Suchergebnisse

Background: High uptake of a Covid-19 vaccine is required for a successful vaccination campaign that manages to reach herd immunity. Objective: To identify the predictors associated with someone's willingness to get vaccinated against Covid-19, and to investigate whether these coincide with the predictors of attitudes towards vaccination in general. Methods: A representative sample of 2,060 Belgians were surveyed between 6 and 16 October 2020. Regression analyses were used to calculate adjusted and non-adjusted odds ratios of variables associated to someone's willingness to become vaccinated and to vaccine attitudes in general. Results: 34% (n=651) of the participants reported that they will definitely get vaccinated against Covid-19 once a vaccine is available and 39% (n=742) that they would "probably". Intended uptake was strongly associated with age, opinion on the government's dealing with the Covid-19 pandemic, medical risk and spoken language, and to a lesser extent with gender and having known someone who was hospitalised because of Covid-19. Similar predictors were identified for attitudes to vaccination in general. However, Covid-19 vaccine hesitancy was more marked in age groups below 54 years old. We further analysed a sample of 17% (n=349) of the participants found favourable to vaccination in general but not willing to vaccinate against Covid-19. These people were mainly female, young, French speaking, slightly less educated, and working. They also did not belong to a Covid-19 risk group, were very dissatisfied with the government's dealing with the Covid-19 crisis, and did not know personally someone who was hospitalized because of Covid-19. Conclusions: The majority of Belgians intend to get vaccinated, though uptake is lower in groups at lower risk of severe forms of Covid-19. Levels of vaccine hesitancy seem higher for Covid-19 vaccination than for other vaccines, with a substantial part of the population being convinced of the utility of vaccination in general but nonetheless being hesitant about the Covid-19 vaccine. Communication campaigns will need to inform on the safety and efficacy of Covid-19 vaccination to encourage uptake.

Background: High uptake of a Covid-19 vaccine is required for a successful vaccination campaign that manages to reach herd immunity. Objective: To identify the predictors associated with someone's willingness to get vaccinated against Covid-19, and to investigate whether these coincide with the predictors of attitudes towards vaccination in general. Methods: A representative sample of 2,060 Belgians were surveyed between 6 and 16 October 2020. Regression analyses were used to calculate adjusted and non-adjusted odds ratios of variables associated to someone's willingness to become vaccinated and to vaccine attitudes in general. Results: 34% (n=651) of the participants reported that they will definitely get vaccinated against Covid-19 once a vaccine is available and 39% (n=742) that they would "probably". Intended uptake was strongly associated with age, opinion on the government's dealing with the Covid-19 pandemic, medical risk and spoken language, and to a lesser extent with gender and having known someone who was hospitalised because of Covid-19. Similar predictors were identified for attitudes to vaccination in general. However, Covid-19 vaccine hesitancy was more marked in age groups below 54 years old. We further analysed a sample of 17% (n=349) of the participants found favourable to vaccination in general but not willing to vaccinate against Covid-19. These people were mainly female, young, French speaking, slightly less educated, and working. They also did not belong to a Covid-19 risk group, were very dissatisfied with the government's dealing with the Covid-19 crisis, and did not know personally someone who was hospitalized because of Covid-19. Conclusions: The majority of Belgians intend to get vaccinated, though uptake is lower in groups at lower risk of severe forms of Covid-19. Levels of vaccine hesitancy seem higher for Covid-19 vaccination than for other vaccines, with a substantial part of the population being convinced of the utility of vaccination in general but nonetheless being hesitant about the Covid-19 vaccine. Communication campaigns will need to inform on the safety and efficacy of Covid-19 vaccination to encourage uptake.

Background High uptake of Covid-19 vaccination is required to reach herd immunity. Methods A representative sample of 2,060 Belgians were surveyed in October 2020. Regression analyses identified the predictors associated with willingness to get vaccinated against Covid-19, and attitudes toward vaccination in general. Results 34% of the participants reported that they will definitely get vaccinated against Covid-19 and 39% that they would "probably". Intended uptake was strongly associated with age, opinion on the government's dealing with the Covid-19 pandemic, medical risk, spoken language, gender, and to a lesser extent with having known someone who was hospitalised because of Covid-19. Similar predictors were identified for attitudes to vaccination in general. Covid-19 vaccine hesitancy was more marked in age groups below 54 years old. We further analysed a sample of 17% (N = 349) found favourable to vaccination in general but not willing to be vaccinated against Covid-19. They were mainly female, young, French speaking, slightly less educated, working, and did not belong to a Covid-19 risk group. They were very dissatisfied with the government's dealing with the pandemic, and did not know someone who was hospitalised because of Covid-19. Conclusions Vaccine hesitancy was higher for Covid-19 vaccines than for other vaccines. The part of the population being convinced of the utility of vaccination in general but hesitant about the Covid-19 vaccine is a primary interest group for tailored communication campaigns in order to reach the vaccine coverage needed for herd immunity.

Background: The uptake of a Covid-19 vaccine will be instrumental in limiting the spread of the disease as herd immunity requires coverage of up to 80% of the population. Purpose: To identify the predictors associated with the willingness to get vaccinated against Covid-19 once a vaccine becomes available, and to investigate whether they coincide with the predictors of attitudes towards vaccination in general. Methods: A representative sample of 2,060 Belgians were surveyed between 6 and 16 October 2020. Results: 34% (n=651) of the participants reported that they will definitely vaccinate against Covid-19 once a vaccine is available and 39% (n=742) that they would "probably" vaccinate. A multivariate analysis found that increased intended uptake was strongly associated with age, opinion on the government's dealing with the Covid-19 pandemic, medical risk and spoken language, and to a lesser extent with sex and having known someone who was hospitalised because of Covid-19. Similar predictors were identified for attitudes to vaccination; however, Covid-19 vaccine hesitancy was more marked in age groups below 54 years old. We further analysed a sample of 17% (n=349) of the participants found favourable to vaccination in general but not willing to vaccinate against Covid-19. These inconsistent people were mainly female, young, French speaking, slightly less educated, and working. They also did not belong to a Covid-19 risk group, were very dissatisfied with the government's dealing with the Covid-19 crisis, and did not know personally someone who was hospitalized because of Covid-19. Conclusions: The majority of Belgians intend to vaccinate, though uptake is lower in groups at lower risk of severe forms of Covid-19. While most of the population is aware of the collective welfare of infectious disease vaccination, Covid-19 is not perceived as any infectious disease and exhibits higher levels of vaccination hesitancy. Communication campaigns will need to inform on the safety and efficacy of Covid-19 vaccination to encourage uptake.

Many developed countries are reforming healthcare payment systems in order to limit costs and improve clinical outcomes. Knowledge on how different groups of professional stakeholders trade off the merits and downsides of healthcare payment systems is limited. Using a discrete choice experiment we asked a sample of physicians, policy makers, healthcare executives and researchers from Canada, Europe, Oceania, and the United States to choose between profiles of hypothetical outcomes on eleven healthcare performance objectives which may arise from a healthcare payment system reform. We used a Bayesian D-optimal design with partial profiles, which enables studying a large number of attributes, i.e. the eleven performance objectives, in the experiment. Our findings suggest that (a) moving from current payment systems to a value-based system is supported by physicians, despite an income trade-off, if effectiveness and long term cost containment improve. (b) Physicians would gain in terms of overall objective fulfillment in Eastern Europe and the US, but not in Canada, Oceania and Western Europe. Finally, (c) such payment reform more closely aligns the overall fulfillment of objectives between stakeholders such as physicians versus healthcare executives. Although the findings should be interpreted with caution due to the potential selection effects of participants, it seems that the value driven nature of newly proposed and/or introduced care payment reforms is more closely aligned with what stakeholders favor in some health systems, but not in others. Future studies, including the use of random samples, should examine the contextual factors that explain such differences in values and buy-in.

Objectives Our study investigates the extent to which uptake of a COVID-19 digital contact-tracing (DCT) app among the Dutch population is affected by its configurations, its societal effects, and government policies toward such an app. Methods We performed a discrete choice experiment among Dutch adults including 7 attributes, that is, who gets a notification, waiting time for testing, possibility for shops to refuse customers who have not installed the app, stopping condition for contact tracing, number of people unjustifiably quarantined, number of deaths prevented, and number of households with financial problems prevented. The data were analyzed by means of panel mixed logit models. Results The prevention of deaths and financial problems of households had a very strong influence on the uptake of the app. Predicted app uptake rates ranged from 24% to 78% for the worst and best possible app for these societal effects. We found a strong positive relationship between people's trust in government and people's propensity to install the DCT app. Conclusions The uptake levels we find are much more volatile than the uptake levels predicted in comparable studies that did not include societal effects in their discrete choice experiments. Our finding that the societal effects are a major factor in the uptake of the DCT app results in a chicken-or-the-egg causality dilemma. That is, the societal effects of the app are severely influenced by the uptake of the app, but the uptake of the app is severely influenced by its societal effects.

OBJECTIVES: The COVID-19 pandemic forms an unprecedented public health, economic, and social crisis. Uptake of vaccination is critical for controlling the pandemic. Nevertheless, vaccination hesitancy is considerable, requiring policies to promote uptake. We investigate Dutch citizens' preferences for policies that aim to promote vaccination through facilitating choice of vaccination, profiling it as the norm, making vaccination more attractive through rewards, or punishing people who reject vaccination. METHODS: We conducted a discrete choice experiment in which 747 respondents were asked to choose between policies to promote vaccination uptake and their impacts on the number of deaths, people with permanent health problems, households with income loss, and a tax increase. RESULTS: Respondents generally had a negative preference for policies that promote vaccination. They particularly disliked policies that punish those who reject the vaccine and were more favorable toward policies that reward vaccination, such as awarding additional rights to vaccinated individuals through vaccination passports. Respondents who reject vaccination were in general much more negative about the policy options than respondents who consider accepting the vaccine. Nevertheless, vaccination passports are supported by both respondents who accept the vaccine, those who reject vaccination, and those who are unsure about vaccination. CONCLUSIONS: This study provides concrete directions for governments attempting to increase the vaccination uptake in ways that are supported by the public. Our results could encourage policy makers to focus on policy options that make vaccination easier and reward people who take the vaccine, as especially the implementation of vaccination passports was supported.

Objectives The COVID-19 pandemic forms an unprecedented public health, economic, and social crisis. Uptake of vaccination is critical for controlling the pandemic. Nevertheless, vaccination hesitancy is considerable, requiring policies to promote uptake. We investigate Dutch citizens' preferences for policies that aim to promote vaccination through facilitating choice of vaccination, profiling it as the norm, making vaccination more attractive through rewards, or punishing people who reject vaccination. Methods We conducted a discrete choice experiment in which 747 respondents were asked to choose between policies to promote vaccination uptake and their impacts on the number of deaths, people with permanent health problems, households with income loss, and a tax increase. Results Respondents generally had a negative preference for policies that promote vaccination. They particularly disliked policies that punish those who reject the vaccine and were more favorable toward policies that reward vaccination, such as awarding additional rights to vaccinated individuals through vaccination passports. Respondents who reject vaccination were in general much more negative about the policy options than respondents who consider accepting the vaccine. Nevertheless, vaccination passports are supported by both respondents who accept the vaccine, those who reject vaccination, and those who are unsure about vaccination. Conclusions This study provides concrete directions for governments attempting to increase the vaccination uptake in ways that are supported by the public. Our results could encourage policy makers to focus on policy options that make vaccination easier and reward people who take the vaccine, as especially the implementation of vaccination passports was supported.

Objectives The COVID-19 pandemic forms an unprecedented public health, economic, and social crisis. Uptake of vaccination is critical for controlling the pandemic. Nevertheless, vaccination hesitancy is considerable, requiring policies to promote uptake. We investigate Dutch citizens' preferences for policies that aim to promote vaccination through facilitating choice of vaccination, profiling it as the norm, making vaccination more attractive through rewards, or punishing people who reject vaccination. Methods We conducted a discrete choice experiment in which 747 respondents were asked to choose between policies to promote vaccination uptake and their impacts on the number of deaths, people with permanent health problems, households with income loss, and a tax increase. Results Respondents generally had a negative preference for policies that promote vaccination. They particularly disliked policies that punish those who reject the vaccine and were more favorable toward policies that reward vaccination, such as awarding additional rights to vaccinated individuals through vaccination passports. Respondents who reject vaccination were in general much more negative about the policy options than respondents who consider accepting the vaccine. Nevertheless, vaccination passports are supported by both respondents who accept the vaccine, those who reject vaccination, and those who are unsure about vaccination. Conclusions This study provides concrete directions for governments attempting to increase the vaccination uptake in ways that are supported by the public. Our results could encourage policy makers to focus on policy options that make vaccination easier and reward people who take the vaccine, as especially the implementation of vaccination passports was supported.