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Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia
BACKGROUND: The establishment of patient trust in physicians is becoming increasingly valuable. Trust can be fundamental to successful patient care, favorable patient outcomes and improved financial savings for healthcare organizations. This study aims to explore patients’ perceptions of trust in ph...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759089/ https://www.ncbi.nlm.nih.gov/pubmed/36536670 http://dx.doi.org/10.2147/PPA.S377500 |
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author | Boubshait, Leila A AlShamlan, Nouf A AlShammari, Razan Z Alamrah, Shadin A Fallatah, Bashaer A Abdel Wahab, Moataza M Alreedy, Abdullah H |
author_facet | Boubshait, Leila A AlShamlan, Nouf A AlShammari, Razan Z Alamrah, Shadin A Fallatah, Bashaer A Abdel Wahab, Moataza M Alreedy, Abdullah H |
author_sort | Boubshait, Leila A |
collection | PubMed |
description | BACKGROUND: The establishment of patient trust in physicians is becoming increasingly valuable. Trust can be fundamental to successful patient care, favorable patient outcomes and improved financial savings for healthcare organizations. This study aims to explore patients’ perceptions of trust in physicians, determine factors that play a role in this relationship, and to identify ways to improve patient trust. METHODS: The study was conducted via a mixed-method design using semi-structured in-depth interviews until data saturation was reached (n=24), followed by a cross sectional survey of consecutive sampling until the number of participants (n=256) exceeded the required sample size. Adult patients with diabetes, aged 18–65, attending internal medicine (IM) or family medicine (FM) clinics of King Fahd Hospital of the University, Saudi Arabia were included in the interviews and surveys. Patients’ interview transcripts were analyzed into trust dimensions resulting in a 51-item scale. Quality function deployment (QFD) was used to define the highest priority patient requirements. Overall satisfaction was calculated as a satisfaction percent, and factors related to satisfaction were tested using independent samples t-test and ANOVA. RESULTS: Significant domains for establishing patient trust in physicians were the perceived physician’s competency level, comprehensiveness of care, morals, personal traits, and establishing continuity of care. The trust score ranged from 42.0% to 100% with an average of 90.4%. There was no difference between the FM and IM setting, nor between the sociodemographic factors and the patients’ satisfaction level. No statistically significant results were found between diabetes type, years of diagnoses, achieving the target HbA1c with patients’ satisfaction level and trust. Patients reporting hypo or hyperglycemic symptoms had lower levels of satisfaction than those who did not. CONCLUSION: Persons with diabetes were more trustful of primary care physicians if they displayed satisfactory communication skills, experience, and a caring attitude. |
format | Online Article Text |
id | pubmed-9759089 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-97590892022-12-18 Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia Boubshait, Leila A AlShamlan, Nouf A AlShammari, Razan Z Alamrah, Shadin A Fallatah, Bashaer A Abdel Wahab, Moataza M Alreedy, Abdullah H Patient Prefer Adherence Original Research BACKGROUND: The establishment of patient trust in physicians is becoming increasingly valuable. Trust can be fundamental to successful patient care, favorable patient outcomes and improved financial savings for healthcare organizations. This study aims to explore patients’ perceptions of trust in physicians, determine factors that play a role in this relationship, and to identify ways to improve patient trust. METHODS: The study was conducted via a mixed-method design using semi-structured in-depth interviews until data saturation was reached (n=24), followed by a cross sectional survey of consecutive sampling until the number of participants (n=256) exceeded the required sample size. Adult patients with diabetes, aged 18–65, attending internal medicine (IM) or family medicine (FM) clinics of King Fahd Hospital of the University, Saudi Arabia were included in the interviews and surveys. Patients’ interview transcripts were analyzed into trust dimensions resulting in a 51-item scale. Quality function deployment (QFD) was used to define the highest priority patient requirements. Overall satisfaction was calculated as a satisfaction percent, and factors related to satisfaction were tested using independent samples t-test and ANOVA. RESULTS: Significant domains for establishing patient trust in physicians were the perceived physician’s competency level, comprehensiveness of care, morals, personal traits, and establishing continuity of care. The trust score ranged from 42.0% to 100% with an average of 90.4%. There was no difference between the FM and IM setting, nor between the sociodemographic factors and the patients’ satisfaction level. No statistically significant results were found between diabetes type, years of diagnoses, achieving the target HbA1c with patients’ satisfaction level and trust. Patients reporting hypo or hyperglycemic symptoms had lower levels of satisfaction than those who did not. CONCLUSION: Persons with diabetes were more trustful of primary care physicians if they displayed satisfactory communication skills, experience, and a caring attitude. Dove 2022-12-13 /pmc/articles/PMC9759089/ /pubmed/36536670 http://dx.doi.org/10.2147/PPA.S377500 Text en © 2022 Boubshait et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Boubshait, Leila A AlShamlan, Nouf A AlShammari, Razan Z Alamrah, Shadin A Fallatah, Bashaer A Abdel Wahab, Moataza M Alreedy, Abdullah H Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia |
title | Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia |
title_full | Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia |
title_fullStr | Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia |
title_full_unstemmed | Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia |
title_short | Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia |
title_sort | patient trust in primary care physicians: a mixed methods study of persons with diabetes at university- based clinics in the eastern province of saudi arabia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9759089/ https://www.ncbi.nlm.nih.gov/pubmed/36536670 http://dx.doi.org/10.2147/PPA.S377500 |
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