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Treatment Value of Residual Functional Capacity Improvement among Disabled Workers: Accounting for Hedonic Psychological Biases
Authors:Carina A Furnée  Gerard A Pfann  Marius A Kemler
Institution:(1) Centrum voor Gender en Diversiteit, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands;(2) Institute for the Study of Labor (IZA), P.O. Box 7240, D-53072 Bonn, Germany;(3) Maastricht University, and C.E.P.R, Germany;(4) Surgery Department, Martini Hospital, P.O. Box 30033, 9700 RM Groningen, The Netherlands
Abstract:We propose to use the theoretical Mincer-Ofek (1982) model of career interruptions for the evaluation of a health producing treatment that improves residual functional capacity of workers with peripheral nerve injuries who developed chronic pain (Reflex Sympathetic Dystrophy). The revalued potential to – partially – continue to accumulate productive human capital is linked to increased lifetime earnings capacity restoring – missed out – accumulated productivity. We assume that a worker's psychological well-being directly influences earnings, but also affects the cognitive mechanism to experience pain. Randomized clinical trial data and individual medical records from impaired workers are compared with a control group of randomly selected healthy workers. The estimate of the treatment's average net present value is 49.500 euros per person (in 1995 Dutch guilders constant terms).
Keywords:chromic pain  earnings losses  injury  randomized controlled trial  social sclerosis
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