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Drivers of Covid-19 Vaccinations: Vaccine Administration and Delivery Efficiency in the United States

Rajeev Goel and Michael Nelson

No 8972, CESifo Working Paper Series from CESifo

Abstract: This paper adds some formal research to the success of ongoing efforts to combat the COVID-19 pandemic by examining the drivers of the administration and delivery efficiency of coronavirus vaccines. For this purpose, we use data from the 50 US states and place the formal analysis in the context of socio-economic drivers of vaccinations. Results show that state economic prosperity and rural population aid vaccine administration and delivery efficiency. Delivery efficiency improves in states with more nursing homes per capita, in states with more COVID-19 deaths, and with more health workers. The subset of health workers, including physicians and nurses, did not significantly impact administration or efficiency. On the other hand, vaccination efficiency was lower in states with a centralized public health agency. States with a larger share of the elderly population and those with Democrats as governors were no different from others with regard to vaccinations. Robustness checks are performed using vaccination from a more recent period. Finally, a state’s legacy of corrupt activity, across two different time dimensions, is broadly consistent with the greasing effects of corruption. While the study uses data from a single nation that is among the first to start vaccinating its population, the findings have relevance for other nations, especially in the Global South, that are starting vaccinations or lagging behind in delivering vaccines.

Keywords: Covid-19; coronavirus; vaccine; efficiency; rural; deaths; health workers; corruption; networking; United States (search for similar items in EconPapers)
JEL-codes: H50 H75 I10 I18 K42 (search for similar items in EconPapers)
Date: 2021
New Economics Papers: this item is included in nep-eff and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (11)

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Journal Article: Drivers of COVID-19 vaccinations: vaccine delivery and delivery efficiency in the United States (2021) Downloads
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