• Anesthesiology · Jan 2019

    Review

    Why Money Alone Can't (Always) "Nudge" Physicians: The Role of Behavioral Economics in the Design of Physician Incentives.

    • David A Lubarsky, Michael T French, Howard S Gitlow, Lisa F Rosen, and Steven G Ullmann.
    • From the Department of Anesthesiology, University of Miami Health System (D.A.L.) Department of Anesthesiology, University of Miami Miller School of Medicine, Miami, Florida (L.F.R.) Department of Health Sector Management and Policy (M.T.F.) Department of Sociology (M.T.F.) Department of Management Science (H.S.G.) Center for Health Sector Management and Policy (S.G.U.), School of Business Administration, University of Miami, Miami, Florida the University of Miami Jackson Memorial Hospital Center for Patient Safety, Miami, Florida (L.F.R.). Current position: Department of Anesthesiology and Pain Medicine, University of California Davis, Sacramento, California (D.A.L.).
    • Anesthesiology. 2019 Jan 1; 130 (1): 154-170.

    AbstractBehavioral economics seeks to define how humans respond to incentives, how to maximize desired behavioral change, and how to avoid perverse negative impacts on work effort. Relatively new in their application to physician behavior, behavioral economic principles have primarily been used to construct optimized financial incentives. This review introduces and evaluates the essential components of building successful financial incentive programs for physicians, adhering to the principles of behavioral economics. Referencing conceptual publications, observational studies, and the relatively sparse controlled studies, the authors offer physician leaders, healthcare administrators, and practicing anesthesiologists the issues to consider when designing physician incentive programs to maximize effectiveness and minimize unintended consequences.

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