In this study, we examine state-level features and policies that are most important in achieving a threshold level vaccination rate to curve the effects of the COVID-19 pandemic. We employ CHAID, a decision tree algorithm, on three different model specifications to answer this question based on a dataset that includes all the states in the United States. Workplace travel emerges as the most important predictor; however, the governors' political affiliation (PA) replaces it in a more conservative feature set that includes economic features and the growth rate of COVID-19 cases. We also employ several alternative algorithms as a robustness check. Results from these checks confirm our original findings regarding workplace travels and political affiliation. The accuracy under different model specifications ranges from 80%-88%, whereas the sensitivity is between 92.5%-100%. Our findings provide actionable policy insights to increase vaccination rates and combat the COVID-19 pandemic.
Keywords: COVID-19; Decision tree; Health policy; Machine learning; Vaccination; Vaccine hesitancy.
© 2022 The Author(s).