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Background: Uptake of COVID-19 vaccines has stalled in the U.S. Some studies suggest that medical mistrust may be a barrier, but evidence is limited due to cross-sectional designs or convenience sampling.

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The Association of County-Level Presidential Election Outcome and COVID-19 Mortality in Colorado, 2020-2022.

J Public Health Manag Pract

December 2024

Author Affiliations: Department of Environmental and Radiological Health Sciences (Drs DeBie, Peel, Rojas-Rueda, and Neophytou), Colorado School of Public Health (Drs Gutilla, Keller, Peel, Rojas-Rueda, and Neophytou), Department of Health and Exercise Science (Dr Gutilla), and Department of Statistics (Dr Keller), Colorado State University, Fort Collins, Colorado.

Context: The Coronavirus disease 2019 (COVID-19) pandemic occurred during a time of political tension in the United States. County-level political environment may have been influential in COVID-19 outcomes.

Objective: This study examined the association between county-level political environment and age-adjusted COVID-19 mortality rates from 2020 to 2022.

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This perspective article shares the viewpoints of two long-standing patient safety advocates who have participated first-hand in the evolution of patient engagement in healthcare quality and safety. Their involvement is motivated by a rejection of the common cruelty of institutional betrayal that compounds harm when patient safety fails. The advocates have sought to understand how it can be that fractured trust spreads so predictably after harm, just when it most needs strengthening.

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Trust as Foundation: Can Nigeria's New Health Workforce Policy Stem the Migration Tide?

Int J Health Plann Manage

November 2024

Department of Politics and International Affairs, Northern Arizona University, Flagstaff, Arizona, USA.

Nigeria's 2024 National Policy on Health Workforce Migration confronts a fundamental challenge: rebuilding trust between healthcare workers and government. Using Mayer, Davis, and Schoorman's organizational trust framework, this analysis explores how trust shapes healthcare workers' migration decisions. Drawing from comparative African experiences and implementation evidence, this paper argues that without addressing core issues of trust through demonstrated policy implementation, sustained commitment to workforce welfare, and competitive compensation, even well-designed retention policies will struggle to retain Nigeria's health workers.

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Trust edges up-slightly.

Science

November 2024

H. Holden Thorp Editor-in-Chief, Science journals.

The Pew Research Center survey on trust in science and researchers is eagerly awaited every year by science policy experts and communicators. This year's results, released last week, give a small, but meaningful, reason to be optimistic: Trust in scientists, which took a substantial hit during the pandemic, is starting to recover. The survey, conducted in October 2024 with 9593 adults across the United States, estimates that 76% of Americans now have a great deal or fair amount of confidence in scientists to act in the public's best interests.

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