{"title":"对公共卫生系统的信任与季节性流感疫苗接种","authors":"Marian Vasile, Gabriel Jderu, Darie Cristea","doi":"10.24193/tras.71e.7","DOIUrl":null,"url":null,"abstract":"Human vaccination is a complex process that engages social actors, products, infrastructures, and ideology. We explore the role of trust in the healthcare system for immunization with the seasonal influenza vaccine. We use data from a probabilistic national representative survey among Romanian adults 18 years old or older (n = 2115) fielded in 2019. Binary logistic regression modeling shows that probability of vaccinating against seasonal influenza is higher when the participants trust the overall healthcare system [Odds Ratio = 1.36,\np ≤ 0.001], discussed, and gathered information about vaccines [OR = 3.12, p ≤ 0.001], had positive evaluations of the vaccination services [OR = 2.19,\np ≤ 0.001], and evaluate today’s vaccine as being safer [OR = 3.05, p ≤ 0.001] or at least as safe [OR = 2.11, p ≤ 0.001] than those from the past. Results suggest that trust in the family physicians is built through personal experiences with them which can be easily adjusted in contrast with overall trust in the healthcare system. Increasing the quality of vaccines and vaccination and emphasizing vaccines’ benefits and safety is not sufficient but just the tip of the iceberg; the entire healthcare system needs a serious facelift which will make it trustworthy.","PeriodicalId":45832,"journal":{"name":"Transylvanian Review of Administrative Sciences","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Trust in the Public Health System and Seasonal-Influenza Vaccination\",\"authors\":\"Marian Vasile, Gabriel Jderu, Darie Cristea\",\"doi\":\"10.24193/tras.71e.7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Human vaccination is a complex process that engages social actors, products, infrastructures, and ideology. We explore the role of trust in the healthcare system for immunization with the seasonal influenza vaccine. We use data from a probabilistic national representative survey among Romanian adults 18 years old or older (n = 2115) fielded in 2019. Binary logistic regression modeling shows that probability of vaccinating against seasonal influenza is higher when the participants trust the overall healthcare system [Odds Ratio = 1.36,\\np ≤ 0.001], discussed, and gathered information about vaccines [OR = 3.12, p ≤ 0.001], had positive evaluations of the vaccination services [OR = 2.19,\\np ≤ 0.001], and evaluate today’s vaccine as being safer [OR = 3.05, p ≤ 0.001] or at least as safe [OR = 2.11, p ≤ 0.001] than those from the past. Results suggest that trust in the family physicians is built through personal experiences with them which can be easily adjusted in contrast with overall trust in the healthcare system. Increasing the quality of vaccines and vaccination and emphasizing vaccines’ benefits and safety is not sufficient but just the tip of the iceberg; the entire healthcare system needs a serious facelift which will make it trustworthy.\",\"PeriodicalId\":45832,\"journal\":{\"name\":\"Transylvanian Review of Administrative Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2024-02-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Transylvanian Review of Administrative Sciences\",\"FirstCategoryId\":\"91\",\"ListUrlMain\":\"https://doi.org/10.24193/tras.71e.7\",\"RegionNum\":4,\"RegionCategory\":\"管理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC ADMINISTRATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transylvanian Review of Administrative Sciences","FirstCategoryId":"91","ListUrlMain":"https://doi.org/10.24193/tras.71e.7","RegionNum":4,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC ADMINISTRATION","Score":null,"Total":0}
引用次数: 0
摘要
人类疫苗接种是一个涉及社会参与者、产品、基础设施和意识形态的复杂过程。我们探讨了信任医疗系统在季节性流感疫苗免疫接种中的作用。我们使用的数据来自 2019 年对罗马尼亚 18 岁及以上成年人(n = 2115)进行的概率性全国代表性调查。二元逻辑回归模型显示,当参与者信任整个医疗保健系统[Odds Ratio = 1.36,p ≤ 0.001]、讨论并收集有关疫苗的信息时,接种季节性流感疫苗的概率较高[OR = 3.12, p ≤ 0.001],对疫苗接种服务有积极评价[OR = 2.19,p ≤ 0.001],并认为现在的疫苗比过去的疫苗更安全[OR = 3.05, p ≤ 0.001]或至少同样安全[OR = 2.11, p ≤ 0.001]。结果表明,对家庭医生的信任是通过与他们的个人经历建立起来的,与对医疗系统的整体信任相比,这种信任很容易调整。提高疫苗和疫苗接种的质量以及强调疫苗的益处和安全性还远远不够,这只是冰山一角;整个医疗保健系统需要认真整容,使其值得信赖。
Trust in the Public Health System and Seasonal-Influenza Vaccination
Human vaccination is a complex process that engages social actors, products, infrastructures, and ideology. We explore the role of trust in the healthcare system for immunization with the seasonal influenza vaccine. We use data from a probabilistic national representative survey among Romanian adults 18 years old or older (n = 2115) fielded in 2019. Binary logistic regression modeling shows that probability of vaccinating against seasonal influenza is higher when the participants trust the overall healthcare system [Odds Ratio = 1.36,
p ≤ 0.001], discussed, and gathered information about vaccines [OR = 3.12, p ≤ 0.001], had positive evaluations of the vaccination services [OR = 2.19,
p ≤ 0.001], and evaluate today’s vaccine as being safer [OR = 3.05, p ≤ 0.001] or at least as safe [OR = 2.11, p ≤ 0.001] than those from the past. Results suggest that trust in the family physicians is built through personal experiences with them which can be easily adjusted in contrast with overall trust in the healthcare system. Increasing the quality of vaccines and vaccination and emphasizing vaccines’ benefits and safety is not sufficient but just the tip of the iceberg; the entire healthcare system needs a serious facelift which will make it trustworthy.
期刊介绍:
TRAS represents a collective effort initiated by an international group aimed at boosting the research in the field of public administration in a country where during the communist regime there was no tradition in this sense. TRAS represents a unique source of specialized analysis of the ex-communist space, of the transition processes to democracy, of the reform of public administration, and of comparative analysis of administrative systems. The general topic covered by the articles in the Review is administrative sciences. As a result of an interdisciplinary, modern approach, the articles cover the following specific themes: Public management, public policy, administrative law, public policy analysis, regional development, community development, public finances, urban planning, program evaluation in public administration, ethics, comparative administrative systems, etc. TRAS encourages the authors to submit articles that are based on empirical research. From the standpoint of the topic covered, TRAS is lined up with the trends followed by other international journals in the field of public administration. All articles submitted to the Transylvanian Review of Administrative Sciences have to present a clear connection to the field of administrative sciences and the research (both theoretical and empirical) should be conducted from this perspective. Interdisciplinary topics related to organizational theory, sustainable development and CSR, international relations, etc. can be considered for publication, however the research needs to address relevant issues from the perspective of the public sector. Articles which use highly specialized econometrics models as well as studies addressing macro-economic topics will not be considered for evaluation. The decision on whether a certain topic falls within the interest of TRAS belongs to the editors and it is not connected with the overall quality of the work submitted.