Evidence map›Paper›PMID 35636917›Full record

ArticleJournal of medical ethics2023

Vaccine mandates for healthcare workers beyond COVID-19.

Alberto Giubilini, Julian Savulescu, Jonathan Pugh, Dominic Wilkinson

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  5. Protecting our frontline: vaccination policies for health care workers in the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Alberto GiubiliniOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK alberto.giubilini@philosophy.ox.ac.uk.ORCID 0000-0001-5163-3017
Julian SavulescuOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.ORCID 0000-0003-1691-6403
Jonathan PughOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.
Dominic WilkinsonOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK.ORCID 0000-0003-3958-8633
University of Oxford · GBJohn Radcliffe Hospital · GB

Funding

Wellcome Trust 203132/Z/16/ZWellcome Trust WT104848
6 · The paper itself

Abstract

We provide ethical criteria to establish when vaccine mandates for healthcare workers are ethically justifiable. The relevant criteria are the utility of the vaccine for healthcare workers, the utility for patients (both in terms of prevention of transmission of infection and reduction in staff shortage), and the existence of less restrictive alternatives that can achieve comparable benefits. Healthcare workers have professional obligations to promote the interests of patients that entail exposure to greater risks or infringement of autonomy than ordinary members of the public. Thus, we argue that when vaccine mandates are justified on the basis of these criteria, they are not unfairly discriminatory and the level of coercion they involve is ethically acceptable-and indeed comparable to that already accepted in healthcare employment contracts. Such mandates might be justified even when general population mandates are not. Our conclusion is that, given current evidence, those ethical criteria justify mandates for influenza vaccination, but not COVID-19 vaccination, for healthcare workers. We extend our arguments to other vaccines.

Indexed as

COVID-19Influenza, HumanInfluenza VaccinesHealth PersonnelHumansVaccinationInfluenza VaccinesCoercionCOVID-19Health Personnel

Identifiers

PMID35636917
PMCPMC9985724
OpenAlexW4281918242

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.