Capping doctors' overtime, night, and weekend work in 1980s Denmark led wards to hire more physicians and lowered patient mortality.
We study how shortening physicians' work schedules affects healthcare provision and patient mortality. We exploit a 1982 reform in Denmark that strongly restricted hospital doctors' overtime, weekend, and nighttime shifts. Consistent with substitution from hours to workers, vacancies increased by 35% one-year after implementation. Using a dose-response difference-in-differences strategy, we leverage variation in the timing and intensity of the policy across hospital wards with different pre-reform reliance on overtime to document three main results. First, wards where labor demand changed the most substantially decreased in-hospital mortality rates, especially among emergency admissions. Second, while more physicians led to more admissions, better mortality outcomes are not explained by shifts in patient composition. Third, persistent post-discharge mortality declines and no change in readmissions or duration of stays suggest that gains were not at the expense of higher patient turnover. Our findings are consistent with overtime regulations correcting inefficiently long work hours in a frictional labor market.
Presented at: EALE 2026 (September 2026) · Royal Holloway Health and Human Capital Workshop (May 2026) · QMUL Economics and Finance PhD Workshop (May 2026) · Bolzano Applied Microeconomics Workshop (March 2026) · 23rd Brucchi Luchino Labor Economics Workshop (December 2025) · Bologna Health Economics and Public Policy Evaluation (April 2025)