Public Trust in Healthcare System and Its Correlates during the COVID-19 Epidemic in Iran

Hm, Vardanjani; Imanieh, M H; Hassani, Amir Hossein; Lankarani, Kamran Bagheri

doi:10.21203/rs.3.rs-106242/v1

Cited by 4 publications

(3 citation statements)

References 32 publications

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“…Groeniger et al (2021) find that strict lockdown measures increased trust in Holland while Schmelz’s (2021) German study finds that if trust in government was low at the start of the pandemic then mandatory policies may compromise willingness to comply. Concerns about low trust in the Iranian health system led Vardanjani et al (2020: 2) to call for “dynamic public epidemic communication with appropriate strategies to communicate with higher social classes”. Additionally, the authors recommend designing and implementing “a rigorous, transparent and honest strategy for communicating with the public about the COVID-19 epidemic, in addition to careful planning based on scientific evidence”.…”

Section: Literature Reviewmentioning

confidence: 99%

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Light at the end of a very dark tunnel: An examination of the survival and recovery strategies of Iranian tourist accommodation businesses during the Covid-19 pandemic

Salari

Murphy

2022

Tourism and Hospitality Research

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The COVID-19 pandemic enters year three, with no end in sight. Among hoteliers, small family run businesses have been among the hardest hit. We interview owners of small Iranian Eco-tourism lodges (Ecolodges). Using MAXQDA 2020 software, thematic analysis revealed 10 main themes, condensed into five discussion topics. Stakeholder theory shapes our discussion of findings, revealing roles of internal and external stakeholders. Findings also include the reactive and innovative strategies ecolodges use to stay open and generate cash flow, the importance of stakeholder communications and accessing up-to-date government rules, the value of constant learning, and H.R. practices that assure stakeholders’ well-being.

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Section: Literature Reviewmentioning

confidence: 99%

“…Suggested by Vardanjani et al (2020) and others (Knight et al, 2020), an important facilitator in the ability of government to gain trust is communications. Tohidi (2011) asserts that in today’s electronic world, government should use “appropriate technology…in improving communications with citizens”.…”

Section: Literature Reviewmentioning

confidence: 99%

Light at the end of a very dark tunnel: An examination of the survival and recovery strategies of Iranian tourist accommodation businesses during the Covid-19 pandemic

Salari

Murphy

2022

Tourism and Hospitality Research

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“…The COVID-19 pandemic has had a significant psychological impact on the population, causing fear and uncertainty [ 5 ]. In Iran, specifically, there has been compounded by a concerning lack of trust in the healthcare system [ 6 ]. As a result, people are hesitant to visit healthcare facilities, which could lead to delayed visits to emergency departments and worse outcomes [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Excess Deaths During the COVID-19 Pandemic in Southern Iran: Estimating the Absolute Count and Relative Risk Using Ecological Data

Zakeri,

Mirahmadizadeh,

Azarbakhsh

et al. 2024

JPMPH

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Objectives: The coronavirus disease 2019 (COVID-19) pandemic led to increased mortality rates. To assess this impact, this ecological study aimed to estimate the excess death counts in southern Iran.Methods: The study obtained weekly death counts by linking the National Death Registry and Medical Care Monitoring Center repositories. The P-score was initially estimated using a simple method that involved calculating the difference between the observed and expected death counts. The interrupted time series analysis was then used to calculate the mean relative risk (RR) of death during the first year of the pandemic.Results: Our study found that there were 5571 excess deaths from all causes (P-score=33.29%) during the first year of the COVID-19 pandemic, with 48.03% of these deaths directly related to COVID-19. The pandemic was found to increase the risk of death from all causes (RR, 1.26; 95% confidence interval [CI], 1.19 to 1.33), as well as in specific age groups such as those aged 35-49 (RR, 1.21; 95% CI, 1.12 to 1.32), 50-64 (RR, 1.38; 95% CI, 1.28 to 1.49), and ≥65 (RR, 1.29; 95% CI, 1.12 to 1.32) years old. Furthermore, there was an increased risk of death from cardiovascular diseases (RR, 1.17; 95% CI, 1.11 to 1.22).Conclusions: There was a 26% increase in the death count in southern Iran during the COVID-19 pandemic. More than half of these excess deaths were not directly related to COVID-19, but rather other causes, with cardiovascular diseases being a major contributor.

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Demand for mitigating the risk of COVID-19 infection in public transport: The role of social trust and fatalistic beliefs

Zavareh

Mehdizadeh

Nordfjærn

2022

Transportation Research Part F: Traffic Psychology and Behaviou

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The rapid surge of COVID-19 cases worldwide drew attention to COVID-19 infection as a new source of risk in transport. The virus introduced a need for viral transmission mitigation as a major priority when selecting a mode of travel, and caused a significant drop in public transport use. The recovery of public transport use in the post-COVID period requires that the transport authorities favourably address the people’s demand for mitigation of the risk of COVID-19 transmission in public transport. The present study aims to explore the role of risk perception, worry and priority of COVID-19 risk reduction along with fatalistic beliefs and public trust in authorities in explaining public demand for risk mitigation. The present study is among the first to investigate the role of fatalistic beliefs, social trust and risk perception for public transport and public demand for risk mitigation. The link between priority of infection prevention and demand for risk mitigation has also been less explored in public transport research. An online survey was conducted among university students in Iran between 19 th April and 16 th June 2020, during the first wave of the pandemic, when the country was a major epicentre of the disease. A total of 271 out of 370 respondents whose dominant mode on university travels was public transport were included in the analysis. Results of structural equation modelling confirmed the paradox of trust, indicating that social trust is negatively associated with perceived risk of COVID-19 infection, which in turn may lead people to place less importance on COVID-19 prevention as a priority in travel mode choice, and consequently demand less risk mitigation efforts to prevent COVID-19 infection in public transport. Dissimilar to trust, however, the results revealed no relationship between fatalistic beliefs and risk perception, but a significant direct effect of fatalistic beliefs on demand for risk mitigation. To reinforce public demand for mitigating the risk of COVID-19 in public transport, the study calls on policymakers to exploit public trust resources for more effective risk communication, through disseminating the gradually accumulating evidence-based information regarding the infectivity and the virulence of COVID-19 and the scientific risk of infection. The study also underlined the potential importance of considering fatalistic beliefs when developing effective risk communication policies and practices to enhance public support for COVID-19 risk mitigation in public transport.

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Public Trust in Healthcare System and Its Correlates during the COVID-19 Epidemic in Iran

Cited by 4 publications

References 32 publications

Light at the end of a very dark tunnel: An examination of the survival and recovery strategies of Iranian tourist accommodation businesses during the Covid-19 pandemic

Light at the end of a very dark tunnel: An examination of the survival and recovery strategies of Iranian tourist accommodation businesses during the Covid-19 pandemic

Excess Deaths During the COVID-19 Pandemic in Southern Iran: Estimating the Absolute Count and Relative Risk Using Ecological Data

Demand for mitigating the risk of COVID-19 infection in public transport: The role of social trust and fatalistic beliefs

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