Forgetting the learning curve for a moment: How much performance is unrelated to own experience?

Marco D. Huesch, Mariko Sakakibara

Research output: Contribution to journalArticle

18 Scopus citations


Volume-outcome relationships are of clear importance for most participants in the health-care industry; research and appropriate policy implications are of critical importance. In this letter we critique the prevailing 'learning-by-doing' view in cardiac surgery. We illustrate the very wide disparity in empirical findings on volume-outcome relationships there, in the context of broader open issues in 'learning curves' in general. Potential complementary mechanisms, e.g. 'social learning by knowledge spillovers' are introduced; these cast into doubt the prevailing policy recommendations of simple regionalization and volume smoothing.

Original languageEnglish (US)
Pages (from-to)855-862
Number of pages8
JournalHealth economics
Issue number7
StatePublished - Sep 21 2009


All Science Journal Classification (ASJC) codes

  • Health Policy

Cite this