Invitations, Incentives, and Conditions: A Randomized Evaluation of Demand-Side Interventions for Health Screenings in Armenia

ERN: Other Primary Taxonomy (Sub-Topic) Pub Date : 2020-07-01 DOI:10.2139/ssrn.3666876

D. de Walque, Adanna Chukwuma, Nono Ayivi-Guedehoussou, M. Koshkakaryan

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引用次数: 5

Abstract

The study is a randomized controlled trial that investigates the impact of four demand-side interventions on health screening for diabetes and hypertension among Armenian adults ages 35-68 who had not been tested in the last 12 months. The interventions are personal invitations from a physician (intervention group 1), personal invitations with information about peer screening behavior (intervention group 2), a labeled but unconditional cash transfer in the form of a pharmacy voucher (intervention group 3), and a conditional cash transfer in the form of a pharmacy voucher (intervention group 4). Compared with the control group in which only 3.5 percent of participants went for both screenings during the study period, interventions 1 to 3 led to a significant increase in the screening rate of about 15 percentage points among participants. The highest intervention impact was measured among recipients in intervention group 4, whose uptake of screening on both tests increased by 31.2 percentage points. The levels of cost-effectiveness of intervention groups 1, 2, and 4 are similar while for intervention group 3 it is about twice more expensive per additional person screened.

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邀请、激励和条件:亚美尼亚健康筛查需求方干预措施的随机评估

该研究是一项随机对照试验，调查了四种需求侧干预措施对35-68岁亚美尼亚成年人糖尿病和高血压健康筛查的影响，这些成年人在过去12个月内没有接受过检查。干预措施是来自医生的个人邀请(干预组1)，带有同伴筛选行为信息的个人邀请(干预组2)，有标签但无条件的药品代金券形式的现金转移(干预组3)，以及有条件的药品代金券形式的现金转移(干预组4)。与对照组相比，只有3.5%的参与者在研究期间进行了两项筛查。干预措施1至3使参与者的筛查率显著提高了约15个百分点。干预影响最大的是干预组4的接受者，他们接受两项测试的筛查增加了31.2个百分点。干预组1、2和4的成本效益水平相似，而干预组3每增加一个接受筛查的人，其成本大约高出一倍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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ERN: Other Primary Taxonomy (Sub-Topic)

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