Looking to the empirical literature on the potential for financial incentives to enhance adherence with COVID-19 vaccination.
Looking to the empirical literature on the potential for financial incentives to enhance adherence with COVID-19 vaccination.
复制标题
DOI：
10.1016/j.ypmed.2021.106421
复制
发表时间：
2021-04
影响因子：
5.1
通讯作者：
Coleman SRM
中科院分区：
文献类型：
--
作者：
Higgins ST;Klemperer EM;Coleman SRM
COVID-19疫苗接种工作正在进行中，为挽救生命和消除疫情带来了希望。最有希望的疫苗需要间隔3-4周进行两次注射。为了获得免疫力，70-90%或更多的人口必须接种疫苗。预期的遵守挑战产生了评论的战略，以提高遵守，包括财政奖励。这些评论中的一个显著差距是对有关财政激励措施对提高疫苗依从性的有效性的科学证据的任何讨论。本评注讨论了这一差距。有一系列关于激励疫苗依从性的对照试验，主要是针对注射吸毒者（IDUs）中的B型肝炎病毒（HBV）疫苗。作为阿片类药物成瘾危机的一部分，HBV感染的患病率正在增加。HBV疫苗需要三剂方案（通常为0、1和6个月），这在注射吸毒者中造成了依从性挑战。系统的文献综述证明了经济激励的显著益处。例如，2019年的一项荟萃分析（Tressler & Bhandari，2019）检查了11项对照试验，研究了HBV疫苗依从性策略，包括经济激励，加速给药计划和病例管理/增强服务。经济激励最有效，导致疫苗接种方案的依从性相对于无经济激励增加7倍（OR，7.01; 95% CI，2.88-17.06）。额外的审查为促进疫苗接种（HBV和流感）依从性的财政激励措施的有效性提供了进一步的支持。总的来说，这些文献表明，经济激励可能有助于促进高水平的COVID-19疫苗依从性，专家们预计这对群体免疫是必要的。
COVID-19 vaccination efforts are underway offering hope for saving lives and eliminating the pandemic. The most promising vaccines require two injections separated 3-4 weeks apart. To achieve heard immunity, 70-90% of the population or perhaps more must be inoculated. Anticipation of adherence challenges has generated commentaries on strategies to enhance adherence including financial incentives. A notable gap in these commentaries is any discussion of the scientific evidence regarding the efficacy of financial incentives for increasing vaccine adherence. This commentary addresses that gap. There is a body of controlled trials on incentivizing vaccine adherence, mostly to the hepatitis B virus (HBV) vaccine among injection drug users (IDUs). Prevalence of HBV infection is increasing as part of the opioid addiction crisis. The HBV vaccine entails a three-dose regimen (typically 0, 1, and 6 months) which has created adherence challenges among IDUs. Systematic literature reviews document significant benefit of financial incentives. For example, a 2019 meta-analysis (Tressler & Bhandari, 2019) examined 11 controlled trials examining HBV-vaccine adherence strategies, including financial incentives, accelerated dosing schedules, and case-management/enhanced services. Financial incentives were most effective resulting in a 7-fold increase in adherence to the vaccination regimen relative to no financial incentives (OR, 7.01; 95% CI, 2.88-17.06). Additional reviews provide further support for the efficacy of financial incentives for promoting adherence with vaccination (HBV & influenza). Overall, this literature suggests that financial incentives could be helpful in promoting the high levels of adherence to COVID-19 vaccines that experts project will be necessary for herd immunity.
登录
查看更多内容
影响因子：
4.2
作者：
Roll, JM;Higgins, ST
通讯作者：
Higgins, ST
影响因子：
3.7
作者：
Giles EL;Robalino S;McColl E;Sniehotta FF;Adams J
通讯作者：
Adams J
影响因子：
5.1
作者：
Jeffery, Robert W.
通讯作者：
Jeffery, Robert W.
影响因子：
4.2
作者：
Robles, E;Silverman, K;Stitzer, ML
通讯作者：
Stitzer, ML
影响因子：
5.1
作者：
Davis, Danielle R.;Kurti, Allison N.;Higgins, Stephen T.
通讯作者：
Higgins, Stephen T.