No abstract
The advent of COVID-19 vaccines brought hope in combating the global pandemic. However, their acceptance and uptake have faced significant challenges due to vaccine hesitancy and concerns regarding adverse reactions. Various factors influencing vaccine hesitancy, such as fear of side effects, lack of trust in vaccine development processes, misinformation, and socio-cultural beliefs, are discussed. Understanding the reasons behind vaccine hesitancy is crucial in formulating effective strategies to address public concerns. This article aims to explore the factors contributing to vaccine hesitancy and examine the reported adverse reactions following COVID-19 vaccination. By fostering trust, providing accurate information, and establishing robust surveillance systems, public health officials can combat hesitancy and enhance vaccination rates. Efforts must be made to educate individuals about the benefits of vaccination while maintaining transparency regarding potential risks, ultimately paving the way for widespread immunization and mitigating the impact of the ongoing COVID-19 pandemic. Based on our study findings, it is evident that the population of Romania has exhibited a lack of positive response towards the vaccination campaign aimed at curbing the transmission of COVID-19. These results strongly indicate that Romania will face significant challenges in achieving the World Health Organization's recommended vaccination threshold of at least 70% coverage.
This paper analyzes the phenomenon of defensive medical practice, starting from the doctor–patient relationship, and the behavioral and professional factors that can influence the proper functioning of this relationship and the healthcare system. We analyze medical malpractice, given the increase in the number of accusations, as an essential factor in triggering the defensive behavior of doctors, together with other complementary factors that emphasize the need for protection and safety of doctors. The possible consequences for the doctor–patient relationship that defensive practice can generate are presented and identified by analyzing the determining role of the type of health system (fault and no-fault). At the same time, we investigate the context in which overspecialization of medical personnel can generate a form of defensive practice as a result of the limiting effect on the performance of a certain category of operations and procedures. The increase in the number of malpractice accusations impacts the medical community—“the stress syndrome induced by medical malpractice “—turning doctors into collateral victims who, under the pressure of diminishing their reputational safety, practice defensively to protect themselves from future accusations. This type of defensive behavior puts pressure on the entire healthcare system by continuously increasing costs and unresolved cases, which impact patients by limiting access to medical services in the public and private sectors.
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