You Can Lead a Horse to Water, But Can You Pay to Make Him Drink? An Ethical Analysis of Research on Using Incentives to Promote Patient Health.

You Can Lead a Horse to Water, But Can You Pay to Make Him Drink? An Ethical Analysis of Research on Using Incentives to Promote Patient Health.
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你可以把马牵到水边,但你能付钱让他喝水吗?

DOI:
10.1080/15265161.2016.1214321
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发表时间:
2016
期刊:
The American journal of bioethics : AJOB
影响因子:
--
通讯作者:
Rhodes,Rosamond
Rhodes,Rosamond
中科院分区:
--
文献类型:
--
作者:
Perumalswami,Ponni;Branch,Andrea;Rhodes,Rosamond

文献摘要

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结论总之,在经济上激励试验的一部分参与者的伦理问题可以忽略不计。然而,应该澄清研究设计的某些方面。最佳设计是在尊重参与者的同时,最大化预期的社会价值。如果试验成功,应进一步考虑采取干预措施的计划。此外,考虑到一些而不是所有参与者将受到激励,为了优化研究的社会价值,对参与者保留研究设计的某些特征可能在伦理上是合理的。
CONCLUSIONIn conclusion, there is negligible ethical concern in financially incentivizing a subset of participants of the trial. However, some aspects of the study design should be clarified. The optimal design is that which will maximize the expected social value, while respecting participants. Further consideration ought to be given to a plan for adoption of the intervention if the trial is successful. Furthermore, given that some but not all participants will be incentivized, withholding some features of the study design from participants might be ethically justified in order to optimize the social value of the study.