Related Experiment Video
Updated: Jan 28, 2026
03:26
Author Spotlight: Advancements and Challenges in Surgical Treatments for Postamputation Pain
Published on: March 8, 2024
3.5K
Incentives and Equity: A Randomized Controlled Trial to Improve Glycemic Control in Socioeconomically Disadvantaged
Ayelet Prigozin1,2, Matan J Cohen3, Ofri Mosenzon4,5
1Meuhedet Health Services, Jerusalem district, affiliated with the Hebrew University Faculty of Medicine, Jerusalem, Israel.
Annals of Family Medicine
|January 26, 2026
Summary
Financial incentives significantly improved glycemic control in patients with type 2 diabetes from low socioeconomic backgrounds. Offering reduced medication costs, conditional on better blood sugar levels, proved effective in enhancing diabetes management.
Area of Science:
- Health Economics
- Diabetes Management
- Public Health Interventions
Background:
- Many patients with type 2 diabetes struggle to achieve glycemic control.
- Financial hardship is a significant barrier to effective diabetes management.
- Quality improvement programs can incorporate financial incentives for chronic disease management.
Purpose of the Study:
- To evaluate the impact of conditional reductions in out-of-pocket medication costs on glycemic control.
- To compare a financial incentive program with standard medication payment for diabetes management.
Main Methods:
- 186 patients with uncontrolled type 2 diabetes from low socioeconomic status neighborhoods were randomized.
- Intervention group received medication cost discounts conditional on improved glycemic control.
- Control group paid usual medication costs.
Main Results:
- The intervention group showed a mean HbA1c reduction of 1.4% versus 0.7% in the control group at 6 months.
- Multivariate analysis confirmed a significant difference in HbA1c reduction between groups (0.7% difference).
- Results were adjusted for various demographic and clinical factors.
Conclusions:
- Conditional financial incentives can effectively improve diabetes control in low socioeconomic populations.
- These incentive programs could be integrated into health plans for disadvantaged individuals.
- Financial incentives represent a viable strategy for managing chronic diseases in underserved communities.
Keywords:
copaymentdiabetesdrug costsincentiveslow socioeconomic statusmedication adherencepovertypractice-based researchprimary carerandomized controlled trialvulnerable populationsMore Related Videos
Related Concept Videos
01:21Control System Problem
423
In an open-loop system, such as a basic thermostat, the poles of the transfer function influence the system's response but do not determine its stability. However, when feedback is introduced to form a closed-loop system, such as an advanced thermostat that adjusts heating based on room temperature, stability is governed by the new poles of the closed-loop transfer function.
When forming a closed-loop system, issues can arise if the poles cross into the unstable region, leading to potential...
When forming a closed-loop system, issues can arise if the poles cross into the unstable region, leading to potential...
423
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
427
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
427
02:33Combinatorial Gene Control
9.6K
Combinatorial gene control is the synergistic action of several transcriptional factors to regulate the expression of a single gene. The absence of one or more of these factors may lead to a significant difference in the level of gene expression or repression.
The expression of more than 30,000 genes is controlled by approximately 2000-3000 transcription factors. This is possible because a single transcription factor can recognize more than one regulatory sequence. The specificity in gene...
The expression of more than 30,000 genes is controlled by approximately 2000-3000 transcription factors. This is possible because a single transcription factor can recognize more than one regulatory sequence. The specificity in gene...
9.6K
01:10Control Systems
1.9K
Control systems are everywhere in contemporary society, influencing diverse applications from aerospace to automated manufacturing. These systems can be found naturally within biological processes, such as blood sugar regulation and heart rate adjustment in response to stress, as well as in man-made systems like elevators and automated vehicles. A control system is essentially a network of subsystems and processes that collaboratively convert specific inputs into desired outputs.
At the heart...
At the heart...
1.9K
01:22Controller Configurations
368
Controller configurations are crucial in a car's cruise control system because they manage speed over time to maintain a consistent pace regardless of road conditions, thereby meeting design goals. In traditional control systems, fixed-configuration design involves predetermined controller placement. System performance modifications are known as compensation.
Control-system compensation involves various configurations, most commonly series or cascade compensation, in which the controller...
Control-system compensation involves various configurations, most commonly series or cascade compensation, in which the controller...
368
01:19PID Controller
696
Proportional-Integral-Derivative (PID) controllers are widely used in various control systems to enhance stability and performance. In a thermostat, it adjusts heating or cooling based on the temperature difference between the actual and desired levels. They are often used in automotive speed systems, effectively managing sudden speed changes while maintaining a constant speed under varying conditions. On the other hand, PI controllers, commonly employed in voltage regulation, enhance stability...
696