Small Cash Incentives Can Encourage Primary Care Visits By Low-Income People With New Health Care Coverage
Small Cash Incentives Can Encourage Primary Care Visits By Low-Income People With New Health Care Coverage
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DOI：
10.1377/hlthaff.2016.1455
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发表时间：
2017-08-01
期刊：
影响因子：
9.7
通讯作者：
Neumark, David
中科院分区：
文献类型：
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作者：
Bradley, Cathy J.;Neumark, David
在一项随机对照试验中，我们研究了初级保健计划新覆盖的低收入成年人，以确定现金奖励是否可以鼓励他们初次访问初级保健提供者。受试者被随机分配到四个组中的一个：三个组的成员在采访期间接受10美元完成基线调查，并随机分配到50美元，25美元或0美元的激励措施，以便在参加研究后六个月内访问指定的初级保健提供者;和研究小组未联系的非激励对照组。与0美元激励组（68%）相比，50美元和25美元激励组的受试者更有可能看到初级保健提供者（分别为77%和74%）。当我们比较50美元和25美元激励组中拜访他们的供应商的受试者比例和非激励组的比例（61%）时，干预的效果大约是两倍。现金激励计划可能会引导新覆盖的低收入患者接受初级保健，这可能会改善健康状况，降低成本。
In a randomized controlled trial, we studied low-income adults newly covered by a primary care program to determine whether a cash incentive could encourage them to make an initial visit to a primary care provider. Subjects were randomly assigned to one of four groups: three groups whose members received $10 to complete a baseline survey during an interview and who were randomized to incentives of $50, $25, or $0 to visit their assigned primary care provider within six months after enrolling in the study; and a nonincentivized control group not contacted by the research team. Subjects in the $50 and $25 incentive groups were more likely to see a primary care provider (77 percent and 74 percent, respectively), compared to subjects in the $0 incentive group (68 percent). The effects of the intervention were about twice as large when we compared the proportions of subjects in the $50 and $25 incentive groups who visited their providers and the proportion in the nonincentivized group (61 percent). Cash incentive programs may steer newly covered low-income patients toward primary care, which could result in improved health outcomes and lower costs.