Priebe Stefan
Queen Mary University of London, London, UK.
BJPsych Bull. 2023 Jun;47(3):125-126. doi: 10.1192/bjb.2023.4.
Financial incentives for medication adherence have been controversial in mental healthcare. Much of the debate, however, may be based on a misconception of what financial incentives are and what their purpose is. Financial incentives are not meant to influence informed consent about treatment decisions, but to bridge the gap between intentions and behaviour and help patients achieve adherence to a treatment that they have agreed to. In this context, patients' positive views may reflect that the use of financial incentives can support a good therapeutic relationship rather than undermine it.
在精神卫生保健中,药物依从性的经济激励措施一直存在争议。然而,大部分争议可能基于对经济激励措施是什么以及其目的是什么的误解。经济激励并非旨在影响关于治疗决策的知情同意,而是为了弥合意图与行为之间的差距,并帮助患者坚持他们已同意的治疗方案。在这种情况下,患者的积极看法可能反映出经济激励措施的使用能够支持良好的治疗关系,而非破坏这种关系。