Medicaid spends nearly 100 billion dollars annually on home and community-based care for the disabled. Much of this care is provided by personal care aides, few of whom have received training related to the services they provide. We conducted a randomized controlled trial to estimate their demand for training. We find that 13 percent of these caregivers complete training without an incentive. Paying the caregivers four times their hourly wage increases training completion by roughly nine percentage points. Additional experimental variation suggests that among individuals confirmed to be aware of the training, the financial incentive increases completion from 35 to 58 percent. Demand curves based on these results suggest that while many caregivers value the opportunity to train, policies aimed at universal take up require large financial incentives.

中文翻译：

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医疗补助家庭护理人员对技能培训的需求

医疗补助每年花费近 1000 亿美元用于残疾人的家庭和社区护理。大部分护理是由个人护理助手提供的，其中很少有人接受过与其提供的服务相关的培训。我们进行了一项随机对照试验来估计他们的培训需求。我们发现 13% 的护理人员在没有激励的情况下完成了培训。向护理人员支付四倍于小时工资的工资可以使培训完成率提高大约九个百分点。其他实验变化表明，在确认了解培训的个人中，经济激励将完成率从 35% 提高到 58%。基于这些结果的需求曲线表明，虽然许多护理人员重视培训机会，但旨在普遍接受的政策需要大量的财政激励。