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Patient factors that affect trust in physicians: a cross-sectional study

BACKGROUND: While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship,...

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Autores principales: Kim, Agnus M., Bae, Jaekyoung, Kang, Sungchan, Kim, Yeon-Yong, Lee, Jin-Seok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267873/
https://www.ncbi.nlm.nih.gov/pubmed/30497400
http://dx.doi.org/10.1186/s12875-018-0875-6
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author Kim, Agnus M.
Bae, Jaekyoung
Kang, Sungchan
Kim, Yeon-Yong
Lee, Jin-Seok
author_facet Kim, Agnus M.
Bae, Jaekyoung
Kang, Sungchan
Kim, Yeon-Yong
Lee, Jin-Seok
author_sort Kim, Agnus M.
collection PubMed
description BACKGROUND: While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of both parties: patients and physicians. This study aimed to investigate the factors for trust in physicians among the Koreans by focusing on patients’ traits which are related to their subjective perceptions. METHODS: A web-based survey was conducted between August and September 2016 among 1000 Korean adults aged 18 to 59 years. Survey participants were selected by a proportionate quota sampling based on age, sex and place of residence. The t-test and analysis of variance (ANOVA) were performed to examine the difference in trust in physicians among the different groups in each variable of patient characteristics. An ordinal logistic regression model was employed to examine the association between trust in physicians and patient attributes. RESULTS: Negative health-related traits, such as stress and low self-rated health, were likely to lower trust in physicians, and women were less likely to trust physicians. The negative attitudes toward the current health care system were strongly associated with low trust in physicians. Meanwhile, recent experience of hospitalization or outpatient visit was positively associated with trust in physicians, and experience of not being able to use health facilities showed no significant association. These results suggest that trust in physicians is more likely to be lowered by negative perception than by the objective conditions or experience. CONCLUSION: In investigating the factors for trust in physicians, the patients’ predispositions, which make them less likely to trust physicians, should be considered. The attributes of the patients in Korea, which could negatively affect trust in physicians, need to be investigated in consideration of the recent changes in patient-physician relationships and the medical environment in Korea. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-018-0875-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-62678732018-12-05 Patient factors that affect trust in physicians: a cross-sectional study Kim, Agnus M. Bae, Jaekyoung Kang, Sungchan Kim, Yeon-Yong Lee, Jin-Seok BMC Fam Pract Research Article BACKGROUND: While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of both parties: patients and physicians. This study aimed to investigate the factors for trust in physicians among the Koreans by focusing on patients’ traits which are related to their subjective perceptions. METHODS: A web-based survey was conducted between August and September 2016 among 1000 Korean adults aged 18 to 59 years. Survey participants were selected by a proportionate quota sampling based on age, sex and place of residence. The t-test and analysis of variance (ANOVA) were performed to examine the difference in trust in physicians among the different groups in each variable of patient characteristics. An ordinal logistic regression model was employed to examine the association between trust in physicians and patient attributes. RESULTS: Negative health-related traits, such as stress and low self-rated health, were likely to lower trust in physicians, and women were less likely to trust physicians. The negative attitudes toward the current health care system were strongly associated with low trust in physicians. Meanwhile, recent experience of hospitalization or outpatient visit was positively associated with trust in physicians, and experience of not being able to use health facilities showed no significant association. These results suggest that trust in physicians is more likely to be lowered by negative perception than by the objective conditions or experience. CONCLUSION: In investigating the factors for trust in physicians, the patients’ predispositions, which make them less likely to trust physicians, should be considered. The attributes of the patients in Korea, which could negatively affect trust in physicians, need to be investigated in consideration of the recent changes in patient-physician relationships and the medical environment in Korea. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-018-0875-6) contains supplementary material, which is available to authorized users. BioMed Central 2018-11-29 /pmc/articles/PMC6267873/ /pubmed/30497400 http://dx.doi.org/10.1186/s12875-018-0875-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kim, Agnus M.
Bae, Jaekyoung
Kang, Sungchan
Kim, Yeon-Yong
Lee, Jin-Seok
Patient factors that affect trust in physicians: a cross-sectional study
title Patient factors that affect trust in physicians: a cross-sectional study
title_full Patient factors that affect trust in physicians: a cross-sectional study
title_fullStr Patient factors that affect trust in physicians: a cross-sectional study
title_full_unstemmed Patient factors that affect trust in physicians: a cross-sectional study
title_short Patient factors that affect trust in physicians: a cross-sectional study
title_sort patient factors that affect trust in physicians: a cross-sectional study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267873/
https://www.ncbi.nlm.nih.gov/pubmed/30497400
http://dx.doi.org/10.1186/s12875-018-0875-6
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