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Drivers of Covid-19 Vaccinations: Vaccine Administration and Delivery Efficiency in the United States

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  • Rajeev K. Goel
  • Michael A. Nelson

Abstract

This paper adds some formal research to the success of ongoing efforts to combat the COVID-19 pandemic by examining the drivers of the administration and delivery efficiency of coronavirus vaccines. For this purpose, we use data from the 50 US states and place the formal analysis in the context of socio-economic drivers of vaccinations. Results show that state economic prosperity and rural population aid vaccine administration and delivery efficiency. Delivery efficiency improves in states with more nursing homes per capita, in states with more COVID-19 deaths, and with more health workers. The subset of health workers, including physicians and nurses, did not significantly impact administration or efficiency. On the other hand, vaccination efficiency was lower in states with a centralized public health agency. States with a larger share of the elderly population and those with Democrats as governors were no different from others with regard to vaccinations. Robustness checks are performed using vaccination from a more recent period. Finally, a state’s legacy of corrupt activity, across two different time dimensions, is broadly consistent with the greasing effects of corruption. While the study uses data from a single nation that is among the first to start vaccinating its population, the findings have relevance for other nations, especially in the Global South, that are starting vaccinations or lagging behind in delivering vaccines.

Suggested Citation

  • Rajeev K. Goel & Michael A. Nelson, 2021. "Drivers of Covid-19 Vaccinations: Vaccine Administration and Delivery Efficiency in the United States," CESifo Working Paper Series 8972, CESifo.
    • Handle: RePEc:ces:ceswps:_8972
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    Cited by:

    1. Mohammad Reza Farzanegan & Hans Philipp Hofmann, 2021. "An Old Plug and a New Virus: Effect of Public Corruption on the Covid-19 Immunization Progress," CESifo Working Paper Series 9307, CESifo.
    2. Rajeev K. Goel & Shoji Haruna, 2021. "Unmasking the demand for masks: Analytics of mandating coronavirus masks," Metroeconomica, Wiley Blackwell, vol. 72(3), pages 580-591, July.
    3. Borisova, Ekaterina & Gründler, Klaus & Hackenberger, Armin & Harter, Anina & Potrafke, Niklas & Schoors, Koen, 2023. "Crisis experience and the deep roots of COVID-19 vaccination preferences," European Economic Review, Elsevier, vol. 160(C).
    4. Jelnov, Artyom & Jelnov, Pavel, 2022. "Vaccination policy and trust," Economic Modelling, Elsevier, vol. 108(C).
    5. Rajeev K. Goel & Michael A. Nelson, 2023. "Give Me Your Best Shot! Diffusion of Complete versus Booster Covid-19 Vaccines across US Counties," CESifo Working Paper Series 10559, CESifo.
    6. 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.
    7. Klaus Gründler & Armin Hackenberger & Anina Harter & Niklas Potrafke, 2021. "Covid-19 Vaccination: The Role of Crisis Experience," CESifo Working Paper Series 9096, CESifo.
    8. Rajeev K. Goel & James R. Jones & James W. Saunoris, 2023. "Explaining vaccine hesitancy: A COVID‐19 study of the United States," Managerial and Decision Economics, John Wiley & Sons, Ltd., vol. 44(2), pages 1073-1087, March.
    9. Chiara F. Del Bo, 2023. "Institutional quality and COVID-19 vaccination: does decentralization matter?," Letters in Spatial and Resource Sciences, Springer, vol. 16(1), pages 1-24, December.
    10. Alfano, Vincenzo & Capasso, Salvatore & Ercolano, Salvatore & Goel, Rajeev K., 2022. "Death takes no bribes: Impact of perceived corruption on the effectiveness of non-pharmaceutical interventions at combating COVID-19," Social Science & Medicine, Elsevier, vol. 301(C).
    11. Rajeev K. Goel & Michael A. Nelson, 2022. "Covid-19 Full-Dose Vaccination across Uninsured Populations: Evidence across Counties in the United States," CESifo Working Paper Series 10197, CESifo.
    12. Rajeev K. Goel & Michael A. Nelson, 2021. "COVID-19 internet vaccination information and vaccine administration: evidence from the United States," Journal of Economics and Finance, Springer;Academy of Economics and Finance, vol. 45(4), pages 716-734, October.

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    More about this item

    Keywords

    Covid-19; coronavirus; vaccine; efficiency; rural; deaths; health workers; corruption; networking; United States;
    All these keywords.

    JEL classification:

    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • K42 - Law and Economics - - Legal Procedure, the Legal System, and Illegal Behavior - - - Illegal Behavior and the Enforcement of Law

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