Acceptability of financial incentives to improve health outcomes in UK and US samples
| Autor: | Marianne Promberger, Theresa M. Marteau, Richard Ashcroft, Rebecca C H Brown |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Health (social science) medicine.medical_treatment Psychological intervention Global Medical Ethics 0302 clinical medicine Surveys and Questionnaires Medicine 030212 general & internal medicine behaviour modification media_common Aged 80 and over 030503 health policy & services Health Policy Middle Aged Preference 3. Good health Pill Female 0305 other medical science Clinical psychology Adult medicine.medical_specialty Adolescent Patients media_common.quotation_subject Context (language use) Health Promotion Young Adult 03 medical and health sciences Patient Education as Topic Reward Arts and Humanities (miscellaneous) Humans Psychiatry Aged Quality of Health Care Internet Motivation Allocation of health care resources business.industry Addiction population policy Patient Acceptance of Health Care Mental illness medicine.disease United Kingdom United States Issues ethics and legal aspects Health promotion Smoking cessation business |
| Zdroj: | Journal of Medical Ethics |
| ISSN: | 0306-6800 |
| DOI: | 10.1136/jme.2010.039347 |
| Popis: | In an online study conducted separately in the UK and the US, participants rated the acceptability and fairness of four interventions: two types of financial incentives (rewards and penalties) and two types of medical interventions (pills and injections). These were stated to be equally effective in improving outcomes in five contexts: (a) weight loss and (b) smoking cessation programmes, and adherence in treatment programmes for (c) drug addiction, (d) serious mental illness and (e) physiotherapy after surgery. Financial incentives (weekly rewards and penalties) were judged less acceptable and to be less fair than medical interventions (weekly pill or injection) across all five contexts. Context moderated the relative preference between rewards and penalties: participants from both countries favoured rewards over penalties in weight loss and treatment for serious mental illness. Only among US participants was this relative preference moderated by perceived responsibility of the target group. Overall, participants supported funding more strongly for interventions when they judged members of the target group to be less responsible for their condition, and vice versa. These results reveal a striking similarity in negative attitudes towards the use of financial incentives, rewards as well as penalties, in improving outcomes across a range of contexts, in the UK and the USA. The basis for such negative attitudes awaits further study. |
| Databáze: | OpenAIRE |
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