ArticleHealth expectations : an international journal of public participation in health care and health policy2011
Personal financial incentives in health promotion: where do they fit in an ethic of autonomy?
Article in Health expectations : an international journal of public participation in health care and health policy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Use of Ecological Momentary Assessment to Study Suicidal Thoughts and Behavior: a Systematic Review.Current psychiatry reports · 2021Pooled it
- Financial incentives for a healthy life style and disease prevention among older people: a systematic literature review.BMC health services research · 2016Pooled it
- Use of Ecological Momentary Assessment Through a Passive Smartphone-Based App (eB2) by Patients With Schizophrenia: Acceptability Study.Journal of medical Internet research · 2021Trial
- Efficacy of an incentive intervention on secondary prophylaxis for young people with rheumatic fever: a multiple baseline study.BMC public health · 2019Trial
- The effect of financial incentives on chlamydia testing rates: evidence from a randomized experiment.Social science & medicine (1982) · 2014Trial
- Coercion in public health: a scoping review of definitions.BMJ public health · 2026Article
- Article
- Examining Ways to Improve Weight Control Programs' Population Reach and Representativeness: A Discrete Choice Experiment of Financial Incentives.PharmacoEconomics - open · 2022Article
- "The Money, It's OK but It's not OK": Patients' and Providers' Perceptions of the Acceptability of Cash Incentives for HIV Treatment Initiation in Cape Town, South Africa.AIDS and behavior · 2022Article
- Ethical implications of economic compensation for voluntary medical male circumcision for HIV prevention and epidemic control.PLOS global public health · 2022Review
- Financial Incentives for Healthy Living for Patients With Cardiac Disease From the Perspective of Health Care Professionals: Interview Study.JMIR cardio · 2021Article
- Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?Frontiers in psychology · 2021Article
- "It gets people through the door": a qualitative case study of the use of incentives in the care of people at risk or living with HIV in British Columbia, Canada.BMC medical ethics · 2020Article
- It's all in the timing: Acceptability of a financial incentive intervention for linkage to HIV care in the HPTN 065 (TLC-Plus) study.PloS one · 2018Article
- Laypersons' views of material incentives for enhancing colorectal cancer screening.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Acceptability of financial incentives for breastfeeding: thematic analysis of readers' comments to UK online news reports.BMC pregnancy and childbirth · 2015Article
- Acceptability of financial incentives and penalties for encouraging uptake of healthy behaviours: focus groups.BMC public health · 2015Article
- Patient health incentives: ethical challenges and frameworks.International journal of behavioral medicine · 2014Review
- "Nudge" in the clinical consultation--an acceptable form of medical paternalism?BMC medical ethics · 2014Article
- Unintended consequences of incentive provision for behaviour change and maintenance around childbirth.PloS one · 2014Article
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Abstract
aimThis paper reviews the ethical controversy concerning the use of monetary incentives in health promotion, focussing specifically on the arguments relating to the impact on personal autonomy of such incentives.
backgroundOffering people small amounts of money in the context of health promotion and medical care has been attempted in a number of settings in recent years. This use of personal financial incentives has attracted a degree of ethical controversy. One form of criticism is that such schemes interfere with the autonomy of the patient or citizen in an illegitimate way.
methodsThis paper presents a thematic analysis of the main arguments concerning personal autonomy and the use of monetary incentives in behaviour change.
resultsThe main moral objections to the uses of incentives are that they may be in general or in specific instances paternalistic, coercive, involve bribery, or undermine the agency of the person.
conclusionWhile incentive schemes may engage these problems on occasion, there is no good reason to think that they do so inherently and of necessity. We need better behavioural science evidence to understand how incentives work, in order to evaluate their moral effects in practice.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.