1. Exploring the inherent heterogeneity of vaccine hesitancy : a study of a childhood-vaccine-hesitant populationMonika Lamot, Andrej Kirbiš, Mitja Vrdelja, 2024, original scientific article Abstract: Vaccine hesitancy and its determinants have been previously widely researched. Vaccine hesitancy has been defined as a continuum of attitudes, ranging from accepting vaccines with doubts to rejecting them. The present study aims to explore the heterogeneity of a childhood-vaccine-hesitant group by using a person-oriented approach-latent profile analysis. A non-representative cross-sectional sample of vaccine-hesitant Slovenians (N = 421, Mage = 35.21, 82.9% women) was used to identify differences based on their reliance on personal research (“self” researching instead of relying on science), overconfidence in knowledge, endorsement of conspiracy theories, complementary and alternative medicine, and trust in the healthcare system. The analysis revealed three profiles of vaccine-hesitant individuals. The most hesitant profile-vaccine rejecting-expressed the greatest reliance on personal research, expressed the highest endorsement of conspiracy theories and complementary and alternative medicine, showed moderate overconfidence in their knowledge, and expressed the highest levels of distrust in the healthcare system. We further found differences in sociodemographic structure and that the identified profiles differed in their attitudes regarding MMR, HPV, and Seasonal Influenza vaccinations. The present study demonstrates the heterogeneity of the vaccine-hesitant community and offers insights into some of the traits, which are crucial for designing pro-vaccine campaigns.
Keywords: vaccine hesitancy, heterogeneity, latent profile analysis, complementary and alternative medicine, CAM, conspiracy theories, trust in healthcare system
Published in DKUM: 21.08.2024; Views: 101; Downloads: 22
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2. Ideological differences in COVID-19 vaccine intention : the effects of trust in the healthcare system, in complementary and alternative medicine, and perceived threat from the diseaseMonika Lamot, Katja Kerman, Andrej Kirbiš, 2024, original scientific article Abstract: Introduction: Politically left-leaning individuals are more likely to get vaccinated against COVID-19, although little is known about the mechanisms underlying the ideological differences in vaccination intentions. Understanding the extent to which trust in the healthcare system, in complementary and alternative medicine, and the perceived threat from the disease contribute to these disparities is crucial, as it could inform targeted interventions to address vaccine hesitancy across the political spectrum. Methods: The present cross-sectional study conducted among adults living in Slovenia (n = 858) examined the mediating role of trust in the healthcare system, trust in complementary and alternative medicine (CAM), and the perceived threat from the virus on COVID-19 vaccination intention. Results: We found that leftist ideology and trust in the healthcare system positively predicted vaccination intention, whereas CAM negatively predicted this intention. In addition, left-leaning individuals expressed greater trust in the healthcare system and lower trust in CAM, resulting in higher levels of COVID-19 vaccination intention. The serial mediation model confirmed that trust in CAM was a negative predictor, while trust in the healthcare system positively predicted perceived threat. Discussion: When dealing with vaccine hesitancy among right-oriented individuals, strategies should focus on enhancing trust in the healthcare system and critically evaluating the reliance on CAM.
Keywords: vaccine hesitancy, political ideology, percieved threat, trust, healthcare system, complementary medicine, alternative medicine
Published in DKUM: 08.04.2024; Views: 293; Downloads: 16
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3. Systems methodology for strategic decision-making in complex healthcare systemTadeja Jere Lazanski, 2017, original scientific article Abstract: Systems methodology as a support for strategic decision- making will be discussed in the paper. A society will be presented as a complex system, which is comprised of many smaller, complex systems as its component parts. The healthcare system is one of them. The support to the strategic decision-making in a healthcare system will be shown through systems thinking and systems modelling. We will develop models of a healthcare system in frame of a systems dynamics; a qualitative causal loop diagram (CLD), which helps us to discuss the challenges categorically and a quantitative model, which is a simulation model. Both models illustrate the discussed methodology.
Keywords: systems methodology, healthcare system, strategic decision-making, systems thinking, modelling
Published in DKUM: 09.10.2018; Views: 1565; Downloads: 76
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