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Leveraging principles of behavioural economics to encourage patient engagement with population health screening

Eric Bressman1, Alexander Fanaroff2, Katy Mahraj3

  • 1Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA eric.bressman@pennmedicine.upenn.edu.

BMJ Open Quality
|March 22, 2025
PubMed

Insights

Behavioral economics strategies, including convenience and financial incentives, improved cardiovascular disease risk factor screening participation. However, further engagement methods are needed for high-risk populations.

Area of Science:

  • Cardiology
  • Behavioral Economics
  • Public Health

Background:

  • Cardiovascular disease (CVD) is a major global health concern.
  • Effective screening for CVD risk factors is crucial for early intervention.
  • Current screening participation rates among high-risk individuals can be suboptimal.

Purpose of the Study:

  • To evaluate the impact of behavioral economics principles on CVD risk factor screening.
  • To assess the effectiveness of convenience and financial incentives in increasing patient participation.

Main Methods:

  • A pilot study involving 60 high-risk patients was conducted.
  • Participants were offered a free home blood pressure (BP) monitor and lipid testing via convenient options (local lab, home phlebotomy, self-test).
  • Financial incentives were provided alongside enhanced convenience.

Main Results:

  • Completion of BP readings increased to 43.3% compared to 30.0% in a historical control group.
  • Lipid panel completion rose to 30.0% versus 18.1% historically.
  • Despite improvements, over half of participants did not complete all screenings.

Conclusions:

  • Convenience and financial incentives show promise in boosting participation in CVD risk factor screening.
  • Additional strategies are necessary to fully engage at-risk populations in preventive health measures.
  • Further research is warranted to optimize screening engagement for cardiovascular health.

Keywords:
Financial incentivesHealth BehaviourHealth services researchQuality improvement

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