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Lottery-Based Incentive in Ohio and COVID-19 Vaccination Rates

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Widespread vaccine administration is necessary to curb the COVID-19 pandemic. To overcome COVID-19 vaccine hesitancy, states have introduced various strategies to increase vaccine uptake. On May 12, 2021, the state of Ohio announced a lottery system to pay randomly selected vaccine recipients up to $1 million.1 After initial reports that vaccine uptake had subsequently increased in Ohio, other states adopted similar vaccine payment lotteries.2

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Article Information

Corresponding Author: Allan J. Walkey, MD, MSc, Boston University School of Medicine, 72 E Concord St, R304, Boston, MA 02118 (alwalkey@bu.edu).

Accepted for Publication: June 21, 2021.

Published Online: July 2, 2021. doi:10.1001/jama.2021.11048

Author Contributions: Drs Walkey and Bosch had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: All authors.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: All authors.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: All authors.

Administrative, technical, or material support: Walkey, Law.

Supervision: Walkey, Law.

Conflict of Interest Disclosures: Dr Walkey reported receiving grants from the Gordon and Betty Moore Foundation and the National Institutes of Health. No other disclosures were reported.

Funding/Support: Dr Walkey was funded by grants R01HL139751, R01HL151607, R01HL136660, and OT2HL156812-01 from the National Institutes of Health. Dr Law was funded by grant K23HL153482 from the National Institutes of Health. Dr Bosch was funded by grant 1F32GM133061-01 from the National Institutes of Health.

Role of the Funder/Sponsor: The National Institutes of Health had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

References
1.
Ohio Department of Health. Governor DeWine announces vaccine incentives, end date for health orders. Accessed May 28, 2021. https://coronavirus.ohio.gov/wps/portal/gov/covid-19/resources/news-releases-news-you-can-use/covid-19-update-05-12-21
2.
Hubler  S . With a lottery wheel and gold lamé, California selected its first vaccinated prize winners. Accessed June 14, 2021. https://www.nytimes.com/2021/06/04/us/covid-vaccine-lottery-california.html
3.
US Food and Drug Administration. Coronavirus (COVID-19) update: FDA authorizes Pfizer-BioNTech COVID-19 vaccine for emergency use in adolescents in another important action in fight against pandemic. Accessed May 28, 2021. https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-pfizer-biontech-covid-19-vaccine-emergency-use
4.
Centers for Disease Control and Prevention. COVID-19 vaccinations in the United States, jurisdiction. Accessed June 10, 2021. https://data.cdc.gov/Vaccinations/COVID-19-Vaccinations-in-the-United-States-Jurisdi/unsk-b7fc
5.
Penfold  RB , Zhang  F .  Use of interrupted time series analysis in evaluating health care quality improvements.   Acad Pediatr. 2013;13(6)(suppl):S38-S44. doi:10.1016/j.acap.2013.08.002PubMedGoogle ScholarCrossref
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Zhang  F , Wagner  AK , Ross-Degnan  D .  Simulation-based power calculation for designing interrupted time series analyses of health policy interventions.   J Clin Epidemiol. 2011;64(11):1252-1261. doi:10.1016/j.jclinepi.2011.02.007PubMedGoogle ScholarCrossref
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