How do international organizations (IOs) affect access to social services for refugees and host country nationals during humanitarian crises? We explore the quality of care received by Syrian refugees and Lebanese nationals in Lebanese health facilities using data from original surveys in a nationally representative sample of health centers. Given its importance as a site of interactions with host country nationals, health is a key arena for studying local behavior toward refugees. Much research on refugees and intergroup relations suggests that Syrians would receive inferior services, yet other approaches would predict equitable treatment, whether due to intrinsic or extrinsic motivations. We find no difference in the quality of care for Syrians and Lebanese and argue that the comparatively equitable treatment of refugees stems from incentives from IOs at both the organizational and individual levels—a phenomenon we call the “IO effect.” The study advances research on IOs and humanitarian crises by focusing on behavior and not only attitudes toward refugees and by highlighting the role of IOs in shaping the experience of everyday life for refugees.

中文翻译：

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IO 效应：难民危机中的国际行为者和服务提供

在人道主义危机期间，国际组织 (IO) 如何影响难民和东道国国民获得社会服务的机会？我们使用来自具有全国代表性的卫生中心样本的原始调查数据，探讨叙利亚难民和黎巴嫩国民在黎巴嫩卫生设施中接受的护理质量。鉴于其作为与东道国国民互动场所的重要性，健康是研究当地对难民行为的关键领域。许多关于难民和群体间关系的研究表明，叙利亚人将获得劣质服务，但其他方法可以预测公平待遇，无论是由于内在或外在动机。我们发现叙利亚人和黎巴嫩人的护理质量没有差异，并认为对难民的相对公平待遇源于组织和个人层面的 IO 的激励——我们称之为“IO 效应”的现象。该研究通过关注行为而不仅仅是对难民的态度，并强调 IO 在塑造难民日常生活体验中的作用，推进了对 IO 和人道主义危机的研究。