Influence and Information in Team Decisions: Evidence from Medical Residency

• 成果类型: Article
• 署名作者: Chan, David C.
• 署名单位: Stanford University; National Bureau of Economic Research
• 刊物名称: AMERICAN ECONOMIC JOURNAL-ECONOMIC POLICY
• ISSN/ISSBN: 1945-7731
• DOI: 10.1257/pol.20180501
• 发表日期: 2021
• 页码: 106-137
• 关键词: clinical-practice guidelines; health-care; regional-variations; PRODUCTIVITY; outcomes; QUALITY; performance; allocation; returns; workers

摘要

I study team decisions among physician trainees. Exploiting a discontinuity in team roles across trainee tenure, I find evidence that teams alter decision-making, concentrating influence in the hands of senior trainees. I also demonstrate little convergence in variation of trainee effects despite intensive training. This general pattern of trainee effects on team decision-making exists in all types of decisions and settings that I examine. In analyses evaluating mechanisms behind this pattern, I find support for the idea that significant experiential learning occurs during training and that teams place more weight on judgments of senior trainees in order to aggregate information.