Confidence in public institutions is critical in containing the COVID‐19 pandemic

IF 1.7 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH World Medical & Health Policy Pub Date : 2023-04-13 DOI:10.1002/wmh3.568
Anna Adamecz, Ágnes Szabó‐Morvai
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引用次数: 1

Abstract

Abstract This paper investigates the relative importance of confidence in public institutions to explain cross‐country differences in the severity of the coronavirus disease 2019 (COVID‐19) pandemic. We find that a 1 SD increase (e.g., the actual difference between the United States and Finland) in confidence is associated with 56.3% fewer predicted deaths per million inhabitants. Confidence in public institutions is one of the most important predictors of deaths attributed to COVID‐19, compared to country‐level measures of health risks, the health system, demographics, economic and political development, and social capital. We show for the first time that confidence in public institutions encompasses more than just the unobserved quality of health or public services in general. If confidence only included the perceived quality, it would be associated with other health and social outcomes such as breast cancer recovery rates or imprisonment as well, but this is not the case. Moreover, our results indicate that fighting a pandemic requires citizens to cooperate with their governments, and willingness to cooperate relies on confidence in public institutions.
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对公共机构的信心对于遏制COVID - 19大流行至关重要
摘要:本文研究了公共机构信心在解释2019冠状病毒病(COVID - 19)大流行严重程度的跨国差异中的相对重要性。我们发现,置信度每增加1个标准差(例如,美国和芬兰之间的实际差异),每百万居民的预测死亡率就会降低56.3%。与卫生风险、卫生系统、人口统计、经济和政治发展以及社会资本等国家层面的指标相比,对公共机构的信心是COVID - 19导致的死亡的最重要预测因素之一。我们首次表明,对公共机构的信心不仅仅包括一般的卫生或公共服务的未观察到的质量。如果信心只包括感知到的质量,它将与其他健康和社会结果相关,如乳腺癌的康复率或监禁,但事实并非如此。此外,我们的研究结果表明,抗击流行病需要公民与政府合作,而合作的意愿取决于对公共机构的信心。
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来源期刊
World Medical & Health Policy
World Medical & Health Policy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
7.30%
发文量
65
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