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Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least
AIM: We examined predictors of trust in the healthcare system during the COVID-19 pandemic in 27 European countries. SUBJECTS AND METHODS: We used population-based data drawn from the Living, working and COVID-19 survey (N = 21,884, 52% female, ages 18 to 92 years) covering 27 European countries dat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944407/ https://www.ncbi.nlm.nih.gov/pubmed/35345647 http://dx.doi.org/10.1007/s10389-022-01705-3 |
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author | Beller, Johannes Schäfers, Jürgen Haier, Jörg Geyer, Siegfried Epping, Jelena |
author_facet | Beller, Johannes Schäfers, Jürgen Haier, Jörg Geyer, Siegfried Epping, Jelena |
author_sort | Beller, Johannes |
collection | PubMed |
description | AIM: We examined predictors of trust in the healthcare system during the COVID-19 pandemic in 27 European countries. SUBJECTS AND METHODS: We used population-based data drawn from the Living, working and COVID-19 survey (N = 21,884, 52% female, ages 18 to 92 years) covering 27 European countries dated June and July 2020. Multilevel linear regression, linear regression, and regression-tree analyses were conducted. RESULTS: We found that most participants tended to trust the healthcare system, although a substantial part could still be classified as distrusting (approx. 21%). Multiple variables, including being middle-aged or of older age, being female, lower levels of education, unemployment, worse general health status, having income difficulties, having unmet needs for healthcare, no healthcare contact during the COVID-19 pandemic, higher mental distress, and loneliness, were significantly associated with lower levels of trust. Among these variables mental distress, income difficulties, and unmet needs for healthcare emerged as especially important and, across European regions and countries, consistent predictors for lower trust in the healthcare system during the COVID-19 pandemic. CONCLUSIONS: Medically vulnerable subgroups, such as individuals with unmet healthcare needs, higher levels of mental distress, and older age, as well as people living in socially and economically vulnerable situations, such as higher levels of loneliness and financial difficulties, were the least trusting of the healthcare system during the COVID-19 pandemic. As these vulnerable subgroups are also at highest risk for contracting COVID-19 and experiencing negative COVID-19-related outcomes, more targeted prevention and intervention efforts should be implemented in these groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10389-022-01705-3. |
format | Online Article Text |
id | pubmed-8944407 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-89444072022-03-24 Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least Beller, Johannes Schäfers, Jürgen Haier, Jörg Geyer, Siegfried Epping, Jelena Z Gesundh Wiss Original Article AIM: We examined predictors of trust in the healthcare system during the COVID-19 pandemic in 27 European countries. SUBJECTS AND METHODS: We used population-based data drawn from the Living, working and COVID-19 survey (N = 21,884, 52% female, ages 18 to 92 years) covering 27 European countries dated June and July 2020. Multilevel linear regression, linear regression, and regression-tree analyses were conducted. RESULTS: We found that most participants tended to trust the healthcare system, although a substantial part could still be classified as distrusting (approx. 21%). Multiple variables, including being middle-aged or of older age, being female, lower levels of education, unemployment, worse general health status, having income difficulties, having unmet needs for healthcare, no healthcare contact during the COVID-19 pandemic, higher mental distress, and loneliness, were significantly associated with lower levels of trust. Among these variables mental distress, income difficulties, and unmet needs for healthcare emerged as especially important and, across European regions and countries, consistent predictors for lower trust in the healthcare system during the COVID-19 pandemic. CONCLUSIONS: Medically vulnerable subgroups, such as individuals with unmet healthcare needs, higher levels of mental distress, and older age, as well as people living in socially and economically vulnerable situations, such as higher levels of loneliness and financial difficulties, were the least trusting of the healthcare system during the COVID-19 pandemic. As these vulnerable subgroups are also at highest risk for contracting COVID-19 and experiencing negative COVID-19-related outcomes, more targeted prevention and intervention efforts should be implemented in these groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10389-022-01705-3. Springer Berlin Heidelberg 2022-03-24 /pmc/articles/PMC8944407/ /pubmed/35345647 http://dx.doi.org/10.1007/s10389-022-01705-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Beller, Johannes Schäfers, Jürgen Haier, Jörg Geyer, Siegfried Epping, Jelena Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least |
title | Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least |
title_full | Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least |
title_fullStr | Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least |
title_full_unstemmed | Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least |
title_short | Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least |
title_sort | trust in healthcare during covid-19 in europe: vulnerable groups trust the least |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944407/ https://www.ncbi.nlm.nih.gov/pubmed/35345647 http://dx.doi.org/10.1007/s10389-022-01705-3 |
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