IDEAS home Printed from https://ideas.repec.org/a/eee/ehbiol/v59y2025ics1570677x25000723.html

The impact of health shocks on worker performance: Evidence from Major League Baseball

Author

Listed:
  • Chikish, Yulia
  • Humphreys, Brad R.

Abstract

A small, recent, growing literature examines the impact of health shocks in the form of illness or disease, and interventions aimed at mitigating the impact of these health shocks, on labor market outcomes. These papers report evidence that labor market outcomes improve significantly following health shocks and interventions. We extend this analysis to a novel setting where a workplace injury represents the health shock and s surgical procedure to repair this injury represents the intervention. We employ matching methods to construct a counterfactual comparison group of uninjured Major League Baseball (MLB) pitchers and compare labor market outcome in this group to treated MLB pitchers who experienced ulnar collateral ligament (UCL) injuries and underwent a reconstructive ligament repair procedure. Surgical repair of UCL injuries extends post-injury MLB pitcher careers by roughly 1.3 seasons relative to matched uninjured pitchers, a 14.5% increase that generates substantial economic benefits for players and teams. Post-injury and treatment pitcher performance, in terms of batting success of hitters faced by treated pitchers, improves by roughly 8%.

Suggested Citation

  • Chikish, Yulia & Humphreys, Brad R., 2025. "The impact of health shocks on worker performance: Evidence from Major League Baseball," Economics & Human Biology, Elsevier, vol. 59(C).
  • Handle: RePEc:eee:ehbiol:v:59:y:2025:i:c:s1570677x25000723
    DOI: 10.1016/j.ehb.2025.101539
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S1570677X25000723
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.ehb.2025.101539?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. Harsha Thirumurthy & Joshua Graff Zivin, 2012. "Health and Labor Supply in the Context of HIV/AIDS: The Long-Run Economic Impacts of Antiretroviral Therapy," Economic Development and Cultural Change, University of Chicago Press, vol. 61(1), pages 73-96.
    2. Fischer, Kai & Reade, J. James & Schmal, W. Benedikt, 2022. "What cannot be cured must be endured: The long-lasting effect of a COVID-19 infection on workplace productivity," Labour Economics, Elsevier, vol. 79(C).
    3. N. Meltem Daysal & William N. Evans & Mikkel Hasse Pedersen & Mircea Trandafir, 2025. "Do Medical Treatments Work for Work? Evidence from Breast Cancer Patients," American Economic Journal: Economic Policy, American Economic Association, vol. 17(4), pages 379-409, November.
    4. King, Gary & Nielsen, Richard, 2019. "Why Propensity Scores Should Not Be Used for Matching," Political Analysis, Cambridge University Press, vol. 27(4), pages 435-454, October.
    5. Jones, Andrew M. & Rice, Nigel & Zantomio, Francesca, 2020. "Acute health shocks and labour market outcomes: Evidence from the post crash era," Economics & Human Biology, Elsevier, vol. 36(C).
    6. Harsha Thirumurthy & Joshua Graff Zivin & Markus Goldstein, 2008. "The Economic Impact of AIDS Treatment: Labor Supply in Western Kenya," Journal of Human Resources, University of Wisconsin Press, vol. 43(3), pages 511-552.
    7. Annarita Macchioni Giaquinto & Andrew M. Jones & Nigel Rice & Francesca Zantomio, 2022. "Labor supply and informal care responses to health shocks within couples: Evidence from the UK," Health Economics, John Wiley & Sons, Ltd., vol. 31(12), pages 2700-2720, December.
    8. Pinna Pintor, Matteo & Fumagalli, Elena & Suhrcke, Marc, 2024. "The impact of health on labour market outcomes: A rapid systematic review," Health Policy, Elsevier, vol. 143(C).
    9. Andrew Dillon & Jed Friedman & Pieter Serneels, 2021. "Health Information, Treatment, and Worker Productivity," Journal of the European Economic Association, European Economic Association, vol. 19(2), pages 1077-1115.
    10. Ian Gregory‐Smith, 2021. "Wages And Labor Productivity: Evidence From Injuries In The National Football League," Economic Inquiry, Western Economic Association International, vol. 59(2), pages 829-847, April.
    11. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    12. Guido W. Imbens, 2004. "Nonparametric Estimation of Average Treatment Effects Under Exogeneity: A Review," The Review of Economics and Statistics, MIT Press, vol. 86(1), pages 4-29, February.
    13. Vincenzo Carrieri & Andrew M. Jones & Francesco Principe, 2020. "Productivity Shocks and Labour Market Outcomes for Top Earners: Evidence from Italian Serie A," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 82(3), pages 549-576, June.
    14. Oladele Akogun & Andrew Dillon & Jed Friedman & Ashesh Prasann & Pieter Serneels, 2021. "Productivity and Health: Physical Activity as a Measure of Effort," The World Bank Economic Review, World Bank, vol. 35(3), pages 652-680.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yulia Chikish & Brad R. Humphreys, "undated". "The Impact of Health Shocks on Worker Performance: Evidence from Professional Sports," Working Papers 24-06, Department of Economics, West Virginia University.
    2. Pinna Pintor, Matteo & Fumagalli, Elena & Suhrcke, Marc, 2024. "The impact of health on labour market outcomes: A rapid systematic review," Health Policy, Elsevier, vol. 143(C).
    3. Hoey, Sam & Peeters, Thomas & van Ours, Jan C., 2023. "The impact of absent co-workers on productivity in teams," Labour Economics, Elsevier, vol. 83(C).
    4. Avni, Omrit & Guetzkow, Joshua & Hasisi, Badi, 2024. "Bias in prosecutorial decision making: Bridging focal concerns & group threat," Journal of Criminal Justice, Elsevier, vol. 92(C).
    5. Khorana, Sangeeta & Webster, Allan, 2023. "Too few women at the top of firms: Foreign ownership, gender segregation and cultural causes," GLO Discussion Paper Series 1276, Global Labor Organization (GLO).
    6. Katie Meara & Francesco Pastore & Allan Webster, 2020. "The gender pay gap in the USA: a matching study," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(1), pages 271-305, January.
    7. Jeon, Sung-Hee & Pohl, R. Vincent, 2019. "Medical innovation, education, and labor market outcomes of cancer patients," Journal of Health Economics, Elsevier, vol. 68(C).
    8. Philipp vom Berge & Achim Schmillen, 2023. "Effects of mass layoffs on local employment—evidence from geo-referenced data," Journal of International Economic Law, Oxford University Press, vol. 23(3), pages 509-539.
    9. Dolores Añón Higón & Ioannis Bournakis, 2024. "Participation in global value chains (GVCs) and markups: firm evidence from six European countries," International Economics and Economic Policy, Springer, vol. 21(2), pages 515-539, May.
    10. Florian Gunsilius & Yuliang Xu, 2021. "Matching for causal effects via multimarginal unbalanced optimal transport," Papers 2112.04398, arXiv.org, revised Jul 2022.
    11. Eliane Badaoui & Eleonora Matteazzi & Vincenzo Prete, 2024. "The role of non‐base compensation in explaining the motherhood wage gap: Evidence from Italy," Kyklos, Wiley Blackwell, vol. 77(4), pages 873-894, November.
    12. Mohammad Mahfuzur Rahman Bhuiyan & Keshav Lall Maharjan, 2022. "Impact of Farmer Field School on Crop Income, Agroecology, and Farmer’s Behavior in Farming: A Case Study on Cumilla District in Bangladesh," Sustainability, MDPI, vol. 14(7), pages 1-20, April.
    13. Canzian, Giulia & Meroni, Elena Claudia & Santangelo, Giulia, 2023. "Evaluation of a Flemish Active Labour Market Policy in the framework of the European Social Fund. Results and challenges," Socio-Economic Planning Sciences, Elsevier, vol. 88(C).
    14. Grace Sum & Silvia Yu Hui Sim & Junxing Chay & Soon Hoe Ho & Mimaika Luluina Ginting & Zoe Zon Be Lim & Joanne Yoong & Chek Hooi Wong, 2023. "An Integrated Patient-Centred Medical Home (PCMH) Care Model Reduces Prospective Healthcare Utilisation for Community-Dwelling Older Adults with Complex Needs: A Matched Observational Study in Singapore," IJERPH, MDPI, vol. 20(19), pages 1-15, September.
    15. Macchioni Giaquinto, Annarita & Jones, Andrew M. & Rice, Nigel & Zantomio, Francesca, 2021. "Labour supply and informal care responses to health shocks within couples: evidence from the UKHLS," GLO Discussion Paper Series 806, Global Labor Organization (GLO).
    16. Karen Geurts & Johannes Van Biesebroeck, 2019. "Employment growth following takeovers," RAND Journal of Economics, RAND Corporation, vol. 50(4), pages 916-950, December.
    17. Jacob Novignon & Eric Arthur & Kwasi Gyabaa Tabiri & Yaw Boateng Atakorah & Justice Nonvignon, 2024. "Does health insurance mitigate the economic impact of negative health outcomes? Evidence from Ghana’s National Health Insurance Scheme," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 26(2), pages 582-602, August.
    18. Ravi Bapna & Alok Gupta & Gautam Ray & Shweta Singh, 2023. "Single-Sourcing vs. Multisourcing: An Empirical Analysis of Large Information Technology Outsourcing Arrangements," Information Systems Research, INFORMS, vol. 34(3), pages 1109-1130, September.
    19. Niron Hashai & Sarit Markovich, 2017. "Market Entry by High Technology Startups: The Effect of Competition Level and Startup Innovativeness," Strategy Science, INFORMS, vol. 2(3), pages 141-160, September.
    20. Wildmer Daniel Gregori & Maria Martinez Cillero & Michela Nardo, 2022. "The effects of cross-border acquisitions on firms’ productivity in the EU," Working Papers 2022.10, International Network for Economic Research - INFER.

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • Z20 - Other Special Topics - - Sports Economics - - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:ehbiol:v:59:y:2025:i:c:s1570677x25000723. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/inca/622964 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.