Marita C Lynagh1, Rob W Sanson-Fisher, Billie Bonevski. 1. School of Medicine and Public Health, University of Newcastle, David Maddison Building, Cnr King & Watt Streets, Newcastle, NSW, 2300, Australia. Marita.Lynagh@newcastle.edu.au
Abstract
BACKGROUND: The use of financial incentives or pay-for-performance programs for health care providers has triggered emerging interest in the use of financial incentives for encouraging health behaviour change. PURPOSE: This paper aims to identify key conditions under which the use of financial incentives for improvements in public health outcomes is most likely to be effective and appropriate. METHODS: We review recent systematic reviews on their effectiveness in changing health behaviour and identify existing moral concerns concerning personal financial incentives. RESULTS: Current evidence indicates that incentives can be effective in driving health behaviour change under certain provisos, while a number of misgivings continue to be deliberated on. We outline a number of key principles for consideration in decisions about the potential use of incentives in leading to public health improvements. CONCLUSION: These key principles can assist policy makers in making decisions on the use of financial incentives directed at achieving improvements in public health.
BACKGROUND: The use of financial incentives or pay-for-performance programs for health care providers has triggered emerging interest in the use of financial incentives for encouraging health behaviour change. PURPOSE: This paper aims to identify key conditions under which the use of financial incentives for improvements in public health outcomes is most likely to be effective and appropriate. METHODS: We review recent systematic reviews on their effectiveness in changing health behaviour and identify existing moral concerns concerning personal financial incentives. RESULTS: Current evidence indicates that incentives can be effective in driving health behaviour change under certain provisos, while a number of misgivings continue to be deliberated on. We outline a number of key principles for consideration in decisions about the potential use of incentives in leading to public health improvements. CONCLUSION: These key principles can assist policy makers in making decisions on the use of financial incentives directed at achieving improvements in public health.
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