Paying People to Be Healthy

Document Type : Editorial

Author

Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada

Abstract

User Financial Incentives (UFIs) have emerged as a powerful tool for health promotion. Strong evidence suggests that large enough incentives paid to individuals, conditional on behaviour they can control, encourages more of the desired behaviour. However, such interventions can have unintended consequences for non-targeted behaviours. Implementation difficulties that result in individuals not understanding the nature of the incentive, unintended opportunities to “game” the system and inefficient roll-outs, can dampen results. Moreover, the legitimacy of paternalistic interventions by health planners requires careful consideration if we accept that the families involved will almost certainly be better judges of their own best interests than outsiders.

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References

  1.  

    1. Oliver A, Lawrence D. Brown LD. A Consideration of User financial Incentives to address health inequalities. J Health Polit Policy Law 2012; 37: 201–26. doi: 10.1215/03616878-1538602
    2. Thaler RH, Sunstein CR. Nudge: Improving decisions about health, wealth, and happiness. New Haven: Yale University Press; 2008. doi: 10.1007/s10602-008-9056-2
    3. Ripley A. Should kids be bribed to do well in school? Time Magazine [serial on the Internet]. [updated 2010 Apr 8; cited 2013 Nov 8]. Available from: http://content.time.com/time/magazine/article/0,9171,1978758,00.html
    4. Fryer RG Jr. Financial Incentives and Student Achievement: Evidence from Randomized Trials. Q J Econ 2011; 126: 1755–98. doi: 10.1093/qje/qjr045
    5. Riccio JC. Early Findings from New York City’s Conditional Cash Transfer program [internet]. 2010. Available from: http://www.irp.wisc.edu/publications/fastfocus/pdfs/FF5-2010.pdf
    6. Paes-Sousa R, Santos LM, Miazaki ÉS. Effects of a conditional cash transfer programme on child nutrition in Brazil. Bull World Health Organ 2011; 89: 496–503. doi: 10.2471/blt.10.084202
    7. Baird S, McIntosh C, Őzler B. Cash or condition? evidence from a cash transfer experiment. Q J Econ 2011; 126: 1709–53. doi: 10.1093/qje/qjr032
    8. SJ Baird, RS Garfein, CT McIntosh, B Őzler. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial. Lancet 2012; 379: 1320–9. doi: 10.1016/s0140-6736(11)61709-1
    9. Horwitz JR, Kelly BD, DiNardo JE. Wellness incentives in the workplace: cost savings through cost shifting to unhealthy workers. Health Aff (Millwood) 2013; 32: 468–76. doi: 10.1377/hlthaff.2012.0683

     

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History

  • Receive Date: 28 October 2013
  • Revise Date: 16 November 2013
  • Accept Date: 12 November 2013
  • First Publish Date: 16 November 2013

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