| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w20017 |
| 来源ID | Working Paper 20017 |
| The Nature of Surgeon Human Capital Depreciation | |
| Jason Hockenberry; Lorens Helmchen | |
| 发表日期 | 2014-03-27 |
| 出版年 | 2014 |
| 语种 | 英语 |
| 摘要 | To test how practice interruptions affect worker productivity, we estimate how temporal breaks affect surgeons' performance of coronary artery bypass grafting (CABG). Using a sample of 188 surgeons who performed 56,315 CABG procedures in Pennsylvania between 2006 and 2010, we find that a surgeon's additional day away from the operating room raised patients' inpatient mortality risk by up to 0.067 percentage points (2.4% relative effect) but reduced total hospitalization costs by up to 0.59 percentage points. In analyses of 93 high-volume surgeons treating 9,853 patients admitted via an emergency department, where temporal distance effects are most plausibly exogenous, an additional day away raised mortality risk by 0.398 percentage points (11.4% relative effect) but reduced cost by up to 1.396 percentage points. These estimates imply a cost per life-year saved ranging from $7,871 to $18,500, rendering additional treatment intensity within surgery cost-effective at conventional cutoffs. Our findings are consistent with the hypothesis that after returning from temporal breaks surgeons may be less likely to recognize and address life-threatening complications, in turn reducing resource use. This form of human capital loss would explain the decrease in worker productivity and the simultaneous reduction in input use. |
| 主题 | Health, Education, and Welfare ; Health ; Labor Economics ; Labor Supply and Demand |
| URL | https://www.nber.org/papers/w20017 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/577691 |
| 推荐引用方式 GB/T 7714 | Jason Hockenberry,Lorens Helmchen. The Nature of Surgeon Human Capital Depreciation. 2014. |
| 条目包含的文件 | 条目无相关文件。 | |||||
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