Quotation Finkelstein, Eric, Bilger, Marcel, Baid, Drishti. 2019. Effectiveness and cost-effectiveness of incentives as a tool for prevention of non-communicable diseases: A systematic review. Social Science and Medicine. 232 340-350.


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Abstract

The rising epidemic of non-communicable diseases (NCDs) poses substantial health and economic challenges to both individuals and society. Application of incentive-based strategies based on traditional and behavioural economic theory has emerged as a potential strategy to address rising rates of NCDs. Yet, whether or not incentives truly represent a promising strategy for addressing NCDs has not been systematically addressed nor is it clear whether certain behavioural economic strategies outperform others or simply offering a cash-based incentive for meeting a goal. In this systematic review we aim to determine whether there is an evidence base for any of these strategies. Forty-eight published randomized controlled trials (70 contrasts) evaluating the effectiveness of incentive-based strategies for improvements in NCD risk-factors were reviewed. Our primary conclusion is that there is a lack of compelling evidence that incentives of any form represent a compelling NCD reduction strategy. More evidence for long-term effectiveness and cost-effectiveness is needed to justify third party funding of any incentive based strategy.

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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal Social Science and Medicine
Citation Index SSCI
WU-Journal-Rating new MAN-A, WH-A
Language English
Title Effectiveness and cost-effectiveness of incentives as a tool for prevention of non-communicable diseases: A systematic review
Volume 232
Year 2019
Page from 340
Page to 350
Reviewed? Y
DOI http://dx.doi.org/10.1016/j.socscimed.2019.05.018
Open Access Y
Open Access Link http://dx.doi.org/10.1016/j.socscimed.2019.05.018

Associations

People
Bilger, Marcel (Details)
External
Baid, Drishti (Duke-NUS Medical School, Singapore)
Finkelstein, Eric (Duke-NUS Medical School, Singapore)
Organization
Health Economics and Policy Group AB (Details)
Research areas (Ă–STAT Classification 'Statistik Austria')
5346 Economics of the health system (Details)
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