Trust in the Healthcare System and COVID-19 Treatment in the Developing World. Survey and Experimental Evidence from Armenia

25 Pages Posted: 8 Jun 2020

See all articles by Armenak Antinyan

Armenak Antinyan

Wenlan School of Business; United Nations Development Program

Thomas Bassetti

University of Padova - Department of Economics

Luca Corazzini

Ca Foscari University of Venice - Dipartimento di Economia

Filippo Pavesi

Università Carlo Cattaneo (LIUC) - Institute of Economics; Stevens Institute of Technology - School of Business

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Date Written: June 1, 2020

Abstract

COVID-19 continues to spread across the globe at an exponential speed, infecting millions and overwhelming even the most prepared healthcare systems. Concerns are looming that the healthcare systems in low- and middle-income countries (LMICs) are mostly unprepared to combat the virus because of limited resources. The problems in LMICs are exacerbated by the fact that citizens in these countries generally exhibit low trust in the healthcare system, which could trigger a number of uncooperative behaviors.

In this paper, we focus on one such behavior and investigate the relationship between trust in the healthcare system and the likelihood of potential treatment-seeking behavior upon the appearance of the first symptoms of COVID-19. First, we provide motivating evidence from a unique national on-line survey administered in Armenia — a post-Soviet LMIC country. We then present results from a large-scale survey experiment in Armenia that provides causal evidence in support of the investigated relationship. Our main finding is that a more trustworthy healthcare system enhances the likelihood of potential treatment-seeking behavior when observing the initial symptoms.

Note: Funding: Partially supported within the framework of a subsidy by the Russian Academic Excellence Project '5-100.'

Conflict of Interest: None.

Ethical Approval: The Ethical Committee of the Department of Economics, University of Venice “Cà Foscari” approved the experimental protocol.

Keywords: COVID-19; Pandemic; Healthcare system; Trust; Survey experiment

JEL Classification: C9; I12; I15

Suggested Citation

Antinyan, Armenak and Bassetti, Thomas and Corazzini, Luca and Pavesi, Filippo, Trust in the Healthcare System and COVID-19 Treatment in the Developing World. Survey and Experimental Evidence from Armenia (June 1, 2020). Available at SSRN: https://ssrn.com/abstract=3615831 or http://dx.doi.org/10.2139/ssrn.3615831

Armenak Antinyan (Contact Author)

Wenlan School of Business ( email )

No.143, Wuluo Road
Wuhan, Hubei 430073
China

United Nations Development Program ( email )

Petros Adamyan 14
Yerevan, 0010
Armenia

Thomas Bassetti

University of Padova - Department of Economics ( email )

via Del Santo 33
Padova, 35123
Italy

Luca Corazzini

Ca Foscari University of Venice - Dipartimento di Economia ( email )

Cannaregio 873
Venice, 30121
Italy

HOME PAGE: http://www.unive.it/pag/16892/

Filippo Pavesi

Università Carlo Cattaneo (LIUC) - Institute of Economics ( email )

21053 Castellanza (VA)
Italy

Stevens Institute of Technology - School of Business ( email )

Hoboken, NJ 07030
United States

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