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Financial incentives for vaccination do not have negative unintended consequences

Schneider, Florian H ; Campos-Mercade, Pol LU ; Meier, Stephan ; Pope, Devin ; Wengström, Erik LU and Meier, Armando N. (2023) In Nature 613(7944). p.526-533
Abstract
Financial incentives to encourage healthy and prosocial behaviours often trigger initial behavioural change, but a large academic literature warns against using them. Critics warn that financial incentives can crowd out prosocial motivations and reduce perceived safety and trust, thereby reducing healthy behaviours when no payments are offered and eroding morals more generally. Here we report findings from a large-scale, pre-registered study in Sweden that causally measures the unintended consequences of offering financial incentives for taking the first dose of a COVID-19 vaccine. We use a unique combination of random exposure to financial incentives, population-wide administrative vaccination records and rich survey data. We find no... (More)
Financial incentives to encourage healthy and prosocial behaviours often trigger initial behavioural change, but a large academic literature warns against using them. Critics warn that financial incentives can crowd out prosocial motivations and reduce perceived safety and trust, thereby reducing healthy behaviours when no payments are offered and eroding morals more generally. Here we report findings from a large-scale, pre-registered study in Sweden that causally measures the unintended consequences of offering financial incentives for taking the first dose of a COVID-19 vaccine. We use a unique combination of random exposure to financial incentives, population-wide administrative vaccination records and rich survey data. We find no negative consequences of financial incentives; we can reject even small negative impacts of offering financial incentives on future vaccination uptake, morals, trust and perceived safety. In a complementary study, we find that informing US residents about the existence of state incentive programmes also has no negative consequences. Our findings inform not only the academic debate on financial incentives for behaviour change but also policy-makers who consider using financial incentives to change behaviour. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nature
volume
613
issue
7944
pages
526 - 533
publisher
Nature Publishing Group
external identifiers
  • scopus:85146081463
  • pmid:36631607
ISSN
0028-0836
DOI
10.1038/s41586-022-05512-4
language
English
LU publication?
yes
id
47a56031-513e-4afe-8928-a591d1203443
date added to LUP
2023-01-17 01:58:37
date last changed
2023-02-16 15:06:12
@article{47a56031-513e-4afe-8928-a591d1203443,
  abstract     = {{Financial incentives to encourage healthy and prosocial behaviours often trigger initial behavioural change, but a large academic literature warns against using them. Critics warn that financial incentives can crowd out prosocial motivations and reduce perceived safety and trust, thereby reducing healthy behaviours when no payments are offered and eroding morals more generally. Here we report findings from a large-scale, pre-registered study in Sweden that causally measures the unintended consequences of offering financial incentives for taking the first dose of a COVID-19 vaccine. We use a unique combination of random exposure to financial incentives, population-wide administrative vaccination records and rich survey data. We find no negative consequences of financial incentives; we can reject even small negative impacts of offering financial incentives on future vaccination uptake, morals, trust and perceived safety. In a complementary study, we find that informing US residents about the existence of state incentive programmes also has no negative consequences. Our findings inform not only the academic debate on financial incentives for behaviour change but also policy-makers who consider using financial incentives to change behaviour.}},
  author       = {{Schneider, Florian H and Campos-Mercade, Pol and Meier, Stephan and Pope, Devin and Wengström, Erik and Meier, Armando N.}},
  issn         = {{0028-0836}},
  language     = {{eng}},
  number       = {{7944}},
  pages        = {{526--533}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Nature}},
  title        = {{Financial incentives for vaccination do not have negative unintended consequences}},
  url          = {{http://dx.doi.org/10.1038/s41586-022-05512-4}},
  doi          = {{10.1038/s41586-022-05512-4}},
  volume       = {{613}},
  year         = {{2023}},
}