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适度设定激励规模

Right-sizing incentives
Journal of Development Economics · 2026 · Edward N. Okeke、Isa S. Abubakar

中文摘要

本文报告了在尼日利亚开展的一项田野实验的结果。在该实验中,孕妇若使用正规医疗服务,即可获得2500奈拉、4000奈拉或10000奈拉的现金支付。另一项辅助(次级)干预向部分孕妇提供了关于其妊娠风险的信息信号。我们发现,有条件现金支付的效应呈高度非线性——激励效应大多体现在广延边际上,且随着激励金额增加,边际回报迅速递减。我们还发现了新的溢出效应:激励提高了指数儿童(index children)在儿童期的医疗服务使用率,也提高了同一家庭中其他儿童的医疗服务使用率。信息信号的效应则大体为零。

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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