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Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance

OBJECTIVE: To test the ethical acceptability of using financial incentives to increase diabetic retinopathy screening attendance. BACKGROUND: Financial incentives could be an effective way to increase attendance at screening for diabetic retinopathy, although there can be ethical concerns about this...

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Autores principales: Wadge, Hester, Bicknell, Colin, Vlaev, Ivo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663372/
https://www.ncbi.nlm.nih.gov/pubmed/26635964
http://dx.doi.org/10.1136/bmjdrc-2015-000118
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author Wadge, Hester
Bicknell, Colin
Vlaev, Ivo
author_facet Wadge, Hester
Bicknell, Colin
Vlaev, Ivo
author_sort Wadge, Hester
collection PubMed
description OBJECTIVE: To test the ethical acceptability of using financial incentives to increase diabetic retinopathy screening attendance. BACKGROUND: Financial incentives could be an effective way to increase attendance at screening for diabetic retinopathy, although there can be ethical concerns about this approach. DESIGN: Survey of people with diabetes in North West London. Those who were due to attend a screening appointment were invited to complete a questionnaire. Key demographic variables included age, gender, and deprivation. SETTING AND PARTICIPANTS: A questionnaire was issued to those invited to attend screening in North West London and those who run the screening service. The questionnaire captured views on aspects of the ethical problem and different incentive types. MAIN VARIABLES STUDIED: It captured views on the different dimensions of the ethical problem and different types of incentive. In order to understand how views might vary within a population, demographic variables were used to analyze the results. RESULTS AND CONCLUSIONS: Vouchers were found to be the most acceptable form of incentive, significantly more so than cash payments. Most rejected the notion of targeting those who need incentivizing, preferring equality. Age was an important factor, with those aged between 40 and 64 the most optimistic about the potential benefits. Higher levels of deprivation were linked to increased acceptability scores. While some ethical concerns are strongly held among certain groups, there is also much support for the principle of incentivizing positive behaviors. This paves the way for future research into the effectiveness of incentivizing diabetic retinopathy screening attendance.
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spelling pubmed-46633722015-12-03 Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance Wadge, Hester Bicknell, Colin Vlaev, Ivo BMJ Open Diabetes Res Care Clinical Care/Education/Nutrition/Psychosocial Research OBJECTIVE: To test the ethical acceptability of using financial incentives to increase diabetic retinopathy screening attendance. BACKGROUND: Financial incentives could be an effective way to increase attendance at screening for diabetic retinopathy, although there can be ethical concerns about this approach. DESIGN: Survey of people with diabetes in North West London. Those who were due to attend a screening appointment were invited to complete a questionnaire. Key demographic variables included age, gender, and deprivation. SETTING AND PARTICIPANTS: A questionnaire was issued to those invited to attend screening in North West London and those who run the screening service. The questionnaire captured views on aspects of the ethical problem and different incentive types. MAIN VARIABLES STUDIED: It captured views on the different dimensions of the ethical problem and different types of incentive. In order to understand how views might vary within a population, demographic variables were used to analyze the results. RESULTS AND CONCLUSIONS: Vouchers were found to be the most acceptable form of incentive, significantly more so than cash payments. Most rejected the notion of targeting those who need incentivizing, preferring equality. Age was an important factor, with those aged between 40 and 64 the most optimistic about the potential benefits. Higher levels of deprivation were linked to increased acceptability scores. While some ethical concerns are strongly held among certain groups, there is also much support for the principle of incentivizing positive behaviors. This paves the way for future research into the effectiveness of incentivizing diabetic retinopathy screening attendance. BMJ Publishing Group 2015-11-26 /pmc/articles/PMC4663372/ /pubmed/26635964 http://dx.doi.org/10.1136/bmjdrc-2015-000118 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Clinical Care/Education/Nutrition/Psychosocial Research
Wadge, Hester
Bicknell, Colin
Vlaev, Ivo
Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
title Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
title_full Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
title_fullStr Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
title_full_unstemmed Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
title_short Perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
title_sort perceived ethical acceptability of financial incentives to improve diabetic eye screening attendance
topic Clinical Care/Education/Nutrition/Psychosocial Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4663372/
https://www.ncbi.nlm.nih.gov/pubmed/26635964
http://dx.doi.org/10.1136/bmjdrc-2015-000118
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