Public support for European cooperation in the procurement, stockpiling and distribution of medicines
| Autor: | Brian Burgoon, Roel Beetsma, Frank Vandenbroucke, Anniek de Ruijter, Francesco Nicoli |
|---|---|
| Přispěvatelé: | Macro & International Economics (ASE, FEB), Political Economy and Transnational Governance (PETGOV, AISSR, FMG), ACELG (FdR), FMG |
| Rok vydání: | 2021 |
| Předmět: |
International Cooperation
media_common.quotation_subject Public debate Original Manuscript Public administration Public opinion Business and Economics 03 medical and health sciences 0302 clinical medicine Procurement Surveys and Questionnaires 050602 political science & public administration Humans media_common.cataloged_instance AcademicSubjects/MED00860 AcademicSubjects/SOC01210 030212 general & internal medicine European union media_common Health Care Rationing Scope (project management) Delegation business.industry Environmental and Occupational Health 05 social sciences Public Health Environmental and Occupational Health COVID-19 Solidarity COVID-19 Drug Treatment 0506 political science Conjoint analysis Europe Pharmaceutical Preparations Public Opinion Public Health Business AcademicSubjects/SOC02610 decision making disease outbreaks european union international cooperation public opinion principles of law and justice medical countermeasures covid-19 |
| Zdroj: | European Journal of Public Health, 31(2). Oxford University Press The European Journal of Public Health EUROPEAN JOURNAL OF PUBLIC HEALTH European Journal of Public Health |
| ISSN: | 1464-360X 1101-1262 |
| DOI: | 10.1093/eurpub/ckaa201 |
| Popis: | Background The COVID-19 outbreak has heightened ongoing political debate about the international joint procurement of medicines and medical countermeasures. The European Union (EU) has developed what remains largely contractual and decentralized international procurement cooperation. The corona crisis has broadened and deepened public debate on such cooperation, in particular on the scope of cooperation, solidarity in the allocation of such cooperation, and delegation of cooperative decision-making. Crucial to political debate about these issues are public attitudes that constrain and undergird international cooperation. Methods Our survey includes a randomized survey experiment (conjoint analysis) on a representative sample in five European countries in March 2020, informed by legal and policy debate on medical cooperation. Respondents choose and rate policy packages containing randomized mixes of policy attributes with respect to the scope of medicines covered, the solidarity in conferring priority access and the level of delegation. Results In all country populations surveyed, the experiment reveals considerable popular support for European cooperation. Significant majorities preferred cooperation packages with greater rather than less scope of medicines regulated; with priority given to most in-need countries; and with delegation to EU-level rather than national expertise. Conclusion Joint procurement raises delicate questions with regard to its scope, the inclusion of cross-border solidarity and the delegation of decision-making, that explain reluctance toward joint procurement among political decision-makers. This research shows that there is considerable public support across different countries in favor of centralization, i.e. a large scope and solidarity in the allocation and delegation of decision-making. |
| Databáze: | OpenAIRE |
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