Institute of History and Ethics in Medicine, Technical University of Munich, Munich, Germany.
Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Int J Health Policy Manag. 2022 Aug 1;11(8):1342-1353. doi: 10.34172/ijhpm.2021.30. Epub 2021 Apr 21.
In contrast to neighboring countries, German and Swiss authorities refrained from general curfews during the first pandemic wave in spring 2020, calling for solidarity and personal responsibility instead. Using a qualitative methodology, this study aims to explore why people in Germany and Switzerland were motivated to comply with policy measures during the first wave of the coronavirus disease 2019 (COVID-19) pandemic, and what factors hindered or limited their motivation. While quantitative surveys can measure the level of compliance, or broadly ask what motives people had for compliance, we here strive to explain and these motives lead to compliance.
This publication has been made possible by the joint work of the members of the "Solidarity in times of pandemics" (SolPan) research commons. Seventy-seven semi-structured qualitative interviews were conducted with members of the general public in Germany (n = 46) and the German-speaking part of Switzerland (n = 31) in April 2020. Interviews were transcribed and analyzed following a grounded theory approach.
Three themes were identified that summarize factors contributing to compliant or noncompliant behavior. (1) Social cohesion was, on the one hand, an important motivator for compliance, but at the same time related to conflicting needs, illustrating the limits of compliance. (2) Consequences were considered on both the individual level (eg, consequences of individual infection) and societal level (eg, the societal and economic consequences of restrictions). (3) While for some participants following the rules was perceived as a matter of principle, others stressed the importance of making their own risk assessment, which was often associated with with a need for evidence on the effectiveness and reasons behind measures.
A variety of motives contribute to COVID-19 related compliance. Authorities should seek to address these multi-faceted aspects to support motivation for compliance in a large proportion of the population.
与邻国相比,德国和瑞士当局在 2020 年春季的第一波大流行期间没有实行全面宵禁,而是呼吁团结和个人责任。本研究采用定性方法,旨在探讨为什么在 2019 年冠状病毒病(COVID-19)大流行的第一波期间,德国和瑞士的人们有动力遵守政策措施,以及哪些因素阻碍或限制了他们的动力。虽然定量调查可以衡量遵守程度,或者广泛地询问人们遵守的动机是什么,但我们在这里努力解释这些动机以及它们导致遵守的原因。
本出版物是由“大流行病时期的团结”(SolPan)研究共同体成员的共同努力促成的。2020 年 4 月,在德国(n=46)和瑞士德语区(n=31)的普通民众中进行了 77 次半结构化定性访谈。访谈按照扎根理论方法进行转录和分析。
确定了三个主题,这些主题总结了促成遵守或不遵守行为的因素。(1)社会凝聚力一方面是遵守的重要动力,但同时也与冲突的需求有关,说明了遵守的局限性。(2)后果被认为是在个人层面(例如,个人感染的后果)和社会层面(例如,限制的社会和经济后果)上的。(3)虽然对一些参与者来说,遵守规则是一个原则问题,但其他人强调了对自己的风险评估的重要性,这通常与对措施的有效性和原因的证据的需求有关。
各种动机促成了与 COVID-19 相关的遵守。当局应努力解决这些多方面的问题,以支持大多数人遵守规定的动机。