of Economic Studies 64 (4) (October 1997): 605-654. https://doi.org/10.2307/2971733
  20. Heckman, James P., Ichimura, Hidehiko., Smith, Jeffrey and Todd, Petra E. "Characterizing Selection Bias Using Experimental Data." Econometrica 66 (5) (September, 1998): 1017-1098. https://doi.org/10.2307/2999630
  21. Hill, Mattew J., Maestas, Nicole and Mullen, Kathleen J. "Employer Accommodation and Labor Supply of Disabled Workers." Labor Economics 41 (August 2016): 291-303. https://doi.org/10.1016/j.labeco.2016.05.013
  22. Jeon, Sung-hee, and Pohl, R.Vincent. "Health and work in the family: Evidence from Spouses' Cancer Diagnoses." Journal of Health Economics 52 (C) (March 2017): 1-18. https://doi.org/10.1016/j.jhealeco.2016.12.008
  23. Mossey, Jana and Shapiro, Evelyn. "Self-Rated Health: A Predictor of Mortality Among the Elderly." American Journal of Public Health 72 (8) (August 1982): 800-808. https://doi.org/10.2105/AJPH.72.8.800
  24. Mincer, Jacob. "Labor Force Participation of Married Women: A Study of Labor Supply." Aspects of Labor Economics. Princeton University Press, 1962.
  25. OECD, Society at a Glance 2016, Technical report, OECD Publishing, 2016.
  26. Poterba, James M., Venti, Steven F. and Wise, David A. "The Asset Cost of Poor Health." The Journal of the Economics of Ageing 9 (June 2017) : 172-184. https://doi.org/10.1016/j.jeoa.2017.02.001
  27. Riphahn, Regina T. "Income and Employment Effects of Health Shocks : A Test for the German Welfare States." Journal of Population Economics 12(3) (August, 1999): 363-389. https://doi.org/10.1007/s001480050104
  28. Smith, James P. "Consequences and Predictors of New Health Events." Analyses in the Economics of Aging. University Chicago Press, 2005.
  29. Smith, Jeffrey A. Petra E. Todd. "Does Matching Overcome Lalonde's Critique of Nonexperimental Estimators?." Journal of Econometrics 125 (1-2) (March 2005): 305-353. https://doi.org/10.1016/j.jeconom.2004.04.011