A Nudge Towards Cardiovascular Health: Applications of Behavioral Economics for Primary and Secondary Cardiovascular Prevention

A Nudge Towards Cardiovascular Health: Applications of Behavioral Economics for Primary and Secondary Cardiovascular Prevention
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推动心血管健康:行为经济学在初级和二级心血管预防中的应用

DOI:
10.1007/s11936-020-00824-y
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发表时间:
2020
影响因子:
--
通讯作者:
Mitesh S. Patel
Mitesh S. Patel
中科院分区:
--
文献类型:
--
作者:
S. Adusumalli;Gowri G. Aragam;Mitesh S. Patel

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综述目的尽管心血管医学领域有效的行为和医学疗法发展强劲,但在许多情况下,患者和提供者对这些疗法的实施并不理想。最终,这些疗法的实施依赖于最后一个共同途径:人类行为。行为经济学领域的原则可以用来推动患者和医疗服务提供者做出更好的医疗决策。这篇综述将集中在行为经济学领域如何为一级和二级心血管预防干预措施的实施提供信息。行为经济学的原则,如损失框架,社会规范和选择架构可以应用于成功和可持续地改变病人和供应商的行为。这些行为变化可以通过使用电子工具来加强,例如可穿戴活动跟踪器和电子健康记录。人类行为改变是促进一级和二级心血管预防的关键。随着我们对如何应用行为经济学原理的理解的发展,以及我们以更有针对性的方式应用这些原理,它们将成为促进心血管疾病患者积极临床结果的更强大工具。
Purpose of Review Despite robust development of effective behavioral and medical therapies in cardiovascular medicine, in many cases, patient and provider implementation of those therapies has been suboptimal. Ultimately, the implementation of those therapies relies upon one final common pathway: human behavior. Principles from the field of behavioral economics can be used to nudge patients and healthcare providers towards better healthcare decision-making. This review will focus on how the field of behavioral economics can inform the delivery of primary and secondary cardiovascular prevention interventions. Recent Findings Behavioral economics principles such as loss-framing, social norms, and choice architecture can be applied to successfully and sustainably change patient and provider behavior. These behavior changes can be potentiated by the use of electronic tools such as wearable activity trackers and electronic health records. Summary Human behavior change is key to promotion of primary and secondary cardiovascular prevention. As our understanding of how to apply principles from behavioral economics develops, and as we apply those principles in a more targeted way, they will become even more powerful tools to promote positive clinical outcomes in patients with cardiovascular disease.
运用行为经济学的见解,推动学生选择更健康的食物。
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