But scientists are just beginning to tease out the circumstances in which financial incentives work best—and why. Different health behaviors might call for distinct incentive schemes, as might certain populations. And tacking on social or moral incentives could add to the impact of monetary incentives.
Depending on whether the incentives are positive (such as payment for good behavior) or negative (fines for bad behavior), they are thought to play on different psychological processes.
Positive reinforcement schemes provide an immediate reward for a behavior whose benefits would not be obvious for months or years, accelerating the rate at which a person adopts that activity, says Theresa Marteau, director of the Center for the Study of Incentives in Health at King's College London.
Financial incentives might also work if they are in the form of a lottery, because the small chance of a large reward is emotionally appealing, according to a 2008 study in JAMA, The Journal of the American Medical Association. On the other hand, pecuniary disincentives might play on loss aversion— the idea that we value losing something twice as much as gaining the same amount, which means we would have to have a chance of winning $20 to make up for the risk of losing $10—a behavioral economic principle that is likely at work, too, the JAMA paper notes.
Positive reinforcement schemes encourage one-time, good behaviors, such as showing up for disease screening or vaccination programs, according to a review Marteau published in 2009 in BMJ (the British Medical Journal). The reason? You only have to do them once, says Kevin Volpp, director of the Center for Health Incentives at the University of Pennsylvania School of Medicine.
But scientists are just beginning to tease out the circumstances in which financial incentives work best—and why. Different health behaviors might call for distinct incentive schemes, as might certain populations. And tacking on social or moral incentives could add to the impact of monetary incentives.<br>Depending on whether the incentives are positive (such as payment for good behavior) or negative (fines for bad behavior), they are thought to play on different psychological processes.<br>Positive reinforcement schemes provide an immediate reward for a behavior whose benefits would not be obvious for months or years, accelerating the rate at which a person adopts that activity, says Theresa Marteau, director of the Center for the Study of Incentives in Health at King's College London.<br>Financial incentives might also work if they are in the form of a lottery, because the small chance of a large reward is emotionally appealing, according to a 2008 study in JAMA, The Journal of the American Medical Association. On the other hand, pecuniary disincentives might play on loss aversion— the idea that we value losing something twice as much as gaining the same amount, which means we would have to have a chance of winning $20 to make up for the risk of losing $10—a behavioral economic principle that is likely at work, too, the JAMA paper notes.<br>正加固方案鼓勵一次性的,良好的行為,如顯示彌補疾病篩查或疫苗接種計劃,根據審核MARTEAU在2009年出版的BMJ(英國醫學雜誌)。原因?凱文Volpp,在賓夕法尼亞大學醫學院的大學健康激勵中心主任說,你只要做一次即可。
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