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Financial incentives for patients in the treatment of psychosis
- Source :
- Journal of Medical Ethics. 35:224-228
- Publication Year :
- 2009
- Publisher :
- BMJ, 2009.
-
Abstract
- Poor medication adherence in patients with a psychosis is associated with relapse. It has been proposed that outcomes might be improved by using financial incentives for treatment adherence (FITA). However, a strong moral intuition against this practice has been found. This paper examines the ethics of FITA. Three arguments are presented, which if accepted would severely restrict or even prohibit the practice. These are based on (1) "incommensurable values", where FITA denigrates an aspect of "respect for the person", (2) "exploitation", where unfair advantage is taken of the patient, and (3) "fairness", where it is difficult to draw a line between those who should and should not be offered payment. A number of practical impediments are also considered.
- Subjects :
- Psychosis
Health (social science)
Treatment adherence
media_common.quotation_subject
Medication adherence
Reward
Arts and Humanities (miscellaneous)
Financial incentives
medicine
Humans
In patient
Bioethical Issues
health care economics and organizations
media_common
Motivation
Health Policy
medicine.disease
Payment
humanities
Issues, ethics and legal aspects
England
Psychotic Disorders
restrict
Schizophrenia
Patient Compliance
Psychology
Social psychology
Intuition
Subjects
Details
- ISSN :
- 03066800
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Ethics
- Accession number :
- edsair.doi.dedup.....df4009485eb5f695cd88e57640517cd3