Trust in physician, satisfaction with physician and their relationship among diabetic patients in Kerman, Iran (original) (raw)
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Patient Preference and Adherence
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.
Clinical Epidemiology
Background: Trust is pivotal for a productive relationship between patients and healthcare providers and is positively correlated with multiple clinical and humanistic outcomes. However, the impact of trust in healthcare providers on different domains of health-related quality of life (HRQoL) among diabetic patients has not been studied in detail. Purpose: The aim of this study was to examine the association between the physical, mental or psychological, social, and environmental domains of HRQoL with the patients' trust in their primary care physicians while controlling for several sociodemographic and clinical factors. The study was conducted among a sample of diabetic patients. Patients and Methods: This study had a prospective questionnaire-based, multi-center, crosssectional design. The patients were recruited from three public hospitals in Saudi Arabia. Patients' experiences and trust in their primary care physicians were assessed using the Health Care Relationship Trust (HCR-Trust) scale. HRQoL was assessed using the Arabic version of the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Multiple linear regression was conducted to assess the relationship between HCR-Trust and the WHOQOL-BREF physical, psychological, social, and environmental domains controlling for age, Charlson Comorbidity Index (CCI) score, health literacy, sex, education, annual income, nationality, and illness duration. Results: Three hundred and sixty-four patients participated in the study. The scores in all four domains of WHOQOL-BREF were positively associated with HCR-Trust scores of the diabetic patients. Additionally, the scores in the physical (β = −10.26; 95% CI: −13.77 to −6.74; P < 0.0001) and psychological (β = −3.91; 95% CI: −7.44 to −0.38; P < 0.0001) domains were negatively associated with female gender. Furthermore, the physical domain score was negatively associated with the duration of illness (β = −0.26; 95% CI: −0.506 to −0.02; P = 0.032). The environmental domain score was positively associated with annual income (β = 2.31; 95% CI: 1.05 to 3.56; P = 0.030). Other patient characteristics, such as age and education, were not associated with the scores of any of the WHOQOL-BREF domains. Conclusion: Patient trust in healthcare providers is positively associated with different domains of HRQoL. Therefore, building and maintaining trust with patients is important to achieve favorable treatment outcomes.
Correlates of satisfaction for the relationship with their physician in type 2 diabetic patients
Diabetes Research and Clinical Practice, 2004
In the context of an Italian nation-wide outcomes research program on type 2 diabetes, we investigated the contribution of both patient and setting-related factors to patient satisfaction with their relationship with their physicians. The level of patient satisfaction was measured using the American Board of Internal Medicine (ABIM) 14 patient satisfaction questionnaire. The main results were obtained using multilevel analysis, a statistical technique that takes into account the clustered nature of our data.
Trust factors and their impact on patients satisfaction of private clinics in city of Ramadi - Iraq
2022
The target of the research to identify the trust factors represented by (communication, competence, Service Quality) and its impact on the satisfaction of patients private medical clinics in the city of Ramadi, and for the purpose of achieving research objectives and reaching answers to questions (study problem), the Researchersadopted the analytical descriptive approach, a questionnaire was designed as a key tool for collecting preliminary data, and using the method (method) random sample, distributed (384) questionnaire forms to patients reviewing private medical clinics in the city, Of these, 368 were recovered, of which 11 were not eligible (invalid), bringing the number of questionnaires valid for statistical analysis (357) to 357, i.e. a response rate (93%) of recovered questionnaires, and the data analysis and statistically processed by the program (SPSS.V.26) as well as the statistical program (AMOS.V.26) , the most prominent findings of the research were the existence of a correlation and a positive effect with statistical significance between the factors Trust and patient satisfaction In addition, the results showed that the level of Trust of patients through their factors in the private medical clinics researched was at a (medium) level, as the contact came first and then solved the Competence second and the Service Quality iii, as well as the level of patient satisfaction with the medical services provided by the clinics in general was (average), and in the light of those results the Researchersmade a set of recommendations that could help medical clinic staff to enhance and increase the level of Trust of patients with them and strengthen them which reflects positively on the satisfaction of the patients and the permanence and prosperity of their relationship
Journal of Human Sciences
Objectives: A sense of trust is of great importance for professional professions. Failure to establish trust, especially in an industry where information asymmetry is too high, such as the health sector, also poses important problems for both employees and society. In this study, we aimed to identify variables that affect the distrust of the health system and trust in the physician. Material and Method: This study was carried out in the descriptive design. The study group consisted of 561 people living in different cities of Turkey and whose ages ranged from 18-70 years. “Personal data form”, “ Medical mistrust scale”, “Physician trust scale” and “generalized trust inventory infrastructure scale” were used as data collection tools prepared by the researcher. As a data collection method, the test method performed in a computer environment was used. One-way analysis of variance from parametric test statistics and Pearson correlation analysis test statistics were used to compare data. ...
The main purpose of this study is to investigate the relationship between patient perception of healthcare quality, patient satisfaction, and patient trust and the mediating effect of patient satisfaction. Study aim also to test the significance of socio-demographic variables in determining healthcare quality, patient satisfaction, and patient trust. Patient perception of healthcare quality was measured using modified SERVQUAL model and results indicate that it appears to be a consistent and reliable scale. Finding indicate that, while patient perception of healthcare quality has a strong and positive impact on the patient satisfaction and patient trust , patient satisfaction has also significant impact on patient trust. Moreover, patient satisfaction appears to play an important mediating role in increasing the strength of the association between healthcare quality and patient trust in healthcare service provider. Results confirm the varying importance of some socio-demographic variables on patient perception of healthcare quality, patient satisfaction, and patient trust. It has also been found that private hospitals have higher overall healthcare quality than public hospitals. Study indicate that patient of private hospitals are more satisfied and feel more trust in healthcare service provider than public hospitals.
The association of patient trust and self-care among patients with diabetes mellitus
BMC family practice, 2004
Diabetes requires significant alterations to lifestyle and completion of self management tasks to obtain good control of disease. The objective of this study was to determine if patient trust is associated with reduced difficulty and hassles in altering lifestyle and completing self care tasks. A cross-sectional telephone survey and medical record review was performed to measure patient trust and difficulty in completing diabetes tasks among 320 medically underserved patients attending diabetes programs in rural North Carolina, USA. Diabetes tasks were measured three ways: perceived hassles of diabetic care activities, difficulty in completing diabetes-related care activities, and a global assessment of overall ability to complete diabetes care activities. The association of patient trust with self-management was examined after controlling for patient demographics, physical functioning, mental health and co-morbidities. Level of patient trust was high (median 22, possible max 25). H...
Indian Journal of Medical Ethics, 2015
Trust in physicians is the patient's optimistic acceptance of vulnerability and the expectation that the physician will do what is best for his/her welfare. This study was undertaken to develop a conceptual understanding of the dimensions and determinants of trust in physicians in healthcare settings in resource-poor, developing countries. A cross-sectional household survey was conducted on a sample of 625 men and women from urban and rural areas in Tamil Nadu, India. The sample was selected using a multistage sampling method and a pre-tested structured questionnaire was utilised. The questionnaire covered the five dimensions of trust: perceived competence of the physician, assurance of treatment, confidence in the physician, loyalty towards him/her, and respect for him/her. Items covering four main factors that influence trust, ie shared identity, the physician's behaviour, personal involvement of the physician and level of comfort with him/her, were included in the questionnaire. A structural equation model was constructed with the dimensions of trust on one hand and the four factors influencing trust on the other. Trust in physicians is based more on notional constructs, such as assurance of treatment (β=0.714, p<0.001) and respect for the physician (β=0.763, p<0.001),than objective assessments, such as the physician's competence (β=0.607, p<0.001). Feeling comfortable with the physician (β=0.630, p<0.001) and the physician's communication skills (β=0.253, p<0.001) significantly influence the level of trust. The former is correlated with the personal involvement of the physician (r=0.124, p<0.001), and so is the latter (r=0.152, p<0.001). The overall model has a good statistical fit. The factors that give rise to trust in physicians vary with the sociocultural context.
International Journal of Medical Science and Public Health, 2014
Background: With the ageing of the population and the advances in the treatment of chronic diseases, the teamwork in the context of chronic diseases needs to be reexamined. Patients with chronic diseases have to pay repeated visits to PHC clinics, usually for the rest of their lives. These patients are usually more difficult to satisfy. Patient satisfaction is the extent to which the patients feel that their needs and expectations are being met by the service provided. It has been a widely recognized indicator of quality of care in medical practice. Aims & Objective: This study aims to assess patients' satisfaction with the main aspects of primary health care provided at the Chronic Diseases Clinic, identify areas of health care that show low satisfaction and Identify determinants of patients' satisfaction. Materials and Methods: A cross sectional study was carried out among a representative random sample of registered patients, at randomly selected two PHCCs in Abha, KSA. The tool used for data collection consisted of two parts; the first part was about the personal information of the participants, while the second part was the Arabic version of Modified patient satisfaction questionnaire (PSQ-18). Results: The study include 600 patients, almost one fourth of participants aged above 60 years, while 37% of them aged 50-60 years and 38.7% of them aged below 50 years. Of the respondents, 13% were dissatisfied, while 87% were satisfied (i.e., 44% were moderately satisfied and 43% were highly satisfied).This study revealed significantly lower levels of satisfaction among diabetic patients who attended at Al-Qabel PHCC than those who attended at Al-Manhal PHCC, i.e. pre-clinic items (67.7% vs. 76%, respectively); clinic items (81% vs. 92.3%, p<0.001); post-clinic items (86.3% vs. 92.3%, p<0.001) and overall satisfaction (81.3% vs. 92.7%, p<0.001. Regarding diabetic patients' grades of overall satisfaction, the highest proportion of dissatisfaction was observed among patients aged <50 years, males, lower levels of education and higher monthly income. Unemployed patients expressed significantly higher grades of satisfaction than employed patients (p=0.005). Conclusion: This study concluded that diabetic patients' satisfaction grade was least toward pre-clinic (i.e., PHCC accessibility, availability of parking areas, comfortable waiting area, short waiting times and measurement of patient's vital signs before meeting the physician) followed by post-clinic items (i.e., performing the necessary routine investigations, availability and accessibility of labs within the PHCC, availability of medications within the PHCC's pharmacy).Patients' characteristics associated with less satisfaction include younger age, male gender, higher education, employment and higher monthly income.
Assiut Scientific Nursing Journal, 2018
Background: Patients" experiences with quality of care and patient satisfaction in hospital are considered to be important elements in quality improvement of work in hospitals, and are also seen as indicators of quality of healthcare. The Aim of this study was to investigate the impact of patient satisfaction in the patients" perceptions of healthcare quality and patient trust Research design: A descriptive study was used. Setting: the study conducted in Minia General Hospital. Subjects: Includes all patients (200 patients) admitted to general Medical and Surgical Departments. Tools of study: three tools were used include personal characteristics data, SERVQUAL questionnaire, patient satisfaction questionnaire, and patient trust questionnaire. Results: more than half of the studied subjects strongly disagree toward prompt services (no waiting time), services provided as expected, efficiency of admitting procedure, friendly and courteous staff/doctors, and healthy, neat and clean environment. Also, there were positive correlations between patient satisfaction, patient trust and healthcare quality items with highly statistically significant differences. Conclusion: the patients are not satisfied about healthcare quality and they haven't trust and satisfaction about their services. Recommendation: Hospitals have to running a study on managers/doctors/staff perceptions of hospitals' services.