Ries Nola M
Health Law and Science Policy Group Faculty of Law, University of Alberta.
Healthc Pap. 2012;12(4):37-41; discussion 64-6. doi: 10.12927/hcpap.2013.23222.
The approach of "nudging" people toward healthier behaviours is currently in vogue, and user financial incentives (UFIs) are one possible nudge tool. Interesting debates arise as to the criteria UFIs must meet to qualify as a nudge. The more pressing issue, however, is to determine how UFIs can be structured and implemented to motivate and sustain health behaviour change. To date, Canadian public health strategies to promote physical activity and balanced nutrition focus mainly on information provision, with some product regulation measures and indirect financial incentives. Governments cannot afford direct UFI programs to incent all 60% of overweight and obese Canadians to reduce their body mass, but governments could consider UFIs targeted to specific risk groups where a shorter-term intervention could have long-term payoffs.
“推动”人们采取更健康行为的方法目前正流行，而用户经济激励措施（UFIs）是一种可能的推动工具。关于UFIs要符合推动标准必须满足哪些条件引发了有趣的争论。然而，更紧迫的问题是确定如何构建和实施UFIs以激励并维持健康行为改变。迄今为止，加拿大促进身体活动和均衡营养的公共卫生策略主要侧重于提供信息，辅之以一些产品监管措施和间接经济激励。政府无力承担直接的UFIs项目来激励所有60%的超重和肥胖加拿大人减轻体重，但政府可以考虑针对特定风险群体的UFIs，在这些群体中进行短期干预可能会带来长期回报。
