Hall Allyson G, Lemak Christy Harris, Landry Amy Yarbrough, Duncan R Paul
Department of Health Services Research, Management, and Policy, University of Florida, Gainesville, FL 32610, USA.
J Prim Care Community Health. 2013 Apr 1;4(2):112-8. doi: 10.1177/2150131912458437. Epub 2012 Aug 22.
Engaging individuals in their own health care proves challenging for policy makers, health plans, and providers. Florida Medicaid introduced the Enhanced Benefits Rewards (EBR) program in 2006, providing financial incentives as rewards to beneficiaries who engage in health care seeking and healthy behaviors.
This study analyzed beneficiary survey data from 2009 to determine predictors associated with awareness of and participation in the EBR program.
Non-English speakers, those in a racial and ethnic minority group, those with less than a high school education, and those with limited or no connection to a health care provider were associated with lower awareness of the program. Among those aware of the program, these factors were also associated with reduced likelihood of engaging in the program. Individuals in fair or poor health were also less likely to engage in an approved behavior. Individuals who speak Spanish at home and those without a high school diploma were more likely than other groups to spend their earned program credits.
Findings underscore the fact that initial engagement in such a program can prove challenging as different groups are not equally likely to be aware of or participate in an approved activity or redeem a credit. Physicians may play important roles in encouraging participation in programs to incentivize healthy behaviors.
让个人参与自身的医疗保健，这对政策制定者、医疗计划和医疗服务提供者来说都颇具挑战。佛罗里达州医疗补助计划于2006年推出了强化福利奖励（EBR）项目，为参与医疗保健寻求和健康行为的受益人提供经济奖励。
本研究分析了2009年受益人的调查数据，以确定与EBR项目认知度和参与度相关的预测因素。
非英语使用者、少数种族和族裔群体、高中以下学历者以及与医疗服务提供者联系有限或无联系的人，对该项目的认知度较低。在了解该项目的人群中，这些因素也与参与该项目的可能性降低有关。健康状况一般或较差的人参与获批行为的可能性也较小。在家说西班牙语的人和没有高中文凭的人比其他群体更有可能使用他们获得的项目积分。
研究结果强调了这样一个事实，即让不同群体同样有可能了解或参与获批活动或兑换积分，那么让他们初步参与此类项目可能颇具挑战。医生在鼓励参与激励健康行为的项目中可能发挥重要作用。
