Exploring the Ethical Tensions and Professional Implications of Incentivized Health Care: A Case Study

Funding body

CIHR

Background

The goal of this qualitative case study was to document the experience of health care and service providers who have hands-on experience with incentives in the context of HIV testing, treatment and care in BC. More specifically, we wanted to explore the ethical tensions and professional implications of incentivized care, as they emerge in practice, and identify various strategies used by providers to mitigate these tensions.

Progress to date

Completed. 

For an overview of the general findings of the qualitative case study:

• "It gets people through the door": a qualitative case study of the use of incentives in the care of people at risk or living with HIV in British Columbia, Canada. BMC Medical Ethics.

For the findings of a sub-analysis on prize-based contingency management:

• "Setting people up for success and then failure" – health care and service providers' experiences of using prize-based contingency management. Substance Abuse Treatment, Prevention, and Policy. 

For the findings of a sub-analysis on the use of food as an incentive:

• "Food engages people, as we know": Health care and service providers' experiences of using food as an incentive in HIV care and support in Vancouver, Canada. AIDS Care.

For the findings of a scoping review on the ethical implications of using prize-based contingency management in substance use:

• What are the ethical implications of using prize-based contingency management in substance use? A scoping review. Harm Reduction Journal.