Yale School of Forestry & Environmental Studies, New Haven, CT 06511, USA.
J Health Econ. 2013 Mar;32(2):440-51. doi: 10.1016/j.jhealeco.2013.01.002. Epub 2013 Jan 26.
Public policies intended to induce behavioral change, specifically incentives to reduce interpersonal contacts or to "social distance," increasingly play a prominent role in public disease response strategies as governments plan for and respond to major epidemics. I compare social distancing incentives and outcomes under decentralized, full control social planner, and constrained social planner, without health class specific control, decision making scenarios. Constrained social planner decision making, based on non-health class specific controls, can in some instances make society worse off than decentralized decision making (i.e. no intervention). The oft neglected behavior of recovered and immune individuals is important for welfare and health outcomes.
旨在诱导行为改变的公共政策,特别是减少人际接触或“社会距离”的激励措施,在政府为重大流行病做规划和应对时,在公共疾病应对策略中发挥着越来越重要的作用。我在没有针对特定健康群体进行控制的分散式、完全控制型社会规划者和受约束的社会规划者这三种决策情景下,对社会距离激励措施及其结果进行了比较。基于非特定健康群体控制的受约束的社会规划者决策,在某些情况下可能会使社会状况比分散式决策(即不干预)更差。被治愈和具有免疫力的个体的行为常常被忽视,但对福利和健康结果很重要。