aportes a la gestión necesaria para la sustentabilidad de la SALUD PÚBLICA como figura esencial de los servicios sociales básicos para la sociedad humana, para la familia y para la persona como individuo que participa de la vida ciudadana.
martes, 17 de agosto de 2010
Preventing Chronic Disease: September 2010: 10_0044
Principles to Guide the Development of Population Health Incentives
Robert H. Haveman, PhD
Suggested citation for this article: Haveman RH. Principles to guide the development of population health incentives. Prev Chronic Dis 2010;7(5).
http://www.cdc.gov/pcd/issues/2010/sep/10_0044.htm. Accessed [date].
PEER REVIEWED
Abstract
Improving population health is not simple. Many instruments are available for changing behavior and consequent outcomes. However, the following basic principles should guide development of any incentive arrangement: 1) identify the desired outcome, 2) identify the behavior change that will lead to this outcome, 3) determine the potential effectiveness of the incentive in achieving the behavior change, 4) link a financial incentive directly to this outcome or behavior, 5) identify the possible adverse effects of the incentive, and 6) evaluate and report changes in the behavior or outcome in response to the incentive.
A wide range of financial and nonfinancial incentives is available to encourage efficient behaviors and discourage costly and unproductive ones. Evidence for the beneficial effects of incentive programs has been slow to emerge, partly because such evidence must show how behaviors have changed because of the incentive. Nevertheless, the potential for incentive programs in health care seems large, and research should support their design and assess their effect.
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Preventing Chronic Disease: September 2010: 10_0044
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