Financial Incentive Increases CPAP Acceptance in Patients from Low Socioeconomic Background

Ariel Tarasiuk, Gally Reznor, Sari Greenberg-Dotan and Haim Reuveni

PLOS ONE, 2012, vol. 7, issue 3, 1-7

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.

Date: 2012
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0033178

DOI: 10.1371/journal.pone.0033178

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