Hodson Nathan, Majid Madiha, Vlaev Ivo, Singh Swaran Preet
Warwick Medical School, UK.
Warwick Business School, UK.
BJPsych Bull. 2023 Jun;47(3):149-152. doi: 10.1192/bjb.2022.76.
Small financial incentives have been proven effective at promoting healthy behaviours across medicine, including in psychiatry. There are a range of philosophical and practical objections to financial incentives. Drawing on the existing literature, specifically attempts to use financial incentives to promote antipsychotic adherence, we propose a 'patient-centred' view of evaluating financial incentive regimes. We argue that there is evidence that mental health patients like financial incentives, considering them fair and respectful. The enthusiasm of mental health patients for financial incentives lends support to their use, although it does not invalidate all objections against them.
小额经济激励已被证明在促进包括精神病学在内的整个医学领域的健康行为方面是有效的。对于经济激励存在一系列哲学和实际层面的反对意见。借鉴现有文献，特别是尝试利用经济激励来促进抗精神病药物依从性的相关文献，我们提出一种“以患者为中心”的视角来评估经济激励机制。我们认为，有证据表明心理健康患者喜欢经济激励，认为它们公平且体现了尊重。心理健康患者对经济激励的热情为其使用提供了支持，尽管这并不能消除所有针对它们的反对意见。
