Bressman Eric, Fanaroff Alexander, Mahraj Katy, Norton Laurie, Coratti Samantha, Farraday David, Garzon Mrad Carolina, Avery Mikael, Arshad Ayisha, John Aileen, Asch David A, Volpp Kevin G
Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
BMJ Open Qual. 2025 Mar 22;14(1):e003146. doi: 10.1136/bmjoq-2024-003146.
Cardiovascular disease is a leading cause of morbidity and mortality worldwide. We leveraged behavioural economics principles to encourage screening for cardiovascular disease risk factors. In a pilot, 60 high-risk patients were offered a complimentary home BP monitor and a lipid test through more convenient means (local lab, home phlebotomy, or self-test), along with financial incentives. Of these, 43.3% submitted the required BP readings, compared with 30.0% in a historical control group; 30.0% completed the lipid panel, versus 18.1% historically. While these results suggest that convenience and incentives can increase participation, over half of participants still did not complete the screenings, indicating a need for additional strategies to fully engage at-risk populations.
心血管疾病是全球发病和死亡的主要原因。我们运用行为经济学原理来鼓励对心血管疾病风险因素进行筛查。在一项试点中，通过更便捷的方式（当地实验室、上门采血或自我检测）为60名高危患者提供了免费的家用血压监测仪和血脂检测，并给予经济激励。其中，43.3%的患者提交了所需的血压读数，而历史对照组为30.0%；30.0%的患者完成了血脂检测，历史对照组为18.1%。虽然这些结果表明便利性和激励措施可以提高参与度，但仍有超过一半的参与者未完成筛查，这表明需要额外的策略来全面吸引高危人群。
