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Previous data suggest that some patients become motivated to undergo colorectal cancer screening by financial incentives, which may be reasonable given the cost-effectiveness of screening.
More than 2200 employees of a large healthcare system who were aged 50 to 64 years were randomized to receive one of three e-mails inviting them for colorectal screening colonoscopy: an e-mail that presented an “active choice” to either opt in or opt out of screening colonoscopy, an e-mail with the active choice plus a US$100 incentive for completing colonoscopy, and an e-mail containing a number to call to schedule colonoscopy (control).
The proportion of patients responding “yes” to screening was 16% in the financial incentive arm versus 9% in the active …