Medical Students’ Trust in Their Family Physician (original) (raw)
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Trust in the Physician and in Medical Institutions. Modalities of Comprehension and Analysis
Postmodern Openings, 2014
The issue of trust in the medical profession, in medical institutions, and in the healthcare system, implicitly, has been brought to the scientists' attention lately, taking into account the erosion of trust, determined by the aggressive display in the media of medical personnel migration, of medical malpractice cases, of underfunding and bad management, of the high pressure on the system due to population ageing and to the increase in chronic disease incidence. Other explanations include the modifications in the attitudes, values, and expectations of the public concerning the healthcare system, the emergence of private health insurances and of private institutions, and the erosion of trust in State institutions because of incertitude and economic crises. This paper seeks to pinpoint, in the scientific literature, the definition of trust in the healthcare system, the determinants of trust in the patient-physicianinstitution-system relationship and the importance of social capital in these types of relationships, as well as the way in which the relationship between the patient and the actors within the medical system is created and influences the patient's quality of life in the context of chronic disease.
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.
Determinats of Trust in Medical Personal
Although research of the public’s trust in doctors is burgeoning, little attention has been given to examining how much trust is professed for other medical personnel, beyond doctors. This is a salient issue given the increase in patients’ clinical time with auxiliary medical staff. Using logistic regression techniques, we analyzed data from the 2008 Survey of Quality of Life in Arkansas to identify predictors of trust in doctors, other medical personnel, and medical personnel of different racial or ethnic back-grounds among Latinos and non-Hispanic White respondents. Results indicate that health insurance coverage was the most consistent predictor across multiple measures of trust in medical personnel. However, race and ethnicity and citizenship status of the respondents were more salient. Implications and future research are also discussed in this article.
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. ...
Mandates of Trust in the Doctor-Patient Relationship
Qualitative Health Research, 2011
We examine the conditions for trust relationships between patients and physicians. A trust relationship is not normally negotiated explicitly, but we wanted to discuss it with both patients and physicians. We therefore relied on a combination of interviews and observations. Sixteen patients and 8 family physicians in Norway participated in the study. We found that trust relationships were negotiated implicitly. Physicians were authorized by patients to exercise their judgment as medical doctors to varying degrees. We called this phenomenon the patient's mandate of trust to the physician. A mandate of trust limited to specific complaints was adequate for many medical procedures, but more open mandates of trust seemed necessary to ensure effective and humane treatment for patients with more complex and diffuse illnesses. More open mandates of trust were given if the physician showed an early interest in the patient, was sensitive, gave time, built alliances, or bracketed normal behavior.
Trust and entrustment: a conceptual and terminological look at the new paradigm of medical education
2019
The role of trust in health care and medical education is coming up once again in academic and lay publications, at a time when political-pedagogical turmoils and confusing rhetorics in social networks blur the distinction between right and wrong 2-6. In fact, the word trust has appeared in titles of editorials in the most prestigious medical journals, some even devoting space to series of articles on this topic, and particularly on entrustment processes – with the sense of building trustworthiness – in the realm of medical formation, as explicitized by Lynch and colleagues 6:
An improved scale for assessing patients’ trust in their physician
Health Marketing Quarterly, 2001
Patients' trust in their primary care physician is a critical concept for healthcare practitioners and scholars. At the clinical level, such trust buttresses patient-physician treatment relationships; at the organizational level, such trust fosters enhanced organizational effectiveness and other positive outcomes. To empirically assess various trust-related issues on both levels, we develop a comprehensive, bi-dimensional trust scale specific to patient-physician relationships. Response analysis from two samples suggests that the scale's benevolence dimension comprises understanding patients' individual experiences, expressing caring, communicating clearly and completely, building partnership and sharing power, demonstrating honesty and respect, and keeping information confidential. The scale's technical competence dimension comprises evaluating problems thoroughly, providing appropriate and effective treatment, predisposing factors, and structural and staffing factors.