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谁拒绝了“免费午餐”?来自公共儿童牙科福利参与率的新证据。

Who's declining the "free lunch"? New evidence from the uptake of public child dental benefits.

机构信息

Telethon Kids Institute, Perth, Australia.

Institute of Child Health Research, The University of Western Australia, Perth, Australia.

出版信息

Health Econ. 2021 Feb;30(2):270-288. doi: 10.1002/hec.4200. Epub 2020 Nov 20.

Abstract

This study provides the first evidence on the determinants of uptake of two recent public dental benefit programs for Australian children and adolescents from disadvantaged families. Using longitudinal data from a nationally representative survey linked to administrative data with accurate information on eligibility and uptake, we find that only a third of all eligible families actually claim their benefits. We provide new and robust evidence consistent with the idea advanced by recent economic literature that cognitive biases and behavioral factors are barriers to uptake. For instance, mothers with worse mental health or riskier lifestyles are much less likely to claim the available benefits for their children. These barriers to uptake are particularly large in magnitude: together, they reduce the uptake rate by up to 10 percentage points (or 36%). We also find some indicative evidence that a lack of information is a barrier to uptake.

摘要

本研究首次提供了有关澳大利亚贫困家庭的两项近期公共牙科福利计划的决定因素的证据。我们使用来自全国代表性调查的纵向数据,这些数据与具有资格和受益情况准确信息的行政数据相关联,发现只有三分之一的符合条件的家庭实际上申请了他们的福利。我们提供了新的、稳健的证据,与最近的经济文献提出的观点一致,即认知偏见和行为因素是受益获取的障碍。例如,心理健康状况较差或生活方式风险较高的母亲为孩子申请可用福利的可能性要小得多。这些受益获取障碍的影响非常大:它们总共使受益率降低了多达 10 个百分点(或 36%)。我们还发现一些表明性证据表明,缺乏信息是受益获取的障碍。

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