Letters Payment for treatment adherence

Incentives help vulnerable patients to stay well

BMJ 2007; 335 doi: http://dx.doi.org/10.1136/bmj.39303.690752.3A (Published 16 August 2007) Cite this as: BMJ 2007;335:317
  1. Sue Collinson, TB case worker
  1. Homerton University Hospital, London E9 6SR
  1. sue.collinson{at}homerton.nhs.uk

    In the head to head debate, Shaw says that to pay patients to take medication would create perverse incentives, but in her discussion she dismisses a particularly complex group of patients, with tuberculosis, despite the public health issues involved.1 2 This is a group of patients for whom payment, or other forms of incentive, are of critical importance, at both the individual and …

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