Healthy Alaskans 2020 Leading Health Indicators

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Healthy Alaskans 2020

Evidence-based Strategies:
Increase adults able to afford seeing a doctor

Financial Incentives

Description: What Works for Health: Financial Incentives to increase preventive care. Financial incentives such as payments, vouchers, and tickets for prize drawings can be used to encourage patients to undergo preventive care such as screenings, vaccinations, and other brief interventions. Personal incentive programs are usually offered through the public sector and typically offer incentives to low income individuals.

Specific Programs/Strategies: There is strong evidence that financial incentives increase preventive care among low income and high risk populations. Effects appear strongest for brief, infrequent behaviors such as attending an appointment, and for rewards that are large or delivered soon after the patient completes a target behavior. Financial incentives have been shown to improve patients’ participation in vaccination programs, screening for various cancers, and adherence to treatments for tuberculosis and sexually transmitted infections. Incentives can also reduce drug use in the short-term and increase prenatal care for pregnant teenagers .

Informed Medical Decisions Foundation: Patient Shared Decision Making

Description: Under a shared decision making (SDM) process, health care practitioners and patients work together to make joint decisions about a patient’s care. SDM requires that patients be educated about and understand risks and benefits of their options. SDM is an important part of patient-centered care; education is often through the use of decision aids such as pamphlets, videos, and computerized tools.

Specific Programs/Strategies: The Informed Medical Decisions Foundation supports 10 shared decision making demonstration sites across the country. It also has developed a variety of decision aid programs, focusing on topics such as breast cancer, cardiovascular disease, screening and testing programs, and mental health

What Works for Health: Telemedicine

Description: Telemedicine uses telecommunications technology to deliver consultative, diagnostic, and health care treatment services such as videoconferencing, transmission of still images, and remote monitoring of vital signs. Telemedicine can supplement health care services for patients who would benefit from frequent monitoring or provide services to individuals in areas with limited access to care.

Specific Programs/Strategies: Examples of telemedicine and telehealth programs in the United States are HRSA-Telehealth networks, the Missouri Telehealth Network (MTNand the Children’s National Medical Center in Washington DC.

  • Target Audience: All Ages
  • Setting: Clinical
  • Recommendation: Scientifically Supported
  • Review Agency: RWJF What Works for Health
  • Related Topics: Mental health
  • Website: Telemedicine

What Works for Health: Systems Navigators and Integration

Description: Patient navigators provide culturally sensitive assistance and care coordination, determining individual barriers and guiding patients through available medical, insurance, and social support systems. Navigators are usually employed by hospitals or clinics, and may be fully integrated into a primary care team. Hospitals and clinics generally try to hire patient navigators that come from the same communities as their patients. Currently, navigators are most commonly used in cancer care, often serving low income or disadvantaged patient populations.

Specific Programs/Strategies: Some communities provide perinatal or prenatal navigators for at-risk women. For example, the state of Maryland funds perinatal navigators, the CDC REACH US program at Virginia Commonwealth University provides prenatal navigators (CDC-Reach), and Pregnancy Partners in Clark County Washington assists low income women in accessing prenatal care during the first trimester .

 

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