Jacob Bor1, Harsha Thirumurthy2. 1. Department of Global Health, Boston University, Boston, MA. 2. Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia, PA.
Abstract
BACKGROUND: Bridging the efficacy-effectiveness gap in HIV prevention and treatment requires policies that account for human behavior. SETTING: Worldwide. METHODS: We conducted a narrative review of the literature on HIV in the field of economics, identified common themes within the literature, and identified lessons for implementation science. RESULTS: The reviewed studies illustrate how behaviors are shaped by perceived costs and benefits across a wide range of health and nonhealth domains, how structural constraints shape decision-making, how information interventions can still be effective in the epidemic's fourth decade, and how lessons from behavioral economics can be used to improve intervention effectiveness. CONCLUSION: Economics provides theoretical insights and empirical methods that can guide HIV implementation science.
BACKGROUND: Bridging the efficacy-effectiveness gap in HIV prevention and treatment requires policies that account for human behavior. SETTING: Worldwide. METHODS: We conducted a narrative review of the literature on HIV in the field of economics, identified common themes within the literature, and identified lessons for implementation science. RESULTS: The reviewed studies illustrate how behaviors are shaped by perceived costs and benefits across a wide range of health and nonhealth domains, how structural constraints shape decision-making, how information interventions can still be effective in the epidemic's fourth decade, and how lessons from behavioral economics can be used to improve intervention effectiveness. CONCLUSION: Economics provides theoretical insights and empirical methods that can guide HIV implementation science.
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