经济激励用于改善用药依从性的研究进展

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中图分类号 R956；R969.3 文献标志码 A 文章编号 1001-0408（05）10-166-05

DOI 10.6039/j.issn.1001-0408.05.10.0

Research progress on financial incentives for improving medication adherence

TAO Tiantian1，CAO Yi2 ，ZHANG Mengdie1，CHEN Pingyu2（1. School of Pharmacy， Nanjing Medical University，Nanjing 211166，China；2. School of International Pharmaceutical Business，China Pharmaceutical University，Nanjing ，China）

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.

KEYWORDS financial incentives；medication adherence；behavioral economics；health behavior interventions

用药依从性是指患者遵循医嘱执行服药行为的程度。（剩余12421字）