Do You See a Trend in Physicians Using Incentives Instead of Fear to Motivate Patients?

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Fear factor has value, its a very good immediate short term motivator, but its not a good long term motivator so if you look at behavioral theory and what we have learnt over the years is, and this goes 30 or 40 years where we were looking at smoking sensation, if the doctor just looks at a patient and says I want you to quit smoking, it doubles the background quit rate.

But if you get those people engaged in programs that support them and give them self support and give them a little bit of learning, and give them helpful techniques that they can do, you can quadruple the quit rate. So there's value, there is having that expert tell you should do this, have some value but its very short lasting, so we need to figure out how to pick up the ball from that and usually that's, instead of me pladdering on for five minutes to my patient about hey you need to lose weight, do this do that do that, which they wont remember when they walk out of the room, if I said, I think the most important thing for you is to start an exercise program just get moving and by the way and this is one of the beauty of that health wellness center that we have is, I can write an order for them and to go over to the health center and I say, here is a place for you to go and learn by immersion, we've e got experts there, you're going to discover it's easier than you think and they can go take it there and the doctor can flip the switch, but something has to keep that moment going.