{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:06:14Z","timestamp":1760148374356,"version":"build-2065373602"},"reference-count":48,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T00:00:00Z","timestamp":1682467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Systems"],"abstract":"<jats:p>The purpose of this study is to examine the factors that influence vaccination options, including vaccination against COVID-19, in order to develop a management algorithm for decision-makers to reduce vaccination reluctance. This paper\u2019s primary objective is to empirically determine the relationships between different variables that correlate to non-vaccination behavior of the target population, as well as the implications for public health and situational management strategies for future vaccination intentions. We created a questionnaire to investigate the personal approach to disease prevention measures in general and vaccination in particular. Using SmartPLS, load factors for developing an algorithm to manage vaccination reluctance were calculated. The results shows that the vaccination status of an individual is determined by their vaccine knowledge. The evaluation of the vaccine itself influences the choice not to vaccinate. There is a connection between external factors influencing the decision not to vaccinate and the clients\u2019 motives. This plays a substantial part in the decision of individuals not to protect themselves by vaccination. External variables on the decision not to vaccinate correlate with agreement\/disagreement on COVID-19 immunization, but there is no correlation between online activity and outside influences on vaccination refusal or on vaccine opinion in general.<\/jats:p>","DOI":"10.3390\/systems11050220","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T04:42:54Z","timestamp":1682484174000},"page":"220","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Investigation and Modeling of the Variables of the Decision to Vaccinate as the Foundation of an Algorithm for Reducing Vaccination Reluctance"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9591-8305","authenticated-orcid":false,"given":"Daniela","family":"C\u00eerna\u0163u","sequence":"first","affiliation":[{"name":"Department of Medicine, Vasile Goldis Western University of Arad, 310045 Arad, Romania"},{"name":"National Public Health Institut, 050463 Bucharest, Romania"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7254-040X","authenticated-orcid":false,"given":"Silviu Gabriel","family":"Szentesi","sequence":"additional","affiliation":[{"name":"Department of Economic Disciplines, Faculty of Economics, Aurel Vlaicu University of Arad, 310130 Arad, Romania"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-259X","authenticated-orcid":false,"given":"Lavinia Denisia","family":"Cuc","sequence":"additional","affiliation":[{"name":"Department of Economic Disciplines, Faculty of Economics, Aurel Vlaicu University of Arad, 310130 Arad, Romania"}]},{"given":"Elena","family":"Ciurariu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Victor Babes University of Medicine and Pharmacy, 300041 Timisoara, Romania"}]},{"given":"Liliana Renate","family":"Bran","sequence":"additional","affiliation":[{"name":"Department of Education Science, Psychology and Social Worker Aurel Vlaicu University of Arad, 310130 Arad, Romania"}]},{"given":"Graziella-Corina","family":"B\u00e2tc\u0103-Dumitru","sequence":"additional","affiliation":[{"name":"Department of Accounting and Audit, Faculty of Accounting and Management Information Systems, Bucharest University of Economic Studies, 010374 Bucharest, Romania"}]},{"given":"Cosmin Silviu Raul","family":"Joldes","sequence":"additional","affiliation":[{"name":"Department of Faculty of International Business and Economics, Bucharest University of Economic Studies, 010374 Bucharest, Romania"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2557-285X","authenticated-orcid":false,"given":"Mioara Florina","family":"Pantea","sequence":"additional","affiliation":[{"name":"Department of Economic Disciplines, Faculty of Economics, Aurel Vlaicu University of Arad, 310130 Arad, Romania"}]},{"given":"Simona","family":"P\u00e2rvu","sequence":"additional","affiliation":[{"name":"National Public Health Institut, 050463 Bucharest, Romania"},{"name":"Complementary Sciences Department, Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Horga, N.G., Cirnatu, D., Kundnani, N.R., Ciurariu, E., Parvu, S., Ignea, A.L., Borza, C., Sharma, A., and Morariu, S. 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