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激励规模的合理化

Right-sizing incentives
Journal of Development Economics · 2026 · [{"name": "Edward N. Okeke", "affiliation": ["RAND School of Public Policy"]}, {"name": "Isa S. Abubakar", "affiliation": ["Aminu Kano Teaching Hospital", "Bayero University Kano"]}]

中文摘要

本文报告了尼日利亚一项田野实验的结果。该实验中,若准妈妈使用正规医疗服务,即可获得2500奈拉、4000奈拉或10000奈拉的现金支付。一项次级干预措施向部分母亲提供了关于其妊娠风险的信息信号。我们发现有条件支付具有高度非线性效应——激励效应主要发生在广延边际上,且激励金额的回报迅速递减。我们还发现了新的溢出效应:激励措施提高了索引儿童及其家庭中其他儿童在童年期的医疗服务使用。我们发现信息信号的效应总体上不显著。

Abstract

This paper presents results from a field experiment in Nigeria in which expectant mothers were offered cash payments of N2500, N4000 or N10000 conditioned on using formal medical care. A secondary intervention provided some mothers with an information signal about their pregnancy risk. We find highly non-linear effects of conditional payments—most of the incentive effect occurs on the extensive margin, with rapidly diminishing returns to incentive size. We also uncover new spillover effects: showing that incentives increase healthcare use in childhood by index children and by other children in the household. We find largely null effects of the information signal.
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