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Wage expectations and access to healthcare occupations: Evidence from an information experiment

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  • Bernhofer, Juliana
  • Fedele, Alessandro
  • Tonin, Mirco

Abstract

We investigate how correcting students’ wage expectations affects their performance on admission tests for medical and healthcare schools, a critical step for aspiring healthcare professionals. Using a randomized information experiment with Italian applicants, we first elicited their expectations about the starting wage of the healthcare profession they intended to pursue. The treatment group was then informed of the actual starting wages, while the control group received no such information. Finally, we collected and analyzed their test scores. Our findings reveal that applicants with lower wage expectations tend to perform worse on the test. However, correcting these expectations eliminates the performance gap: providing accurate wage information enhances test scores for applicants who initially underestimated wages, while it negatively impacts those who overestimated them.

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  • Bernhofer, Juliana & Fedele, Alessandro & Tonin, Mirco, 2025. "Wage expectations and access to healthcare occupations: Evidence from an information experiment," Labour Economics, Elsevier, vol. 93(C).
  • Handle: RePEc:eee:labeco:v:93:y:2025:i:c:s0927537125000156
    DOI: 10.1016/j.labeco.2025.102688
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    1. Li, Jing & Dow, William H & Kariv, Shachar, 2017. "Social preferences of future physicians," Department of Economics, Working Paper Series qt5vw9g5tj, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    2. Heyes, Anthony, 2005. "The economics of vocation or 'why is a badly paid nurse a good nurse'?," Journal of Health Economics, Elsevier, vol. 24(3), pages 561-569, May.
    3. Arcidiacono, Peter & Hotz, V. Joseph & Kang, Songman, 2012. "Modeling college major choices using elicited measures of expectations and counterfactuals," Journal of Econometrics, Elsevier, vol. 166(1), pages 3-16.
    4. Carol Propper & John Van Reenen, 2010. "Can Pay Regulation Kill? Panel Data Evidence on the Effect of Labor Markets on Hospital Performance," Journal of Political Economy, University of Chicago Press, vol. 118(2), pages 222-273, April.
    5. Ernesto Dal Bó & Frederico Finan & Martín A. Rossi, 2013. "Strengthening State Capabilities: The Role of Financial Incentives in the Call to Public Service," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 128(3), pages 1169-1218.
    6. Philipp Kugler, 2022. "The role of wage beliefs in the decision to become a nurse," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 94-111, January.
    7. Hennig-Schmidt, Heike & Wiesen, Daniel, 2014. "Other-regarding behavior and motivation in health care provision: An experiment with medical and non-medical students," Social Science & Medicine, Elsevier, vol. 108(C), pages 156-165.
    8. Volker Benndorf & Holger A. Rau & Christian Sölch, 2019. "Gender Differences In Motivational Crowding Out Of Work Performance," Economic Inquiry, Western Economic Association International, vol. 57(1), pages 206-226, January.
    9. Dessi, Roberta & Rustichini, Aldo, 2015. "Strong intrinsic motivation," IDEI Working Papers 847, Institut d'Économie Industrielle (IDEI), Toulouse.
    10. Alessandro Fedele, 2018. "Well‐paid nurses are good nurses," Health Economics, John Wiley & Sons, Ltd., vol. 27(4), pages 663-674, April.
    11. Matthew Wiswall & Basit Zafar, 2015. "Determinants of College Major Choice: Identification using an Information Experiment," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 82(2), pages 791-824.
    12. Caroline M. Hoxby & Sarah Turner, 2015. "What High-Achieving Low-Income Students Know about College," American Economic Review, American Economic Association, vol. 105(5), pages 514-517, May.
    13. Nava Ashraf & Oriana Bandiera & Edward Davenport & Scott S. Lee, 2020. "Losing Prosociality in the Quest for Talent? Sorting, Selection, and Productivity in the Delivery of Public Services," American Economic Review, American Economic Association, vol. 110(5), pages 1355-1394, May.
    14. Andreas Fuster & Basit Zafar, 2022. "Survey Experiments on Economic Expectations," NBER Working Papers 29750, National Bureau of Economic Research, Inc.
    15. Schweri, Juerg & Hartog, Joop, 2017. "Do wage expectations predict college enrollment? Evidence from healthcare," Journal of Economic Behavior & Organization, Elsevier, vol. 141(C), pages 135-150.
    16. Erika Deserranno, 2019. "Financial Incentives as Signals: Experimental Evidence from the Recruitment of Village Promoters in Uganda," American Economic Journal: Applied Economics, American Economic Association, vol. 11(1), pages 277-317, January.
    17. Matthew Wiswall & Basit Zafar, 2015. "How Do College Students Respond to Public Information about Earnings?," Journal of Human Capital, University of Chicago Press, vol. 9(2), pages 117-169.
    18. John Jerrim, 2011. "Do UK Higher Education Students Overestimate Their Starting Salary?," Fiscal Studies, Institute for Fiscal Studies, vol. 32(4), pages 483-509, December.
    19. Julian R. Betts, 1996. "What Do Students Know about Wages? Evidence from a Survey of Undergraduates," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 27-56.
    20. Peter Arcidiacono & V. Joseph Hotz & Arnaud Maurel & Teresa Romano, 2020. "Ex Ante Returns and Occupational Choice," Journal of Political Economy, University of Chicago Press, vol. 128(12), pages 4475-4522.
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    More about this item

    Keywords

    Information experiment; Wage expectations; Test scores; Health occupations;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I23 - Health, Education, and Welfare - - Education - - - Higher Education; Research Institutions
    • J3 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs
    • C9 - Mathematical and Quantitative Methods - - Design of Experiments

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