Evidence map›Paper›PMID 21689098›Full record

Trial reportHealth services research2011

"All the money in the world …" patient perspectives regarding the influence of financial incentives.

Heather Schacht Reisinger, Rachel Horner Brackett, Colin D Buzza, Monica B Williams Páez, Ryan Gourley, Mark W Vander Weg, Alan J Christensen, Peter J Kaboli

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00265538 (Implementing Evidence-based Treatment of Hypertension), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00265538 nacompletednot on this map

Implementing Evidence-based Treatment of Hypertension

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2006 to 2009Enrolled834ConditionsHypertensionArmsPatient educational letter to engage provider in hypertension rx discussion, Financial incentive (Arms B and C) and health educator phone call (Arm C)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Perceived appropriateness of medication adherence incentives.Journal of managed care & specialty pharmacy · 2021
    Article
  6. Article
  7. Article
  8. Laypersons' views of material incentives for enhancing colorectal cancer screening.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Heather Schacht ReisingerThe Center for Comprehensive Access and Delivery Research and Evaluation-CADRE, the Iowa City VA Medical Center, Iowa City, IA, USA. heather.reisinger@va.gov
Rachel Horner Brackett
Colin D Buzza
Monica B Williams Páez
Ryan Gourley
Mark W Vander Weg
Alan J Christensen
Peter J Kaboli

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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

designQualitative 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

methodsSemistructured interviews were conducted. Transcripts were coded for thematic content. The financial incentive theme was then subcoded for more detailed analysis. PRINCIPLE

findingsMost 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.

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

Indexed as

MotivationPerceptionAgedDiureticsFemaleHealth PromotionHealth Services ResearchHumansHypertensionInterviews as TopicMaleMiddle AgedPrimary Health CareUnited StatesUnited States Department of Veterans AffairsDiuretics

Identifiers

PMID21689098
PMCPMC3393021

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.