Public satisfaction with COVID-19 policy responses and their implementation: a cross-sectional study.

IF 3.2 2区医学 Q1 HEALTH POLICY & SERVICES

Health Research Policy and Systems Pub Date : 2025-09-29 DOI:10.1186/s12961-025-01371-3

Nazanin Jannati, Hamed Zandian, Ahmad Naghibzadeh Tahami, Vahid Yazdi-Feyzabadi

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引用次数: 0

Abstract

Background: The outbreak of coronavirus disease 2019 (COVID-19) has prompted significant changes in health policies worldwide. Policy-makers from various countries have responded by adopting and implementing diverse policy measures aimed at combating the spread and impact of COVID-19. The aim of this study is to assess people's satisfaction with the primary policy responses and their perceptions of the success of their implementation and monitoring.

Methods: A cross-sectional online survey was conducted in Kerman, Iran, spanning the period of 2021-2022. The sample included adults aged 18 years and older who had access to the Internet and smartphone devices. An online platform was used to develop the questionnaire and collect the data. The face validity, comprehensibility and content validity of the questionnaire were tested and met. Descriptive statistics and multivariable logistic regression were conducted. Data were analyzed using STATA 14.0 software.

Results: In total, 3192 participants completed the questionnaire, resulting in a completion rate of 67%. More than half of the participants were female (55.51%), with a mean age of 37 ± 11.72 years, and the majority held an academic degree (74.97%). Overall, 54.79% of participants expressed satisfaction with the adopted policy responses, while 56.61% were dissatisfied with their implementation and monitoring. In multivariable logistic regression, factors positively associated with satisfaction included having a diploma [adjusted odds ratio (AOR) = 1.46; 95% confidence interval (CI) 1.05-2.04], an academic degree (AOR = 1.71; 95% CI 1.26-2.31) and middle socioeconomic status (AOR = 1.34; 95% CI 1.07-1.69). In contrast, being male (AOR = 0.68; 95% CI 0.58-0.79) and having high trust in others (AOR = 0.75; 95% CI 0.61-0.92) were associated with lower odds of satisfaction.

Conclusions: The results of the study showed that more than half of the participants expressed satisfaction with the adopted policy responses made by the National Committee to Combat COVID-19. However, it seems that the government has performed poorly in implementing and monitoring adopted policy responses, leading to a decrease in people's satisfaction.

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公众对COVID-19应对政策及其实施的满意度：一项横断面研究。

背景：2019冠状病毒病（COVID-19）的爆发促使全球卫生政策发生重大变化。各国决策者采取并实施了各种政策措施，以应对COVID-19的蔓延和影响。这项研究的目的是评估人们对主要政策反应的满意程度，以及他们对这些反应的执行和监测是否成功的看法。方法：在伊朗克尔曼进行横断面在线调查，时间跨度为2021-2022年。样本包括18岁及以上的成年人，他们可以使用互联网和智能手机设备。利用网络平台编制问卷，收集数据。对问卷的表面效度、可理解性和内容效度进行了测试。进行描述性统计和多变量logistic回归。数据分析采用STATA 14.0软件。结果：共3192人完成问卷，完成率67%。超过一半的参与者为女性（55.51%），平均年龄（37±11.72）岁，以学历为主（74.97%）。总体而言，54.79%的参与者对所采取的政策反应表示满意，而56.61%的参与者对其执行和监测不满意。在多变量logistic回归中，与满意度呈正相关的因素包括拥有文凭[调整优势比(AOR) = 1.46；95%置信区间（CI） 1.05-2.04]、学历（AOR = 1.71; 95% CI 1.26-2.31）和中等社会经济地位（AOR = 1.34; 95% CI 1.07-1.69）。相反，男性（AOR = 0.68; 95% CI 0.58-0.79）和对他人的高度信任（AOR = 0.75; 95% CI 0.61-0.92）与较低的满意度相关。结论：研究结果显示，超过一半的与会者对国家抗疫委员会采取的政策应对措施表示满意。然而，政府似乎在执行和监督所采取的政策反应方面表现不佳，导致人们的满意度下降。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Research Policy and Systems HEALTH POLICY & SERVICES-

CiteScore

7.50

自引率

7.50%

发文量

124

审稿时长

27 weeks

期刊介绍： Health Research Policy and Systems is an Open Access, peer-reviewed, online journal that aims to provide a platform for the global research community to share their views, findings, insights and successes. Health Research Policy and Systems considers manuscripts that investigate the role of evidence-based health policy and health research systems in ensuring the efficient utilization and application of knowledge to improve health and health equity, especially in developing countries. Research is the foundation for improvements in public health. The problem is that people involved in different areas of research, together with managers and administrators in charge of research entities, do not communicate sufficiently with each other.