Wellness Incentives, Equity, and the 5 Groups Problem.

• Autores: Harald Schmidt
• Localización: American journal of public health, ISSN 0090-0036, Vol. 102, Nº. 1, 2012, págs. 49-54
• Idioma: inglés
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• Resumen

  • Wellness incentives are an increasingly popular means of encouraging participation in prevention programs, but they may not benefit all groups equally. To assist those planning, conducting, and evaluating incentive programs, I describe the impact of incentives on 5 groups: the "lucky ones," the "yes-I-can" group, the "I'll do- it-tomorrow" group, the "unlucky ones," and the "leave-me-alone" group. The 5 groups problem concerns the question of when disparities in the capacity to use incentive programs constitute unfairness and how policymakers ought to respond. I outline 4 policy options: to continue to offer incentives universally, to offer them universally but with modifications, to offer targeted rather than universal programs, and to abandon incentive programs altogether. [ABSTRACT FROM AUTHOR]