@文章{信息:doi/10.2196/27867，作者="de Buisonj{\'e}， David和Van der Geer, Jessica和Keesman, Mike和Van der Vaart, Roos和Reijnders, Thomas和Wentzel, Jobke和Kemps, Hareld和Kraaijenhagen, Roderik和Janssen, Veronica和Evers, Andrea"，标题="从卫生保健专业人员的角度来看，心脏病患者健康生活的财务激励:访谈研究"，期刊="JMIR Cardio"，年="2021"，月=" 8 "，日="30"，量="5"，数="2"，页数="e27867"，关键词="财务激励;物质奖励;健康的生活方式;心血管疾病;心脏康复;背景:支持心血管疾病(CVD)患者改变生活方式的一种有前途的新方法是使用经济激励。尽管经济激励已被证明是有效的，但其实施仍然存在争议，也有人提出了道德上的反对意见。目前尚不清楚参与心血管疾病护理的医疗保健专业人员(HCPs)是否认为为心血管疾病患者提供经济激励以支持他们改变生活方式是可以接受的。目的:本研究旨在调查HCPs对使用经济激励来支持CVD患者健康生活的看法。 More specifically, we aim to provide insight into attitudes toward using financial incentives as well as obstacles and facilitators of implementing financial incentives in current CVD care. Methods: A total of 16 semistructured, in-depth, face-to-face interviews were conducted with Dutch HCPs involved in supporting patients with CVD with lifestyle changes. The topics discussed were attitudes toward an incentive system, obstacles to using an incentive system, and possible solutions to facilitate the use of an incentive system. Results: HCPs perceived an incentive system for healthy living for patients with CVD as possibly effective and showed generally high acceptance. However, there were concerns related to focusing too much on the extrinsic aspects of lifestyle change, disengagement when rewards are insignificant, paternalization and threatening autonomy, and low digital literacy in the target group. According to HCPs, solutions to mitigate these concerns included emphasizing intrinsic aspects of healthy living while giving extrinsic rewards, integrating social aspects to increase engagement, supporting autonomy by allowing freedom of choice in rewards, and aiming for a target group that can work with the necessary technology. Conclusions: This study mapped perspectives of Dutch HCPs and showed that attitudes are predominantly positive, provided that contextual factors, design, and target groups are accurately considered. Concerns about digital literacy in the target group are novel findings that warrant further investigation. Follow-up research is needed to validate these insights among patients with CVD. ", issn="2561-1011", doi="10.2196/27867", url="https://cardio.www.mybigtv.com/2021/2/e27867", url="https://doi.org/10.2196/27867", url="http://www.ncbi.nlm.nih.gov/pubmed/34459748" }