Constraints on Medical Liability Through Malpractice Safe Harbors

Blumstein, James F.; McMichael, Benjamin J.; Storrow, Alan B.

doi:10.1001/jamahealthforum.2020.0961

Cited by 5 publications

(14 citation statements)

References 6 publications

(5 reference statements)

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“…In this study, Black or African American race was the only factor associated with willingness to immunize after accounting for beliefs about the vaccine; 1 in 4 Black or African American participants reported unwillingness to receive a vaccine. This is slightly lower than previous reports of~40% or more unwilling [8,9,11,23,24], but is consistent with other studies that show that willingness among Black or African Americans is improving [10]. We also found lower rates of reported vaccine willingness in women compared with men, a factor that has been shown in other studies [8,9,11,14,23].…”

Section: Discussionsupporting

confidence: 90%

“…We also found lower rates of reported vaccine willingness in women compared with men, a factor that has been shown in other studies [8,9,11,14,23]. Socioeconomic factors, including higher education and higher income, were also associated with increased reported willingness to be vaccinated, similar to other studies [9,11]. Notably, these findings contrast with characteristics of adults who refuse vaccines for their children.…”

Section: Discussionsupporting

confidence: 89%

“…This is slightly lower than previous reports of ~40% or more unwilling [ 8 , 9 , 11 , 23 , 24 ], but is consistent with other studies that show that willingness among Black or African Americans is improving [ 10 ]. We also found lower rates of reported vaccine willingness in women compared with men, a factor that has been shown in other studies [ 8 , 9 , 11 , 14 , 23 ]. Socioeconomic factors, including higher education and higher income, were also associated with increased reported willingness to be vaccinated, similar to other studies [ 9 , 11 ].…”

Section: Discussionsupporting

confidence: 88%

“…The strongest factors associated with and indicative of vaccine willingness in this population were beliefs about the COVID-19 vaccine’s safety and efficacy, and a more altruistic belief whether a COVID-19 vaccine will help protect “myself and others." Vaccine safety and efficacy are among the most important factors reported influencing likeliness to vaccinate among Americans [ 9 , 27 ] and Americans 65 and over [ 11 ]. Among those disinclined to vaccinate, the majority stated that they would discuss their decision with their healthcare provider, providing an important opportunity for education.…”

Section: Discussionmentioning

confidence: 99%

“…With the recent FDA Emergency Use Authorization (EUA) for three COVID-19 vaccines, significant attention is now being placed on whether sufficient numbers of the public will be willing to be immunized to control the pandemic and how to ensure the public is adequately informed about the vaccine [1][2][3]. Surveys in the United States showed an initial decline in reported willingness to receive a COVID-19 vaccine [4][5][6][7][8][9], though some recent data appear more promising [5,10,11].…”

Section: Introductionmentioning

confidence: 99%

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Factors indicating intention to vaccinate with a COVID-19 vaccine among older U.S. adults

et al. 2021

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Background The success of vaccination efforts to curb the COVID-19 pandemic will require broad public uptake of immunization and highlights the importance of understanding factors associated with willingness to receive a vaccine. Methods U.S. adults aged 65 and older enrolled in the HeartlineTM clinical study were invited to complete a COVID-19 vaccine assessment through the HeartlineTM mobile application between November 6–20, 2020. Factors associated with willingness to receive a COVID-19 vaccine were evaluated using an ordered logistic regression as well as a Random Forest classification algorithm. Results Among 9,106 study participants, 81.3% (n = 7402) responded and had available demographic data. The majority (91.3%) reported a willingness to be vaccinated. Factors most strongly associated with vaccine willingness were beliefs about the safety and efficacy of COVID-19 vaccines and vaccines in general. Women and Black or African American respondents reported lower willingness to vaccinate. Among those less willing to get vaccinated, 66.2% said that they would talk with their health provider before making a decision. During the study, positive results from the first COVID-19 vaccine outcome study were released; vaccine willingness increased after this report. Conclusions Even among older adults at high-risk for COVID-19 complications who are participating in a longitudinal clinical study, 1 in 11 reported lack of willingness to receive COVID-19 vaccine in November 2020. Variability in vaccine willingness by gender, race, education, and income suggests the potential for uneven vaccine uptake. Education by health providers directed toward assuaging concerns about vaccine safety and efficacy can help improve vaccine acceptance among those less willing. Trial registration Clinicaltrials.gov NCT04276441.

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