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Models of Health Promotion and Illness Prevention II01:18

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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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The eukaryotic promoter region is a segment of DNA located upstream of a gene. It contains an RNA polymerase binding site, a transcription start site, and several cis-regulatory sequences.  The proximal promoter region is located in the vicinity of the gene and has cis-regulatory sequences and the core promoter. The core promoter is the binding site for RNA polymerase and is usually located between -35 and +35 nucleotides from the transcription start site. The distal promoter regions are...
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Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
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Engaging Beneficiaries In Medicaid Programs That Incentivize Health-Promoting Behaviors.

Madhulika Vulimiri1, William K Bleser2, Robert S Saunders3

  • 1Madhulika Vulimiri is a senior Medicaid strategist at the North Carolina Department of Health and Human Services, in Raleigh, North Carolina. She was a master of public policy student in the Sanford School of Public Policy, Duke University, in Durham, North Carolina, at the time this work was conducted.

Health Affairs (Project Hope)
|March 5, 2019
PubMed
Summary
This summary is machine-generated.

Medicaid incentive programs aim to boost health behaviors using tailored engagement and rewards. Stakeholders recommend robust evaluations and aligning incentives with providers for better outcomes.

Keywords:
ConsumersMedicaidPreventive careSmoking cessationincentives

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Behavioral Economics

Background:

  • Medicaid programs increasingly use incentives to promote beneficiary health behaviors.
  • Evidence on incentive program design, beneficiary engagement, and evaluation is limited.

Purpose of the Study:

  • To identify rationales for Medicaid incentive program design.
  • To understand beneficiary engagement strategies.
  • To gather stakeholder recommendations for program evaluation.

Main Methods:

  • Synthesized available information on incentive programs (2017-18).
  • Conducted interviews with eighty policy stakeholders.

Main Results:

  • Key rationales include improving preventive service use and promoting personal responsibility.
  • Engagement strategies focus on "meeting members where they are" and customized rewards.
  • Stakeholders recommend external evaluators for robust program assessment.

Conclusions:

  • Aligning beneficiary incentives with provider incentives and payment reforms is crucial.
  • Utilizing common, meaningful measures can streamline program evaluation.
  • Future research should focus on effective incentive structures and evaluation methodologies.