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Journal article

Healthcare appointments as commitment devices

Abstract:
We show that ordinary appointments can act as effective substitutes for hard commitment devices and increase demand for a critical healthcare service, particularly among those with self-control problems. We show this using an experiment that randomly offered HIV testing appointments and hard commitment devices to high-risk men in Malawi. Appointments more than double testing rates, with effects concentrated among those who demand commitment. In contrast, most men who take up hard commitments lose their investments. Appointments overcome commitment problems without the potential drawback of commitment failure, and have the potential to increase demand for healthcare in the developing world.
Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1093/ej/ueae077

Authors

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Role:
Author
ORCID:
0000-0003-3576-2833
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Institution:
University of Oxford
Division:
SSD
Department:
International Development
Oxford college:
St Antony's College
Role:
Author
ORCID:
0000-0003-3835-9388


Publisher:
Oxford University Press
Journal:
Economic Journal More from this journal
Volume:
135
Issue:
665
Pages:
81-118
Publication date:
2024-08-09
Acceptance date:
2024-08-01
DOI:
EISSN:
1468-0297
ISSN:
0013-0133


Language:
English
Keywords:
Pubs id:
2022396
Local pid:
pubs:2022396
Deposit date:
2024-08-19
ARK identifier:

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