IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v337y2023ics0277953623006627.html
   My bibliography  Save this article

Hybrid health regimes: Access to primary care physicians and COVID-19 vaccine uptake across municipalities in Romania

Author

Listed:
  • Petrovici, Norbert
  • Belbe, Stefana (Ștefana)
  • Mare, Codruta (Codruța)
  • Cotoi, Calin (Călin)

Abstract

This study analyses COVID-19 vaccine uptake at the municipal level in Romania using the global health regimes and vaccine hesitancy perspectives. Our spatial regression (SARAR-het Durbin) shows that the number of primary care physicians is a significant predictor of vaccine uptake, and municipalities with higher access to the labour market have higher vaccination rates. We provide a historical perspective to demonstrate that the current health regime in Romania is a hybrid of internationalist and global health regimes, with socialist investments affecting labour participation, education, poverty, and vaccination rates. Our findings highlight the impact of regional disparities and partial privatization of the health system.

Suggested Citation

  • Petrovici, Norbert & Belbe, Stefana (Ștefana) & Mare, Codruta (Codruța) & Cotoi, Calin (Călin), 2023. "Hybrid health regimes: Access to primary care physicians and COVID-19 vaccine uptake across municipalities in Romania," Social Science & Medicine, Elsevier, vol. 337(C).
    • Handle: RePEc:eee:socmed:v:337:y:2023:i:c:s0277953623006627
    DOI: 10.1016/j.socscimed.2023.116305
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953623006627
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2023.116305?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Marzena Tambor & Jacek Klich & Alicja Domagała, 2021. "Financing Healthcare in Central and Eastern European Countries: How Far Are We from Universal Health Coverage?," IJERPH, MDPI, vol. 18(4), pages 1-26, February.
    2. Abolfazl Mollalo & Moosa Tatar, 2021. "Spatial Modeling of COVID-19 Vaccine Hesitancy in the United States," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    3. Pragyan Deb & Davide Furceri & Daniel Jimenez & Siddharth Kothari & Jonathan D. Ostry & Nour Tawk, 2023. "Determinants of COVID-19 Vaccine Rollouts and Their Effects on Health Outcomes," Applied Health Economics and Health Policy, Springer, vol. 21(1), pages 71-89, January.
    4. Brown, T.M. & Cueto, M. & Fee, E., 2006. "The World Health Organization and the transition from international to global public health," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 62-72.
    5. Ritu Agarwal & Michelle Dugas & Jui Ramaprasad & Junjie Luo & Gujie Li & Guodong (Gordon) Gao, 2021. "Socioeconomic privilege and political ideology are associated with racial disparity in COVID-19 vaccination," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(33), pages 2107873118-, August.
    6. Purcel, Alexandra-Anca & Dragos, Cristian Mihai & Mare, Codruța & Dragos, Simona Laura, 2023. "Voluntary health insurance and out-of-pocket payments in European OECD countries," Economic Modelling, Elsevier, vol. 120(C).
    7. Sabina Stan & Roland Erne, 2021. "Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system," Transfer: European Review of Labour and Research, , vol. 27(3), pages 289-302, August.
    8. Voicu, Bogdan & Fărcășanu, Dana & Mustață, Mirela & Deliu, Alexandra & Vișinescu, Iulia, 2023. "Using laws, common sense, and statistical approaches to design indicators for ‘medical desertification’. An application on the Romanian case," Social Science & Medicine, Elsevier, vol. 327(C).
    9. repec:elg:eechap:14395_1 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Raffin, Natacha & Seegmuller, Thomas, 2014. "Longevity, pollution and growth," Mathematical Social Sciences, Elsevier, vol. 69(C), pages 22-33.
    2. Rory Horner, 2017. "What is global development," Global Development Institute Working Paper Series 202017, GDI, The University of Manchester.
    3. Cory Anderson & Shuai Zhou & Guangqing Chi, 2023. "Population-Wide Vaccination Hesitancy among the Amish: A County-Level Study of COVID-19 Vaccine Adoption and Implications for Public Health Policy and Practice," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-24, August.
    4. Ryo Horii & Masako Ikefuji, 2014. "Environment and Growth," DSSR Discussion Papers 21, Graduate School of Economics and Management, Tohoku University.
    5. Bridget O'Laughlin & Imrana Qadeer & Rama Baru, 2016. "Forum 2016," Development and Change, International Institute of Social Studies, vol. 47(4), pages 760-781, July.
    6. Vesna Bjegovic-Mikanovic & Dejana Vukovic & Robert Otok & Katarzyna Czabanowska & Ulrich Laaser, 2013. "Education and training of public health professionals in the European Region: variation and convergence," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 801-810, December.
    7. Voicu, Bogdan & Fărcășanu, Dana & Mustață, Mirela & Deliu, Alexandra & Vișinescu, Iulia, 2023. "Using laws, common sense, and statistical approaches to design indicators for ‘medical desertification’. An application on the Romanian case," Social Science & Medicine, Elsevier, vol. 327(C).
    8. Esther Duflo & Michael Greenstone & Nicholas Ryan, 2013. "Truth-telling by Third-party Auditors and the Response of Polluting Firms: Experimental Evidence from India," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 128(4), pages 1499-1545.
    9. Robin Gauld & Simon Horsburgh, 2016. "Does a host country capture knowledge of migrant doctors and how might it? A study of UK doctors in New Zealand," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 1-8, January.
    10. Hayen, Arthur P. & Klein, Tobias J. & Salm, Martin, 2021. "Does the framing of patient cost-sharing incentives matter? the effects of deductibles vs. no-claim refunds," Journal of Health Economics, Elsevier, vol. 80(C).
    11. Brown, Tim & Bell, Morag, 2008. "Imperial or postcolonial governance? Dissecting the genealogy of a global public health strategy," Social Science & Medicine, Elsevier, vol. 67(10), pages 1571-1579, November.
    12. Robin Gauld & Simon Horsburgh, 2016. "Does a host country capture knowledge of migrant doctors and how might it? A study of UK doctors in New Zealand," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 1-8, January.
    13. Purcel, Alexandra-Anca & Dragos, Cristian Mihai & Mare, Codruța & Dragos, Simona Laura, 2023. "Voluntary health insurance and out-of-pocket payments in European OECD countries," Economic Modelling, Elsevier, vol. 120(C).
    14. Alimatou Juwara & Nicole Huang & Li-Ying Chien & Hsin-Jen Chen, 2016. "Stunting and weight statuses of adolescents differ between public and private schools in urban Gambia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(6), pages 717-726, July.
    15. Ashley Jowell & Sharon Wulfovich & Sianga Kuyan & Catherine Heaney, 2018. "Ethnic identity, resilience, and well-being: a study of female Maasai migrants," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(6), pages 703-711, July.
    16. Rivera, Nathaly M., 2017. "The Effectiveness of Temporary Driving Restrictions: Evidence from Air Pollution, Vehicle Flows, and Mass-Transit Users in Santiago," 2017 Annual Meeting, July 30-August 1, Chicago, Illinois 259182, Agricultural and Applied Economics Association.
    17. Nestory Masalu & Patrizia Serra & Dino Amadori & Jackson Kahima & Charles Majinge & Joyce Rwehabura & Oriana Nanni & Sara Bravaccini & Maurizio Puccetti & Rosario Tumino & Lauro Bucchi, 2017. "Setting up a community-based cervical screening service in a low-income country: a pilot study from north-western Tanzania," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 755-762, September.
    18. Saša Ranđelović & Svetozar Tanasković, 2024. "Socioeconomic determinants of COVID-19 vaccine acceptance," International Journal of Health Economics and Management, Springer, vol. 24(4), pages 537-553, December.
    19. Bridget O'Laughlin & Simon Reid-Henry, 2016. "Forum 2016," Development and Change, International Institute of Social Studies, vol. 47(4), pages 712-733, July.
    20. Abatemarco, Antonio & Aria, Massimo & Beraldo, Sergio & Collaro, Michela, 2024. "Measuring health care access and its inequality: A decomposition approach," Economic Modelling, Elsevier, vol. 132(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:337:y:2023:i:c:s0277953623006627. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.