Is it acceptable for people to be paid to adhere to medication?
Is it acceptable for people to be paid to adhere to medication?
Survey: Is it acceptable for people to be paid to adhere to medication?
The National Institute for Health and Clinical Excellence has unveiled plans to give drug users shopping vouchers to attend treatment programmes and stay clean. Is this an acceptable solution to the problem of treatment adherence?
No, says Joanne Shaw, payment creates perverse incentives.
Yes, says Tom Burns, rewarding patients for cooperation is consistent with good medical practice.
The final result, with 133 respondents, was:
|
Yes |
29% |
|
No |
71% |
Why people voted the way they did:
“Do payments go up with the number of medicines given? If so, people will suddenly find an awful lot of things they need medication for. Good for drug companies, bad for the tax payer. Payments also abolish the incentive to want to get better and reinforces the benefits of the sick role.”
“Because it is sensible, ethical and efficient to do so. Other methods of encouraging compliance (e.g., home visits) are more coercive than a payment.”
“Rather than paying people maybe we should consider removing benefits if patients do not adhere.”
“We must do what it takes to help these patients.”
Who were our respondents (top four categories)?
|
Medically qualified doctors |
49% |
|
Other healthcare professional or student |
19% |
|
Academic researcher |
17% |
Which countries did the votes come from (top four)?
|
United Kingdom |
51% |
|
United States |
10% |
|
India |
5% |
|
Greece |
3% |
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