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Trusting the Health System and COVID 19 restriction compliance

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dc.contributor.authorCosta Font, Joan
dc.contributor.authorVilaplana Prieto, Cristina
dc.contributor.departmentFundamentos del Análisis Económico
dc.date.accessioned2025-01-09T11:23:20Z
dc.date.available2025-01-09T11:23:20Z
dc.date.issued2023-04
dc.description© 2023 The Author(s). This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/ This document is the Published version of a Published Work that appeared in final form in Economics & Human Biology. To access the final edited and published work see https://doi.org/10.1016/j.ehb.2023.101235es
dc.description.abstractWe examine the extent to which exposure to higher relative COVID-19 mortality (RM), influences health system trust (HST), and whether changes in HST explain the perceived ease of compliance with pandemic restrictions during the COVID-19 pandemic. Drawing on evidence from two representative surveys covering all regions of 28 European countries before and after the first COVID-19 wave, and using a difference in differences strategy together with Coarsened Exact Matching (CEM), we document that living in a region with higher RM during the first wave of the pandemic increased HST. However, the positive effect of RM on HST is driven by individuals over 45 years of age, and the opposite effect is found among younger cohorts. Furthemore, we find that a higher HST reduces the costs of complying with COVID-19 restrictions, but only so long as excess mortality does not exceed the average by more than 20%, at which point the ease of complying with COVID-19 restrictions significantly declines, offsetting the positive effect of trust in the healthcare system. Our interpretation of these estimates is that a higher RM is interpreted as a risk signal among those over 45, and as a signal of health-care system failure among younger age individuals.es
dc.formatapplication/pdfes
dc.format.extent14es
dc.identifier.citationEconomics & Human Biology, 2023, Vol. 49 : 101235
dc.identifier.doihttps://doi.org/10.1016/j.ehb.2023.101235
dc.identifier.issnPrint: 1570-677X
dc.identifier.issnElectronic: 1873-6130
dc.identifier.urihttp://hdl.handle.net/10201/148130
dc.languageenges
dc.publisherElsevieres
dc.relationSin financiación externa a la Universidades
dc.relation.ispartofProyecto de investigación:es
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1570677X23000163?via%3Dihubes
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAtribución 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectHealthcare system trustes
dc.subjectMortalityes
dc.subjectLockdownes
dc.subjectEurobarometeres
dc.subjectDifference in diferenceses
dc.subjectCOVID 19es
dc.subjectRisk signales
dc.subjectHealth system failurees
dc.titleTrusting the Health System and COVID 19 restriction compliancees
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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