{"title":"Climbing the 'ladder of intrusiveness': the Italian government's strategy to push the Covid-19 vaccination coverage further.","authors":"Stefania Profeti, Federico Toth","doi":"10.1007/s11077-023-09509-2","DOIUrl":null,"url":null,"abstract":"<p><p>In all Western countries, the vaccination campaign against COVID-19 encountered some resistance. To overcome vaccine inertia and hesitancy, governments have used a variety of strategies and policy instruments. These instruments can be placed on a 'ladder of intrusiveness', starting from voluntary tools based on simple information and persuasion, through material incentives and disincentives of varying nature and magnitude, to highly coercive tools, such as lockdown for the unvaccinated and the introduction of the vaccination mandate. Italy's experience during the vaccination campaign against Covid provides an ideal observational point for starting to investigate this issue: not only was Italy among the top countries with the highest percentage of people vaccinated at the beginning of 2022, but-at least compared to other European countries-it was also one of the countries that had gradually introduced the most intrusive measures to increase vaccination compliance. In the article the different steps of the 'intrusiveness ladder' are presented, providing examples from various countries, and then tested on the Italian Covid-19 vaccination campaign between 2021 and the first months of 2022. For each phase of the campaign, the instrument mixes adopted by the Italian government are described, as well as the contextual conditions that led to their adoption. In the final section, an assessment of the composition and evolution of the Italian vaccination strategy is provided, based on the following criteria: legitimacy, feasibility, effectiveness, internal consistency and strategic coherence. Conclusions highlight the pragmatic approach adopted by the Italian government and underline the effects-both positive and negative-of scaling up the intrusiveness ladder.</p>","PeriodicalId":51433,"journal":{"name":"Policy Sciences","volume":null,"pages":null},"PeriodicalIF":3.8000,"publicationDate":"2023-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183224/pdf/","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Policy Sciences","FirstCategoryId":"91","ListUrlMain":"https://doi.org/10.1007/s11077-023-09509-2","RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC ADMINISTRATION","Score":null,"Total":0}
引用次数: 2
Abstract
In all Western countries, the vaccination campaign against COVID-19 encountered some resistance. To overcome vaccine inertia and hesitancy, governments have used a variety of strategies and policy instruments. These instruments can be placed on a 'ladder of intrusiveness', starting from voluntary tools based on simple information and persuasion, through material incentives and disincentives of varying nature and magnitude, to highly coercive tools, such as lockdown for the unvaccinated and the introduction of the vaccination mandate. Italy's experience during the vaccination campaign against Covid provides an ideal observational point for starting to investigate this issue: not only was Italy among the top countries with the highest percentage of people vaccinated at the beginning of 2022, but-at least compared to other European countries-it was also one of the countries that had gradually introduced the most intrusive measures to increase vaccination compliance. In the article the different steps of the 'intrusiveness ladder' are presented, providing examples from various countries, and then tested on the Italian Covid-19 vaccination campaign between 2021 and the first months of 2022. For each phase of the campaign, the instrument mixes adopted by the Italian government are described, as well as the contextual conditions that led to their adoption. In the final section, an assessment of the composition and evolution of the Italian vaccination strategy is provided, based on the following criteria: legitimacy, feasibility, effectiveness, internal consistency and strategic coherence. Conclusions highlight the pragmatic approach adopted by the Italian government and underline the effects-both positive and negative-of scaling up the intrusiveness ladder.
期刊介绍:
The policy sciences are distinctive within the policy movement in that they embrace the scholarly traditions innovated and elaborated by Harold D. Lasswell and Myres S. McDougal. Within these pages we provide space for approaches that are problem-oriented, contextual, and multi-method in orientation. There are many other journals in which authors can take top-down, deductive, and large-sample approach or adopt a primarily theoretical focus. Policy Sciences encourages systematic and empirical investigations in which problems are clearly identified from a practical and theoretical perspective, are well situated in the extant literature, and are investigated utilizing methodologies compatible with contextual, as opposed to reductionist, understandings. We tend not to publish pieces that are solely theoretical, but favor works in which the applied policy lessons are clearly articulated. Policy Sciences favors, but does not publish exclusively, works that either explicitly or implicitly utilize the policy sciences framework. The policy sciences can be applied to articles with greater or lesser intensity to accommodate the focus of an author’s work. At the minimum, this means taking a problem oriented, multi-method or contextual approach. At the fullest expression, it may mean leveraging central theory or explicitly applying aspects of the framework, which is comprised of three principal dimensions: (1) social process, which is mapped in terms of participants, perspectives, situations, base values, strategies, outcomes and effects, with values (power, wealth, enlightenment, skill, rectitude, respect, well-being, and affection) being the key elements in understanding participants’ behaviors and interactions; (2) decision process, which is mapped in terms of seven functions—intelligence, promotion, prescription, invocation, application, termination, and appraisal; and (3) problem orientation, which comprises the intellectual tasks of clarifying goals, describing trends, analyzing conditions, projecting developments, and inventing, evaluating, and selecting alternatives. There is a more extensive core literature that also applies and can be visited at the policy sciences website: http://www.policysciences.org/classicworks.cfm. In addition to articles that explicitly utilize the policy sciences framework, Policy Sciences has a long tradition of publishing papers that draw on various aspects of that framework and its central theory as well as high quality conceptual pieces that address key challenges, opportunities, or approaches in ways congruent with the perspective that this journal strives to maintain and extend.Officially cited as: Policy Sci