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Does Doctors' Experience Matter in LASIK Surgeries?: Working Paper 2010-01

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  • Juan M. Contreras
  • Beomsoo Kim
  • Ignez M. Tristao

Abstract

In this paper, we use a longitudinal census of laser in situ keratomileusis (LASIK) eye surgeries collected directly from patient charts to examine the learning-by-doing hypothesis in medicine. LASIK surgery has precise measures of presurgical condition and postsurgical outcomes. Unlike other types of surgery, the impact of unobservable underlying patient conditions on outcomes is minimal. Individual learning by doing is identified through observations of surgical outcomes over time, based on the cumulative number of surgeries performed. Collective learning is identified separately, through

Suggested Citation

  • Juan M. Contreras & Beomsoo Kim & Ignez M. Tristao, 2010. "Does Doctors' Experience Matter in LASIK Surgeries?: Working Paper 2010-01," Working Papers 21400, Congressional Budget Office.
  • Handle: RePEc:cbo:wpaper:21400
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    File URL: https://www.cbo.gov/sites/default/files/111th-congress-2009-2010/workingpaper/2010-01-lasik_0.pdf
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    References listed on IDEAS

    as
    1. Argote, L. & Epple, D., 1990. "Learning Curves In Manufacturing," GSIA Working Papers 89-90-02, Carnegie Mellon University, Tepper School of Business.
    2. C. Lanier Benkard, 2000. "Learning and Forgetting: The Dynamics of Aircraft Production," American Economic Review, American Economic Association, vol. 90(4), pages 1034-1054, September.
    3. Gary P. Pisano & Richard M.J. Bohmer & Amy C. Edmondson, 2001. "Organizational Differences in Rates of Learning: Evidence from the Adoption of Minimally Invasive Cardiac Surgery," Management Science, INFORMS, vol. 47(6), pages 752-768, June.
    4. Robert S. Huckman & Gary P. Pisano, 2006. "The Firm Specificity of Individual Performance: Evidence from Cardiac Surgery," Management Science, INFORMS, vol. 52(4), pages 473-488, April.
    5. Ho, Vivian, 2002. "Learning and the evolution of medical technologies: the diffusion of coronary angioplasty," Journal of Health Economics, Elsevier, vol. 21(5), pages 873-885, September.
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