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Financial Incentive Increases CPAP Acceptance in Patients from Low Socioeconomic Background

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  • Ariel Tarasiuk
  • Gally Reznor
  • Sari Greenberg-Dotan
  • Haim Reuveni

Abstract

Objective: We explored whether financial incentives have a role in patients′ decisions to accept (purchase) a continuous positive airway pressure (CPAP) device in a healthcare system that requires cost sharing. Design: Longitudinal interventional study. Patients: The group receiving financial incentive (n = 137, 50.8±10.6 years, apnea/hypopnea index (AHI) 38.7±19.9 events/hr) and the control group (n = 121, 50.9±10.3 years, AHI 39.9±22) underwent attendant titration and a two-week adaptation to CPAP. Patients in the control group had a co-payment of $330–660; the financial incentive group paid a subsidized price of $55. Results: CPAP acceptance was 43% greater (p = 0.02) in the financial incentive group. CPAP acceptance among the low socioeconomic strata (n = 113) (adjusting for age, gender, BMI, tobacco smoking) was enhanced by financial incentive (OR, 95% CI) (3.43, 1.09–10.85), age (1.1, 1.03–1.17), AHI (>30 vs. 30 vs. 30 vs.

Suggested Citation

  • Ariel Tarasiuk & Gally Reznor & Sari Greenberg-Dotan & Haim Reuveni, 2012. "Financial Incentive Increases CPAP Acceptance in Patients from Low Socioeconomic Background," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-7, March.
    • Handle: RePEc:plo:pone00:0033178
    DOI: 10.1371/journal.pone.0033178
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    References listed on IDEAS

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    1. R Scott Braithwaite & Cynthia Omokaro & Amy C Justice & Kimberly Nucifora & Mark S Roberts, 2010. "Can Broader Diffusion of Value-Based Insurance Design Increase Benefits from US Health Care without Increasing Costs? Evidence from a Computer Simulation Model," PLOS Medicine, Public Library of Science, vol. 7(2), pages 1-10, February.
    2. Reuveni, Haim & Sheizaf, Boaz & Elhayany, Asher & Sherf, Michael & Limoni, Yehuda & Scharff, S. & Peled, Ronit, 2002. "The effect of drug co-payment policy on the purchase of prescription drugs for children with infections in the community," Health Policy, Elsevier, vol. 62(1), pages 1-13, October.
    3. repec:dau:papers:123456789/10510 is not listed on IDEAS
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    1. Inghels, Maxime & Kim, Hae-Young & Mathenjwa, Thulile & Shahmanesh, Maryam & Seeley, Janet & Wyke, Sally & McGrath, Nuala & Sartorius, Benn & Yapa, H. Manisha & Dobra, Adrian & Bärnighausen, Till & Ta, 2022. "Can a conditional financial incentive (CFI) reduce socio-demographic inequalities in home-based HIV testing uptake? A secondary analysis of the HITS clinical trial intervention in rural South Africa," Social Science & Medicine, Elsevier, vol. 311(C).

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