Table 1

Three constructs of patient non-attendance fees

Non-attendance fees as patient incentiveNon-attendance fees as patient educationNon-attendance fees as provider compensation
PurposeTo motivate patients to attend appointments by increasing the monetary costs of non-attendanceTo educate patients to attend appointments by transmitting social responsibility normsTo compensate (parts of) the providers’ costs incurred from patient non-attendance
Public concernThe aggregate utility of individual choicesThe cultivation of civic virtues, fostering a sense of social responsibilityFinancial predictability or reciprocal fairness
Assumptions of human behaviourPatients seen as utility maximisers, driven by extrinsic and self-interested motivationPatients seen as guided by conceptions of right and wrong, capable of being driven by moral motivationUndetermined regarding assumptions of human behaviour