决策制定、信任与公共服务需求：来自大规模绝育运动的证据
Policymaking, Trust, and the Demand for Public Services: Evidence from a Mass Sterilization Campaign
American Economic Journal: Economic Policy · 2025 · [{"name": "Gianmarco León", "affiliation": ["Universitat Pompeu Fabra"]}, {"name": "Dijana Zejcirovic", "affiliation": ["University of Vienna"]}, {"name": "Fernando Fernández", "affiliation": ["University of Bern"]}]
中文摘要
我们研究了一项大规模计划生育干预，其中超过26万名秘鲁妇女被实施了绝育手术。据称，其中许多医疗操作是在未取得患者同意的情况下进行的。随后，涉嫌非法绝育行为的披露导致受影响地区避孕方法的使用、产前和分娩服务的使用率下降，并更广泛地降低了当地的医疗服务需求。结果，儿童健康状况恶化。这些结果在信息披露后至少持续了17年，且由对实施该政策的政府感到失望的支持者所驱动。了解到政府的不当行为，削弱了对机构的信任。
Abstract
We study a large-scale family planning intervention in which more than 260,000 Peruvian women were sterilized. Many of these medical procedures are alleged to have been performed without patient consent. The subsequent disclosure of alleged illegal sterilizations caused reductions in the usage of contraceptive methods and prenatal and birth delivery services and, more generally, the demand for medical services in affected areas. As a result, child health worsened. The results persist for at least 17 years after the information disclosure and are driven by disappointed supporters of the implementing government. Learning about the government’s malpractices undermined trust in institutions. (JEL I12, I18, I38, J13, J16, J18, O15)