Pay-for-performance incentives for health worker vaccination: looking under the hood

Since the earliest days of the COVID-19 vaccines, voluntary uptake of the vaccine by healthcare workers has been below optimal levels in many countries and across different healthcare systems.1–5 Health systems have implemented diverse initiatives to both increase healthcare worker motivation to vaccinate and close intention–behaviour gaps. Despite substantial effort to promote COVID-19 vaccination among healthcare workers in the USA, for example, nearly a third were not fully vaccinated as of September 2021.6 Many employers and governments have since considered or implemented vaccine mandates,7–9 with steep penalties for non-vaccination including termination.10 Notably, mandates for employees of hospitals, health systems and other healthcare entities receiving federal funds were recently upheld by the US Supreme Court.11 In this pressing policy context, scientists from several disciplines (behavioural science, improvement science,...
Source: BMJ Quality and Safety - Category: General Medicine Authors: Tags: Editorials Source Type: research