Powered by: Blackwell Publishing

HRET - Health Research & Educational Trust

HSR - Health Services Research

Impacting Health Practice and Policy Through State-of-the-Art Research and Thinking

Our Next Issue

February 2018
Coming Soon! Read

< ABSTRACT LIST

VOLUME 46 | NUMBER 6 | DECEMBER 2011


"All the Money in the World..."Patient Perspectives Regarding the Influence of Financial Incentives

Keywords: Hypertension; veterans; financial incentives; qualitative

Objective: To analyze patient perspectives of the use of financial incentives in a hypertension intervention.

Study Setting: Twelve Veterans Affairs primary care clinics over a 9-month period.

Study Design: Qualitative semistructured interviews conducted with 54 hypertensive veterans participating in an intervention to promote guideline-consistent therapy. Intervention components included an intervention letter requesting patients talk with their providers, an offer of U.S.$20 to bring in the letter to their provider, and a health educator phone call.

Data Collection Methods: Semistructured interviews were conducted. Transcripts were coded for thematic content. The financial incentive theme was then subcoded for more detailed analysis.

Principle Findings: Most participants (n=48; 88.9 percent) stated the incentive had (or would have) no effect on their decision to initiate a discussion with their provider. Some participants articulated reservations about the effectiveness and/or appropriateness of financial incentives in health care decisions; however, a few expressed the opinion that there may be some potential benefits to the use of financial incentives if they encourage patients to be active in their health care.

Conclusion: The findings of this study raise questions about the appropriateness and unintended consequences of employing patient-directed financial incentives in health care settings.

back to top | back to article index | purchase full article

Copyright© 2017, Health Research & Educational Trust. All rights reserved. Content Disclaimer
Health Research & Educational Trust, 155 North Wacker, 4th Floor Chicago, IL 60606 (312) 422.2600