- Most of the evidence on the contribution of patient incentives to quality improvement is focused on two areas of behaviour change:
- improving public health
- increasing patient compliance with recommended care.
- Patient incentives can be effective in helping to secure simple, well-defined episodes of behaviour change (for example, vaccinations and cancer screening). Relatively modest rewards can encourage one-off changes in patient behaviour.
- For complex and sustained behaviour change, such as smoking cessation, there is insufficient evidence to declare that patient incentives are effective as quality enhancing interventions. However, offsetting direct costs (eg transportation costs, cost of nicotine replacement therapy) can contribute to behaviour change in motivated patients.
- The bulk of the evidence concerning discrete or simple behaviour change is drawn from disadvantaged groups
- Interventions focused on more complex behaviour change tend to be focused on middle-class populations.
- There is very little evidence available that explicitly evaluates the role of non-financial patient incentives.
This report focuses on patient-targeted incentives and summarises available evidence on the effectiveness of patient incentives in improving quality of healthcare.
It is a narrative account of available evidence in a number of healthcare areas, underpinned by systematic searches of the literature.
You might also like...
Our response to the Care Quality Commission’s annual assessment of the state of health and social care in England.
The decisions we make about technology today will have implications for the entire social care system, says Lydia Nicholas, f...
Health Foundation response to NHS England monthly statistics for August and September 2019.
Health Foundation @HealthFdn
The decisions we make about technology today will have implications for the entire social care system, says… https://t.co/oCqdxuzZKmFollow us on Twitter
Work with us
We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.View current vacancies
The Q Community
Q is an initiative connecting people with improvement expertise across the UK.Find out more