Just a Nudge: Applying Behavioral Incentives to Engage Residents in Quality Improvement Education

Johnston, Ashley W.; Cone, Eugene B.; Bergman, Jonathan; Moin, Tannaz; Fink, Arlène; Kerfoot, B. Price; Scales, Charles D.

doi:10.1016/j.jamcollsurg.2018.07.481

Cited by 1 publication

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“…Johnston et al compared team-based versus loss-framed individual incentives to promote participation in a quality improvement program, noting that residents both attempted and mastered more questions in the team-based competition. 34 Social norms have also been applied to promote care practices. Kaplan et al provided physicians with surgeon-specific quarterly feedback on BPH outcomes, practice patterns and cost data relative to their de-identified colleagues; this demonstrated a modest improvement in physician behavior toward value-based care models.…”

Section: Discussionmentioning

confidence: 99%

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Behavioral Economics in Urology: A Scoping Review

et al. 2022

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Purpose:Behavioral economics is the study of human behavior in the context of irrationality, self-control and self-interest. It has been leveraged in a variety of ways in health care, including efforts to decrease smoking, encourage weight loss and promote medication adherence. Concepts from this field can be used to help urologists better understand and improve behavior-dependent clinical outcomes. Our objective in this scoping review was to assess the current state of behavioral economics in the urological literature.Materials and Methods:We conducted a scoping review of behavioral economic research in urology by performing a broad search in MEDLINE®, Embase® and Scopus® databases from inception to August 30, 2021. Abstracts were screened, assessed for relevancy and selected for full-text review. A qualitative synthesis of selected manuscripts was then performed.Results:A total of 1,855 articles were identified. Sixty-one articles were selected for full-text review. Of those, 13 were selected for qualitative synthesis. The selected articles included reports of prospective trials (6), ongoing prospective trial methods (1), abstracts without a published manuscript (4) and commentaries (2). A variety of topics were covered: prostate cancer (5), resident education (2), hematuria (1), incontinence (1), surgical costs (1), care pathways (1), nephrolithiasis (1) and bladder cancer (1).Conclusions:There is a very limited number of articles, and even fewer trials, in urology that leverage behavioral economic concepts. Given this, and the successful application of behavioral economics in other medical disciplines, there is a need for behavioral economic informed urological interventions and well-designed trials to evaluate behavioral economics outcomes in urology.

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Section: Discussionmentioning

confidence: 99%

“…The behaviors or expectations established within a social group that influence decisions Urology residents were more likely to participate in a quality improvement curriculum if it was team-based competition compared to individual lossframed incentives (Johnston et al, 2018 34 )…”

Section: Loss Aversionmentioning

confidence: 99%