ArticleJournal of medical ethics2021
Spoonful of honey or a gallon of vinegar? A conditional COVID-19 vaccination policy for front-line healthcare workers.
Article in Journal of medical ethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mandatory COVID-19 vaccination for healthcare workers: A discussion paper.International journal of nursing studies · 2023Pooled it
- Coercion in public health: a scoping review of definitions.BMJ public health · 2026Article
- COVID-19 vaccine uptake among healthcare workers: an achievable quality improvement target.BMJ open quality · 2023Article
- Vaccine mandates for healthcare workers beyond COVID-19.Journal of medical ethics · 2023Article
- Original Research: COVID-19 Vaccine Hesitancy Among Southern California Nurses.The American journal of nursing · 2022Article
- Nursing students and COVID-19 vaccination. ESitA Study An Observational Study.Acta bio-medica : Atenei Parmensis · 2022Observational
- Solidarity in Pandemics, Mandatory Vaccination, and Public Health Ethics.American journal of public health · 2022Article
- A qualitative study exploring healthcare providers' and trainees' barriers to COVID-19 and influenza vaccine uptake.Health psychology and behavioral medicine · 2022Article
- Attitudes towards Mandatory Occupational Vaccination and Intention to Get COVID-19 Vaccine during the First Pandemic Wave among Mongolian Healthcare Workers: A Cross-Sectional Survey.International journal of environmental research and public health · 2021Article
- Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Seven COVID-19 vaccines are now being distributed and administered around the world (figure correct at the time of submission), with more on the horizon. It is widely accepted that healthcare workers should have high priority. However, questions have been raised about what we ought to do if members of priority groups refuse vaccination. Using the case of influenza vaccination as a comparison, we know that coercive approaches to vaccination uptake effectively increase vaccination rates among healthcare workers and reduce patient morbidity if properly implemented. Using the principle of least restrictive alternative, we have developed an intervention ladder for COVID-19 vaccination policies among healthcare workers. We argue that healthcare workers refusing vaccination without a medical reason should be temporarily redeployed and, if their refusal persists after the redeployment period, eventually suspended, in order to reduce the risk to their colleagues and patients. This 'conditional' policy is a compromise between entirely voluntary or entirely mandatory policies for healthcare workers, and is consistent with healthcare workers' established professional, legal and ethical obligations to their patients and to society at large.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.