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. 2014 Sep 29;64(627):e672–e674. doi: 10.3399/bjgp14X682009
Benefits Barriers
Patients
  • Improved health and lifestyle advice, better-suited to individual’s budget

  • Improved potential for discussion with doctor about underlying causes of disease and illness

  • Improved access to health and social care interventions to alleviate poverty and promote health

  • Concerns over perceived loss of privacy

  • Concerns about confidentiality (such as, that information may be shared)

  • Concerns that healthcare attitudes or actual care provision may be adversely influenced by knowledge of their income

  • Concerns that income inquiries may be used to check up on entitlements to state benefits

  • Certain groups may be less willing to disclose income

  • Some patients may not know their overall household income

Healthcare providers and health systems
  • Increased attention on the household and environment causative factors in disease

  • Role of poverty as a potential determinant of illness emphasised during clinical encounters and

  • More rational health system structuring to provide services that meet patients’ needs collection media

  • Concerns that income enquiries may impair doctor–patient relationships

  • Concerns that primary care doctors will eventually be tasked with screening for administering access to state benefits

  • Concerns about how income data will be portrayed in the

  • Concerns about intrusion in patients’ private lives and/or storage of sensitive patient data

  • Concern that income data may be used to support restructuring of health services, contributing to a ‘postcode lottery’

Public health and academic
  • Greater understanding of relationships between income and healthcare access, healthcare experience, and health outcomes,

  • Greater understanding of health inequities and their assessment

  • Improved commissioning to support delivery of health and social care services aimed at alleviating poverty and illness, and promoting health

  • Concerns about media portrayal

  • Concerns about accuracy and adequacy of data for strategic decision making