Economics Research Seminarhttps://weatherhead.case.edu/events/2015/02/18/economics-research-seminar
Studying physicians in training ("housestaff") at a large institution, I investigate the
role of learning (and endogenous in influence) in supporting medical spending variation within organizations. Influence associated with relative experience increases variation in housestaff spending effects, which discontinuously double in magnitude at the end of the first year of training when housestaff relative seniority discontinuously increases within teams. Consistent with a higher rate of learning in information-rich environments, housestaff effects converge in specialist-driven services, especially for diagnoses with guidelines, but not in the generalist-driven service. Compared to these mechanisms of learning and influence, detailed pre-training characteristics associated with preferences and ability determine little variation.
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