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对社会至关重要但却不应同等享有优待?一项关于新冠疫情医疗保健的离散选择实验。

Essential for society but not equally deserving of preferential treatment? A discrete-choice experiment regarding COVID-19 healthcare.

作者信息

Heusler Anna, Osiander Christopher, Schmidtke Julia

机构信息

Institute for Employment Research (IAB), Regensburger Strasse 104, 90478, Nuremberg, Germany.

出版信息

Soc Sci Med. 2022 Oct;311:115304. doi: 10.1016/j.socscimed.2022.115304. Epub 2022 Aug 24.

Abstract

Workers' risks of contracting COVID-19 vary according to individual behaviors, occupations and job characteristics. Therefore, persons may consider different groups of workers more or less deserving of COVID-19 healthcare. To evaluate such preferences, we conducted an online conjoint experiment on the precedence of ICU treatment and COVID-19 vaccination. Our results demonstrate that working in essential occupations increases the likelihood of being considered deserving of vaccination and ICU treatment. We also find differences in how essential workers are prioritized, yet these differences cannot be clearly attributed to risk exposure or occupational prestige. Furthermore, we show that age, asthma, household context and compliance with COVID-19 measures significantly affect respondents' choices, while weight matters only for vaccination priority. Our results therefore contribute to research regarding the characteristics that are salient to fair distributions of scarce resources among workers during a health crisis.

摘要

工人感染新冠病毒的风险因个人行为、职业和工作特点而异。因此,人们可能会认为不同工人群体或多或少值得接受新冠病毒医疗服务。为了评估此类偏好,我们针对重症监护病房(ICU)治疗和新冠病毒疫苗接种的优先级进行了一项在线联合实验。我们的结果表明,从事必要职业会增加被认为值得接种疫苗和接受ICU治疗的可能性。我们还发现,在如何对必要工作人员进行优先级排序方面存在差异,但这些差异不能明确归因于风险暴露或职业声望。此外,我们表明,年龄、哮喘、家庭背景以及对新冠病毒防控措施的遵守情况会显著影响受访者的选择,而体重仅在疫苗接种优先级方面起作用。因此,我们的结果有助于研究在健康危机期间,哪些特征对于在工人中公平分配稀缺资源至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89d6/9398555/ec82f9922b4f/gr1_lrg.jpg

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