Evidence map›Paper›PMID 24281939›Full record

ReviewInternational journal of behavioral medicine2014

Patient health incentives: ethical challenges and frameworks.

Eran P Klein

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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

1 author.

Eran P KleinOregon Health & Science University, Department of Neurology, 3181 S.W. Sam Jackson Park Rd, Portland, OR, 97239-3098, USA, kleine@ohsu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient incentives for encouraging healthy behavior raise a number of ethical concerns: Do they target the vulnerable? Do they involve psychological manipulation? Do they undermine intrinsic motivation? PURPOSE: To the purpose of this paper is to provide an overview of ethical challenges raised by patient incentives and incentive programs and develop a systematic approach to understanding and analyzing these ethical challenges.

methodEthical considerations raised by patient incentives can be broadly grouped into two kinds: medical ("patient-oriented") and public health ("constituent-oriented") concerns. Ethical frameworks suitable to these kinds of concerns are explored.

resultsTwo ethical frameworks are applied to the challenges raised by patient incentives: (1) Incentives are assessed in terms of personal and social responsibility for health; and (2) incentives are assessed as elements of normatively structured clinical relationships (e.g., the traditional patient-clinician relationship).

conclusionA better understanding of ethical concerns and the resources available within the personal responsibility and clinical encounter frameworks suggest complementary guidance may be available for approaching many of the ethical issues raised by patient incentives.

Indexed as

Health BehaviorVulnerable PopulationsHealth PromotionHumansProfessional-Patient RelationsPublic Health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.