Increasing the take-up of public health services: An at-scale experiment on digital government

被引：0

作者：

Gallegos, Sebastian ^{[1
,3
]}

Roseth, Benjamin ^{[2
]}

Cuesta, Ana ^{[2
]}

Sanchez, Mario ^{[2
]}

机构：

[1] Univ Adolfo Ibanez, Business Sch, Santiago, Chile

[2] Interamer Dev Bank, Washington, DC USA

[3] Av Padr Alberto Hurtado 750, Vina Del Mar, Chile

来源：

JOURNAL OF PUBLIC ECONOMICS | 2023年 / 227卷

关键词：

State capacity; Digital government; Health behavior; Administrative barriers; Red tape; Public healthcare; Women; Behavioral economics; Transaction costs; Economic development; CERVICAL-CANCER; COST-EFFECTIVENESS; COUNTRIES; BEHAVIOR; URUGUAY;

D O I：

10.1016/j.jpubeco.2023.104975

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

Increasing public service take-up is a critical challenge. We invested in a government-r u n digital appointment system for an important health screening service and conducted a large-scale experiment encouraging its use, specifically assessing the influence of transactions costs and information . Using administrative records on the near-universe of eligible women (47,600) in Uruguay's capital city, we randomized invitations to book with ou r digital-system or as-usual with local clinics. Digital encouragements doubled medical visits versus as-usual invitations, and tripled compared to a pu r e control group (5.5 % versus 1.9 %) over 16 weeks. These large impacts are highly cost-effective, mediated by salience and reduced transactions costs.

引用

页数：13

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