Mitchell Marc, Faulkner Guy
Graduate Department of Exercise Sciences, University of Toronto University Health Network, Toronto Rehabilitation Institute (Cardiac Rehabilitation and Secondary Prevention).
Healthc Pap. 2012;12(4):31-6; discussion 64-6. doi: 10.12927/hcpap.2013.23221.
A comprehensive, multi-level approach to curb chronic disease-related costs in Canada is needed. One target for intervention is the economic domain. The emergence of user financial incentives (UFI) in public health policy as well as their broad implementation in corporate settings has stimulated a growing but limited body of research in this area. The authors'position is that the jury is still out on the question of their effectiveness in sustaining long-term health behaviour change, given the nature of the UFI that have been designed and delivered to date--that is, UFI with limited theoretical and contextual consideration. It is their contention that manipulating UFI design features (there are seven core features with a range of attributes) to exploit contextual (e.g., personal income) and theoretical (e.g., self-efficacy) factors may optimize UFI effectiveness over the long term. Although UFI are not the solution, they might very well be apart.
加拿大需要一种全面、多层次的方法来控制与慢性病相关的成本。一个干预目标是经济领域。公共卫生政策中用户经济激励措施（UFI）的出现及其在企业环境中的广泛实施，激发了该领域越来越多但有限的研究。作者的立场是，鉴于迄今为止设计和实施的UFI的性质——即理论和背景考虑有限的UFI，关于它们在维持长期健康行为改变方面的有效性问题仍尚无定论。他们认为，操纵UFI的设计特征（有七个核心特征，具有一系列属性）以利用背景因素（如个人收入）和理论因素（如自我效能感），可能会在长期内优化UFI的有效性。虽然UFI不是解决方案，但它们很可能是解决方案的一部分。
