Lawson Joshua, Howard Brendan
KPMG Management Consulting, Toronto, Ontario.
Healthc Pap. 2012;12(4):53-7; discussion 64-6. doi: 10.12927/hcpap.2013.23225.
User financial incentives (UFI), in the context of behavioural public policy, have the potential to shape Canadian health policy by replacing or augmenting traditional information-based mechanisms and by imparting a viewpoint that has traditionally been foreign to the public sphere. Whether or not UFI and more traditional "nudges" should be used, they will likely be limited by traditional moral, efficacy and cost/ benefit challenges, as well as the political and bureaucratic impediments that emerge throughout the policy implementation process. These challenges will likely preclude UFI and nudges from having a transformative effect on public policy, but this new school of thought will likely gain prominence through more amorphous means as more individuals learn and adopt its central theory. We should be excited about the potential of UFI and the use of behavioural public policy, but should temper our excitement with realistic expectations about how extensively such an approach should and will be used.
在行为公共政策背景下，用户经济激励措施（UFI）有可能通过取代或增强传统的基于信息的机制，并通过引入一种传统上在公共领域中不常见的观点，来塑造加拿大的卫生政策。无论是否应采用UFI和更传统的“助推”措施，它们可能会受到传统道德、效果和成本/效益挑战的限制，以及政策实施过程中出现的政治和官僚障碍。这些挑战可能会使UFI和助推措施无法对公共政策产生变革性影响，但随着越来越多的人学习并采用其核心理论，这一新的思想流派可能会通过更无形的方式获得显著地位。我们应该对UFI的潜力和行为公共政策的应用感到兴奋，但应该对这种方法应该和将会被广泛应用的程度抱有现实期望，从而适度降低兴奋程度。
