Rethinking Incentives: Amy O'Donnell on Alcohol Screening in Primary Care
I think there's still value in doing what we can to encourage gps, nurses, health advisors to deliver preventative alcohol work, but I don't think that the results suggest that particularly low level short term financial incentives are the answer.
What happens when you offer small financial incentives to primary care providers for alcohol screening and then take them away? Researcher Amy O'Donnell has some eye-opening answers. In this episode, hosted by Suzi Gage, O'Donnell dives into her study on the effectiveness of financial incentives in encouraging alcohol screening and brief advice in primary care settings across England.
Using a massive electronic medical record database, her team discovered that while the incentives initially boosted delivery rates, these gains were short-lived once the financial perks were withdrawn. O'Donnell argues that short-term financial incentives may not be the magic bullet for encouraging primary care providers to engage in preventive alcohol work. Instead, she advocates for a cultural shift in how we approach alcohol prevention and treatment.
This episode also touches on the limitations of policies that focus solely on screening newly registered patients and calls for more robust funding for specialist alcohol treatment support. Whether you're a researcher, policymaker, or someone interested in the nuances of public health strategies, this episode offers valuable insights into how we can more effectively tackle excessive drinking and promote healthier behaviors.