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KMID : 0387320230330010066
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Korean Journal of Health Policy and Administration
2023 Volume.33 No. 1 p.66 ~ p.74
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Effect of Trust in Government’s Ability to Respond to COVID-19 on Regional Incidence and Mortality in Korea
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Choi Ha-Young
Kim Jin-Hyun
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Abstract
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Background: The government should find ways to improve the effectiveness of the policies to control the incidence and mortalityof the infectious disease. The purpose of this study is to find out whether the trust in the government’s ability to respond tocoronavirus disease 2019 (COVID-19) affects the quarantine and hospitalization rate, incidence and mortality rates of COVID-19 andquarantine rules compliance in each region of Korea.
Methods: The subject of this study is 250 regions (si · gun · gu) in Korea, and the 2020 Community Health Survey data from the KoreaDisease Control and Prevention Agency (KDCA) was used for the trust in the government’s ability to respond to COVID-19, quarantineand hospitalization rate and quarantine rules compliance. For the incidence and mortality of COVID-19 and community factors, datawas obtained from KDCA and Korean Statistical Information Service. Path analysis was used to find out the degree of inter-variableinfluence, and community factors (socio-demographic factors, community health factors, and health behavior factors) were used ascontrol variables.
Results: The regional disparity in key variables showed that the late pandemic period cumulative incidence and mortality of COVID-19were large, while the early pandemic period quarantine and hospitalization rate and quarantine rules compliance were small. Pathanalysis showed that when community factors were controlled, the trust in government was statistically significant in all of the latepandemic period cumulative incidence (p=0.024) and mortality (p=0.017), and quarantine rules compliance (p=0.011).
Conclusion: This study revealed that the higher the trust in the government’s ability to respond to COVID-19, the lower the COVID-19mortality and the higher the quarantine rules compliance at the regional level in Korea. This suggests that when the governmentimplements healthcare policies to control infectious diseases, it is necessary to consider trust to improve policy compliance andcontrol the mortality of the disease and maintain high trust through several effective methods.
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KEYWORD
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COVID-19, Trust in government, Policy compliance, Health policy
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