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Vaccine Hesitancy in Public Healthcare During Pandemics: An International Study to Inform Management Learning
University West, School of Business, Economics and IT, Divison of Informatics. (KAMAIL)ORCID iD: 0000-0002-1421-868X
Faculty of Social Sciences, University of Ljubljana (SVN).
Department of Welfare,Management and Organisation, Østfold University College (NOR).
4School of Engineering, University of Edinburgh (GBR).
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2025 (English)In: Health Science Reports, E-ISSN 2398-8835, Vol. 8, no 8, p. 1-13, article id e71190Article in journal (Refereed) Published
Abstract [en]

Background:

This paper explores vaccine hesitancy through the lens of management learning in public healthcare during pandemics. It addresses the need for qualitative insights from active academics, focusing on their uncertainties and ambivalence regarding COVID‐19 vaccination. The study aims to deepen understanding of vaccine hesitancy during the pandemic from a management learning perspective, examining healthcare systems, governance, and community trust.

Methods:

Using a qualitative approach, the research draws from a multidisciplinary research network in health and digital society. A total of 27 scholars from 17 countries participated in an open‐ended questionnaire designed to elicit insights on the strategies, ethics, and public responses associated with national COVID‐19 vaccination efforts. Data collection occurred from May 2021 to July 2021, during the initial rollout of vaccines to broader populations. The analysis employed a hermeneutical framework, using thematic analysis to interpret textual data. Illustrative accounts enriched the contextual understanding.

Results:

The resulting themes are information and disinformation; social inclusion and exclusion; trust and distrust; individual liberties and collective constraints. The findings indicate that individual nations actions play a role in shaping public discourse,opinion, and political responses related to vaccination, despite a globalized context. The analysis reveals that historical and political factors significantly influence public health policies and perceptions of vaccine hesitancy, together with the importance of information and dialogue with various stakeholders to create trust.

Conclusions:

The COVID‐19 crisis, characterized by threats and uncertainties, has strained trust in public health institutions.A management learning perspective can be adopted that embraces a comprehensive understanding of the complexities sur-rounding COVID‐19 vaccination. By fostering collaborative learning and stakeholder engagement, public health organizationscan enhance their responsiveness and build trust within communities.

Place, publisher, year, edition, pages
2025. Vol. 8, no 8, p. 1-13, article id e71190
Keywords [en]
COVID‐19 | management learning | public health | qualitative research | trust | vaccine hesitancy
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:hv:diva-24076DOI: 10.1002/hsr2.71190ISI: 001552487600001Scopus ID: 2-s2.0-105013550402OAI: oai:DiVA.org:hv-24076DiVA, id: diva2:1998587
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Available from: 2025-09-17 Created: 2025-09-17 Last updated: 2026-01-19

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