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The Production of and Market for New Physicians' Skill / Andrew J. Epstein, Sean Nicholson, David A. Asch.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Epstein, Andrew J.
Contributor:
National Bureau of Economic Research.
Nicholson, Sean.
Asch, David A.
Series:
Working Paper Series (National Bureau of Economic Research) no. w18678.
NBER working paper series no. w18678
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2013.
Summary:
Our understanding of the determinants of physician skill and the extent to which skill is valued in the marketplace is superficial. Using a large, detailed panel of new obstetricians, we find that, even though physicians' maternal complication rates improve steadily with years of practice, initial skill (as measured by performance in a physician's first year of practice) explains most of the variation in physician performance over time. At the same time, we find that the trajectories of new physicians' delivery volume develop in a way partially consistent with Bayesian learning about physician quality. In particular, as physicians gain experience, their volume becomes increasingly sensitive to the information in their accumulated prior.
Notes:
Print version record
January 2013.

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