经济激励用于改善用药依从性的研究进展
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篇名: 经济激励用于改善用药依从性的研究进展
TITLE: Research progress on financial incentives for improving medication adherence
摘要: 经济激励作为行为疗法的一种干预手段,已被证实在许多健康行为(如药物成瘾治疗、长期抗病毒治疗、慢性病防治等)中发挥有益作用。目前,典型的经济激励方案主要包括承诺契约型、彩票抽奖型2种。行为经济原理和用药行为的适配度、设计方案的有效性及经济性、干预群体的可接受度等因素,是这类干预措施设计的关键。尽管经济激励作为健康行为干预手段已在国外积累了丰富经验,但针对用药依从性的研究仍较为匮乏,在干预方案设计和作用机制上还存在局限性,且实施效果在不同文化和社会环境中可能存在差异。建议未来可结合我国患者药物使用特点及社会文化环境,探索经济激励干预用药依从性的具体实践模式。
ABSTRACT: Financial incentives, as an intervention in behavioral therapy, have been proven to be beneficial in many health behaviors, such as drug addiction treatment, long-term antiviral therapy, and the prevention and treatment of chronic diseases. At present, typical financial incentive schemes mainly include commitment contracts and lottery-based models. Key factors in the design of such interventions include the adaptability of behavioral economic principles and medication behavior, the effectiveness and cost-effectiveness of design scheme, and the acceptability of intervention population. Although financial incentives have accumulated rich experience in health behavior interventions abroad, research on medication adherence remains limited, with existing intervention scheme design and mechanism constraints, and their effectiveness potentially varying across different cultural and social environments. China should explore practical models of financial incentives to enhance medication adherence, considering patients’ medication patterns and socio-cultural factors.
期刊: 2025年第36卷第10期
作者: 陶田甜;曹 译;张梦蝶;陈平钰
AUTHORS: TAO Tiantian,CAO Yi,ZHANG Mengdie,CHEN Pingyu
关键字: 经济激励;用药依从性;行为经济学;健康行为干预
KEYWORDS: financial incentives; medication adherence; behavioral economics; health behavior interventions
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