Health
How Incentives Can Drive Positive Health Outcomes
The use of financial incentives to change health-related behaviors is becoming increasingly common. However, the results of incentive schemes in the past have been mixed.
One reason may be that the underlying psychology behind incentive programs still needs to be fully understood. For example, a lottery-based financial incentive scheme can encourage people to attend eye screening appointments but only increases vaccination rates if the incentive is immediate.
Motivate Patients
Incentives are often a key driver for improving patient behaviors and healthcare outcomes. Patients may be offered incentives to sign up for a wellness program or participate in a vaccination campaign. Employers may provide employees with cash rewards to encourage healthy eating and exercise. Many ‘know your HIV’ programs in developing countries offer incentives to ensure people pick up their results.
Payment per achievement, in the form of payments to physicians for performing certain procedures or achieving certain quality metrics, is one method healthcare systems use to motivate providers to deliver value-based care.
But how much do these incentives work? Studies have shown that incentives’ effectiveness depends on the reward behavior and subtle design details, such as how an incentive is delivered or framed. Using behavioral science to drive these programs could yield better results and cost savings. For example, one controlled study found that a targeted, micro-incentive approach generated eight dollars in cost savings for every dollar spent on the program.
Encourage Adherence
Incentives can be used to encourage people to stick with their health goals. This can be done through various approaches, including price signals such as sin taxes or subsidies and commitment devices such as public contracts where individuals agree to change their behavior for a set period in return for additional benefits.
Several studies have reported that incentives informed by behavioral economics can improve adherence. However, these incentives have rarely been tested among youth living with HIV despite the high need for enhanced compliance.
One study implementing an incentive-based model to increase adherence reported that the program improved viral load suppression outcomes. The study also included several complementary measures, such as regular client-centered adherence meetings, monthly adherence audits, and feedback reports. Incentive magnitudes vary widely across studies, with payments ranging from annual provider income. However, most studies need to report detailed information regarding the amount of incentives and how they are paid.
Encourage Routine Check-Ups
Incentives are one route to encouraging routine check-ups and other trends, such as value-driven purchasing, patient-centered care and clinical performance management. But it’s important to consider how incentives are framed and designed. Using price signals to encourage health behaviors can be successful; for example, increasing the cost of tobacco and alcohol has been shown to reduce consumption.
However, introducing rewards can also backfire. For example, freebies like doughnuts or movie tickets can discourage people from getting the COVID-19 vaccine.
Incentives can be offered to individuals, groups of providers or even entire health systems. They can be tied to individual, group, or network performance markers or even at the practice or integrated delivery system level. The size of these incentives varies widely, and their frequency can be monthly, quarterly or annually. Moreover, linking incentives to health outcomes or measures can be demotivating because improvements tend to plateau over time. Instead, focusing on measurable improvements in quality or cost may be more effective.
Encourage Self-Care
Incentives are often viewed as encouraging healthy behavior and reducing overall healthcare costs. However, supporters and critics disagree on whether incentives are appropriate and effective. Supporters generally believe that people should be encouraged where possible into behaviors that promote improved health outcomes and that appropriately targeted incentive schemes can provide a form of symmetric or libertarian paternalism that steers people toward better choices without necessarily limiting what those choices are.
For example, one study randomly assigned participants to receive0 cash incentive for visiting their primary care provider (PCP) after enrolling in a community-based primary care program. These low-income patients were newly eligible for free or low-cost health insurance because the state had not relaxed its stringent Medicaid eligibility requirements.
The researchers found that a small financial incentive increased the number of first-time visits relative to the non-incentivized group. They also found that incentives framed as gains were more effective than those framed as losses.
Discover the 15 good reasons to drink lemon juice in the morning on an empty stomach.
Lemon is one of the most frequently and widely used citrus fruits.
Its popularity is due to its scent and refreshing taste.
Its aroma makes it an ingredient of choice in many recipes and the composition of perfumes.
It also accompanies a large number of drinks, including tea and cocktails, it can also be served as fruit juice.
Not only is lemon used for its aromatic qualities, but also its therapeutic dimension.
Rich in vitamin C, lemon indeed has formidable therapeutic virtues: its Antiviral and antibacterial properties as well as its ability to stimulate the immune system are widely recognized.
One of the most common ways to reap the benefits of lemon is by squeezing the juice.
Lemon juice stimulates digestion and has a detoxifying action.
It also promotes drainage of the liver and thus improves digestion.
By its ability to boost metabolism, lemon juice is an effective way to lose weight.
If you want to lose weight, drinking lemon juice in lukewarm water every morning on an empty stomach gives fabulous results.
But that’s not all, nutrition specialists at the Edison Institute of Nutrition have compiled a list of the main benefits of consuming lemon juice mixed with lukewarm water on an empty stomach:
1. An excellent source of vitamin C, lemon juice protects the body by strengthening the immune system.
2. Drinking lemon juice in lukewarm water every morning on an empty stomach helps maintain pH balance in the body.
3. Thanks to its antibacterial properties, lemon juice helps fight infections.
4. Has a detoxifying action.
5. Promotes digestion.
6. Besides vitamin C, lemon is also an excellent source of potassium, calcium, phosphorus, magnesium, etc.
7. Helps fight colds.
8. Lemon water is a well-known remedy for dealing with different skin problems like acne, rashes, wrinkles, or dark spots.
9. Mixed with lukewarm water, lemon juice stimulates digestion, boosts metabolism, and thus allows you to lose weight quickly.
10 Lemon juice is also very effective in removing toxins that have accumulated in the liver.
11. The anti-inflammatory properties of lemon help fight infections of the respiratory tract, sore throat, and inflammation of the tonsils.
12. Rich in electrolytes, lemon juice effectively hydrates the body.
13. Drinking lemon juice mixed with lukewarm water decreases muscle and joint pain.
14. Lemon juice in lukewarm water promotes good dental hygiene because it helps decrease dental pain and prevent gingivitis.
15. Drinking lemon juice in lukewarm water stimulates digestion and regulates intestinal transit.
SOME QUESTIONS / ANSWERS AND COMMENTS :
Q. Out of curiosity… my cousin is allergic to lemon. Does lime have the same virtues?
A. Yes, you can substitute lemon for lime.
I had to stop drinking lemon water for a month because I was sick. The joint pain I got rid of before all came back.
So I started drinking lemon juice in lukewarm water again every morning on an empty stomach.
Now after a week, and it’s true, my pain in my knees is gone !!!!
It’s amazing! Lemon is indeed very alkalizing and promotes the elimination of acids.
Also, it contains a lot of vitamin C, which is good for the joints.
Some people suffer from vitamin C deficiency and need to be sure to find it in their diet or supplements.
Q. After drinking lemon juice in lukewarm water in the morning on an empty stomach, how long should I wait to eat?
A. I recommend that you wait 20 to 30 minutes before eating.
Q. Why does lemon juice need to be mixed with lukewarm water? Is lemon juice also beneficial in cold water?
A. Lukewarm water stimulates digestion and the liver.
Coldwater does the opposite, it blocks digestion.
So it is best to consume lemon juice in lukewarm water.
Q. How many lemons should you squeeze in the morning to benefit from the benefits of this fruit?
A. I suggest squeezing half a lemon in a large glass of lukewarm water (25cl).
Lemon juice is rich in vitamin C and antioxidants.
Citric acid and vitamin C promote the dissolution of gallstones, their elimination, as well as the clearing of the bile ducts.
Lemon juice has been used for centuries in the treatment of kidney stones and gallstones.
Lemon also has antimicrobial properties that help reduce gallbladder infections and relieve pain.
The pectin in lemon juice relieves bloating, nausea and pain.
Besides, lemon juice helps reduce the production of cholesterol by the liver.
Q. Hello. I have a question: I have thyroid problems, can I drink lemon juice in lukewarm water?
A. Yes. You can drink lemon juice in lukewarm water if you are suffering from thyroid problems.
Q. I take medicine on an empty stomach every morning for a thyroid problem. Should I take this medicine before drinking lemon water or after?
A. Since lemon water is absorbed relatively quickly by the body, I recommend that you take your medicine soon after drinking the lemon water.
Joint pain is associated with poor digestion and allergic reactions to certain foods.
Lemon water promotes digestion and the elimination of toxins.
If your teeth are prone to demineralization and are very sensitive, I advise you to drink lemon water through a straw.
Discover The Miracle Cure Against Mosquito Bite.
Have you been bitten by a mosquito again?
They have the gift of stinging us when we spend a quiet evening on the terrace!
And then, hello the itching!
We only want one thing, and that is to scratch ourselves to the point of blood. It’s super annoying!
Fortunately, my grandmother gave me her natural remedy to quickly relieve a mosquito bite.
The miracle trick is to apply a paste of baking soda and witch hazel water. Look :
What you need
- baking soda
- witch hazel water
- cup
How to do
- Put three teaspoons of baking soda in a cup.
- Pour a teaspoon of witch hazel water
- Mix to obtain a paste.
- Apply the paste to the bite.
- Leave on.
Results
And there you have it, thanks to this remedy, you have stopped the itching of mosquito bites in their tracks 
Easy, fast, and efficient, isn’t it?
It is a simple treatment that makes the sting deflate and disappear quickly!
This remedy is completely natural and very gentle. It is ideal for the fragile skin of children and babies.
And you don’t even need Apaisyl cream … it’s much more economical that way.
In addition, it works for all insect bites: mosquitoes, spiders, horseflies…
Why does it work?
Baking soda soothes the itchiness. It acts as an antiseptic and disinfectant. It thus calms the inflammation caused by the sting.
Witch hazel water also disinfects the sting and soothes the itchy sensation.
It also refreshes the skin and heals the irritated part thus bringing an immediate feeling of well-being.
We also find witch hazel in the composition of calming gels after insect bites from Hansaplast.
What is witch hazel?
Witch hazel is a plant native to North America.
Witch hazel water comes from the indirect distillation of dried witch hazel leaves. It takes about 60 kilos of leaves to get a thousand liters of water.
The many benefits of witch hazel have been recognized for a very long time.
It helps disinfect wounds. Applied in massage, it is an effective venous tonic and stimulates blood circulation.
It also has anti-inflammatory properties and as such, it relieves rheumatic and arthritis pain.
It is also an asset in your beauty kit. Used in rinsing water, it eliminates dandruff.
Finally, it is also found in perfumery, because its smell is very pleasant. It is similar to that of cut grass with a hint of mint in addition.
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