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. 2023 Mar 28;11(4):750.
doi: 10.3390/vaccines11040750.

Adoption of Digital Vaccination Services: It Is the Click Flow, Not the Value-An Empirical Analysis of the Vaccination Management of the COVID-19 Pandemic in Germany

Alexander Alscher  1   2 , Benedikt Schnellbächer  3 , Christian Wissing  1
Affiliations

Adoption of Digital Vaccination Services: It Is the Click Flow, Not the Value-An Empirical Analysis of the Vaccination Management of the COVID-19 Pandemic in Germany

Alexander Alscher et al. Vaccines (Basel). .

Abstract

This research paper examines the adoption of digital services for the vaccination during the COVID-19 pandemic in Germany. Based on a survey in Germany's federal state with the highest vaccination rate, which used digital vaccination services, its platform configuration and adoption barriers are analyzed to understand existing and future levers for optimizing vaccination success. Though technological adoption and resistance models have been originally developed for consumer-goods markets, this study gives empirical evidence especially for the applicability of an adjusted model explaining platform adoption for vaccination services and for digital health services in general. In this model, the configuration areas of personalization, communication, and data management have a remarkable effect to lower adoption barriers, but only functional and psychological factors affect the adoption intention. Above all, the usability barrier stands out with the strongest effect, while the often-cited value barrier is not significant at all. Personalization is found to be the most important factor for managing the usability barrier and thus for addressing the needs, preferences, situation, and, ultimately, the adoption of the citizens as users. Implications are given for policy makers and managers in such a pandemic crisis to focus on the click flow and server-to-human interaction rather than emphasizing value messages or touching traditional factors.

Keywords: COVID-19; acceptance model; innovation barriers; pandemic; platform technology; technology adoption model; vaccination; vaccination services.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure A1
Figure A1
German newspaper “Welt” on vaccination rate of 16 federal states.
Figure A2
Figure A2
Illustration of the vaccination portal of Saarland ant its userflow.
Figure 1
Figure 1
Adoption Model for digital platform services to manage COVID-19 vaccination (based on Mani and Chouk [27]).
Figure 2
Figure 2
Significant factors in the adoption Model for digital platform services to manage the COVID-19 vaccination. Notes: ** p < 0.01, * p < 0.05.
See this image and copyright information in PMC

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