IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v33y2024i3p509-525.html
   My bibliography  Save this article

Vaccine‐skeptic physicians and patient vaccination decisions

Author

Listed:
  • Andreas Steinmayr
  • Manuel Rossi

Abstract

What is the role of general practitioners (GPs) in supporting or hindering public health efforts? We investigate the influence of vaccine‐skeptic GPs on their patients' decisions to get a COVID‐19 vaccination. We identify vaccine‐skeptic GPs from the signatories of an open letter in which 199 Austrian physicians expressed their skepticism about COVID‐19 vaccines. We examine small rural municipalities where patients choose a GP primarily based on geographic proximity. These vaccine‐skeptic GPs reduced the vaccination rate by 5.6 percentage points. This estimate implies that they discouraged 7.9% of the vaccinable population. The effect appears to stem from discouragement rather than rationing vaccine access.

Suggested Citation

  • Andreas Steinmayr & Manuel Rossi, 2024. "Vaccine‐skeptic physicians and patient vaccination decisions," Health Economics, John Wiley & Sons, Ltd., vol. 33(3), pages 509-525, March.
  • Handle: RePEc:wly:hlthec:v:33:y:2024:i:3:p:509-525
    DOI: 10.1002/hec.4781
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.4781
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.4781?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Joseph G. Altonji & Todd E. Elder & Christopher R. Taber, 2005. "Selection on Observed and Unobserved Variables: Assessing the Effectiveness of Catholic Schools," Journal of Political Economy, University of Chicago Press, vol. 113(1), pages 151-184, February.
    2. Jörg Paetzold & Janine Kimpel & Katie Bates & Michael Hummer & Florian Krammer & Dorothee Laer & Hannes Winner, 2022. "Impacts of rapid mass vaccination against SARS-CoV2 in an early variant of concern hotspot," Nature Communications, Nature, vol. 13(1), pages 1-7, December.
    3. Angerer, Silvia & Glätzle-Rützler, Daniela & Lergetporer, Philipp & Rittmannsberger, Thomas, 2023. "How does the vaccine approval procedure affect COVID-19 vaccination intentions?," European Economic Review, Elsevier, vol. 158(C).
    4. Eichengreen, Barry & Aksoy, Cevat Giray & Saka, Orkun, 2021. "Revenge of the experts: Will COVID-19 renew or diminish public trust in science?," Journal of Public Economics, Elsevier, vol. 193(C).
    5. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    6. Joshua S. Gans, 2023. "Vaccine Hesitancy, Passports, And The Demand For Vaccination," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 64(2), pages 641-652, May.
    7. Alexander Ahammer & Thomas Schober, 2020. "Exploring variations in health‐care expenditures—What is the role of practice styles?," Health Economics, John Wiley & Sons, Ltd., vol. 29(6), pages 683-699, June.
    8. Lawler, Emily C., 2017. "Effectiveness of vaccination recommendations versus mandates: Evidence from the hepatitis A vaccine," Journal of Health Economics, Elsevier, vol. 52(C), pages 45-62.
    9. Margaret E. Brehm & Paul A. Brehm & Martin Saavedra, 2022. "The Ohio Vaccine Lottery and Starting Vaccination Rates," American Journal of Health Economics, University of Chicago Press, vol. 8(3), pages 387-411.
    10. Amy Finkelstein & Matthew Gentzkow & Heidi Williams, 2016. "Sources of Geographic Variation in Health Care: Evidence From PatientMigration," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 131(4), pages 1681-1726.
    11. Stefano DellaVigna & Matthew Gentzkow, 2010. "Persuasion: Empirical Evidence," Annual Review of Economics, Annual Reviews, vol. 2(1), pages 643-669, September.
    12. Vojtěch Bartoš & Michal Bauer & Jana Cahlíková & Julie Chytilová, 2022. "Communicating doctors’ consensus persistently increases COVID-19 vaccinations," Nature, Nature, vol. 606(7914), pages 542-549, June.
    13. Stefano DellaVigna & Ethan Kaplan, 2007. "The Fox News Effect: Media Bias and Voting," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(3), pages 1187-1234.
    14. Auld, M. Christopher, 2003. "Choices, beliefs, and infectious disease dynamics," Journal of Health Economics, Elsevier, vol. 22(3), pages 361-377, May.
    15. David Cutler & Jonathan S. Skinner & Ariel Dora Stern & David Wennberg, 2019. "Physician Beliefs and Patient Preferences: A New Look at Regional Variation in Health Care Spending," American Economic Journal: Economic Policy, American Economic Association, vol. 11(1), pages 192-221, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Steinmayr, Andreas & Rossi, Manuel, 2022. "Vaccine-Skeptic Physicians and COVID-19 Vaccination Rates," IZA Discussion Papers 15730, Institute of Labor Economics (IZA).
    2. Yann Algan & Quoc-Anh Do & Nicolò Dalvit & Alexis Le Chapelain & Yves Zenou, 2015. "How Social Networks Shape Our Beliefs: A Natural Experiment among Future French Politicians," Working Papers hal-03459820, HAL.
    3. repec:spo:wpmain:info:hdl:2441/78vacv4udu92eq3fec89svm9uv is not listed on IDEAS
    4. Maja Adena & Ruben Enikolopov & Maria Petrova & Veronica Santarosa & Ekaterina Zhuravskaya, 2015. "Radio and the Rise of The Nazis in Prewar Germany," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 130(4), pages 1885-1939.
    5. Ruben Durante & Paolo Pinotti & Andrea Tesei, 2019. "The Political Legacy of Entertainment TV," American Economic Review, American Economic Association, vol. 109(7), pages 2497-2530, July.
    6. Turati, Riccardo, 2024. "Network Abroad and Culture: Global Individual-Level Evidence," GLO Discussion Paper Series 1488, Global Labor Organization (GLO).
    7. Stefano Della Vigna & Ruben Enikolopov & Vera Mironova & Maria Petrova & Ekaterina Zhuravskaya, 2014. "Cross-Border Media and Nationalism: Evidence from Serbian Radio in Croatia," American Economic Journal: Applied Economics, American Economic Association, vol. 6(3), pages 103-132, July.
    8. Amorim, Guilherme & Lima, Rafael Costa & Sampaio, Breno, 2022. "Broadband internet and protests: Evidence from the Occupy movement," Information Economics and Policy, Elsevier, vol. 60(C).
    9. Leila Agha & Keith Marzilli Ericson & Xiaoxi Zhao, 2020. "The Impact of Organizational Boundaries on Healthcare Coordination and Utilization," NBER Working Papers 28179, National Bureau of Economic Research, Inc.
    10. Sarah Schneider-Strawczynski & Jérôme Valette, 2021. "Media Coverage of Immigration and the Polarization of Attitudes," PSE Working Papers halshs-03322229, HAL.
    11. Thomas Fujiwara & Karsten Müller & Carlo Schwarz, 2024. "The Effect of Social Media on Elections: Evidence from The United States," Journal of the European Economic Association, European Economic Association, vol. 22(3), pages 1495-1539.
    12. David Card & Alessandra Fenizia & David Silver, 2023. "The Health Impacts of Hospital Delivery Practices," American Economic Journal: Economic Policy, American Economic Association, vol. 15(2), pages 42-81, May.
    13. Tamara Bischof & Boris Kaiser, 2021. "Who cares when you close down? The effects of primary care practice closures on patients," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2004-2025, September.
    14. Zsoka Koczan & Alexander Plekhanov, 2024. "Scarred for Life? Recession Experiences, Beliefs and the State," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 31(4), pages 1074-1111, August.
    15. Ivan Badinski & Amy Finkelstein & Matthew Gentzkow & Peter Hull, 2023. "Geographic Variation in Healthcare Utilization: The Role of Physicians," NBER Working Papers 31749, National Bureau of Economic Research, Inc.
    16. Maria Petrova & Ananya Sen & Pinar Yildirim, 2021. "Social Media and Political Contributions: The Impact of New Technology on Political Competition," Management Science, INFORMS, vol. 67(5), pages 2997-3021, May.
    17. repec:hal:spmain:info:hdl:2441/gjf8d7tah8ah9mq53gkdj73cq is not listed on IDEAS
    18. Anne-Line Koch Helsø & Mr. Nicola Pierri & Adelina Yanyue Wang, 2019. "The Economic Impact of Healthcare Quality," IMF Working Papers 2019/173, International Monetary Fund.
    19. Harry Pickard, 2019. "A mailshot in the dark? The impact of the UK government's lea fet on the 2016 EU referendum," Working Papers 2019004, The University of Sheffield, Department of Economics.
    20. repec:hal:spmain:info:hdl:2441/78vacv4udu92eq3fec89svm9uv is not listed on IDEAS
    21. Thomas Fujiwara & Karsten Müller & Carlo Schwarz, 2021. "The Effect of Social Media on Elections: Evidence from the United States," NBER Working Papers 28849, National Bureau of Economic Research, Inc.
    22. repec:spo:wpmain:info:hdl:2441/gjf8d7tah8ah9mq53gkdj73cq is not listed on IDEAS
    23. Ruben Durante & Paolo Pinotti & Andrea Tesei, 2019. "The Political Legacy of Entertainment TV," American Economic Review, American Economic Association, vol. 109(7), pages 2497-2530, July.
    24. Yann Algan & Quoc-Anh Do & Nicolò Dalvit & Alexis Le Chapelain & Yves Zenou, 2015. "How Social Networks Shape Our Beliefs: A Natural Experiment among Future French Politicians," Working Papers hal-03459820, HAL.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:33:y:2024:i:3:p:509-525. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.