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Confidence in public institutions is critical in containing the COVID-19 pandemic

Adamecz, A; Szabó-Morvai, Á; (2023) Confidence in public institutions is critical in containing the COVID-19 pandemic. World Medical and Health Policy 10.1002/wmh3.568. (In press). Green open access

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Abstract

This paper investigates the relative importance of confidence in public institutions to explain cross-country differences in the severity of the coronavirus disease 2019 (COVID-19) pandemic. We find that a 1 SD increase (e.g., the actual difference between the United States and Finland) in confidence is associated with 56.3% fewer predicted deaths per million inhabitants. Confidence in public institutions is one of the most important predictors of deaths attributed to COVID-19, compared to country-level measures of health risks, the health system, demographics, economic and political development, and social capital. We show for the first time that confidence in public institutions encompasses more than just the unobserved quality of health or public services in general. If confidence only included the perceived quality, it would be associated with other health and social outcomes such as breast cancer recovery rates or imprisonment as well, but this is not the case. Moreover, our results indicate that fighting a pandemic requires citizens to cooperate with their governments, and willingness to cooperate relies on confidence in public institutions.

Type: Article
Title: Confidence in public institutions is critical in containing the COVID-19 pandemic
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/wmh3.568
Publisher version: https://doi.org/10.1002/wmh3.568
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Confidence in public institutions, COVID‐19, death rate, machine learning
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10176378
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