Factors associated with patient trust in their clinicians: Results from the Healthy Work Place Study

Khullar, Dhruv; Prasad, Kriti; Neprash, Hannah T.; Poplau, Sara; Brown, Roger; Williams, Eric S.; Audi, Crystal; Linzer, Mark

doi:10.1097/hmr.0000000000000336

Cited by 7 publications

(4 citation statements)

References 30 publications

(39 reference statements)

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“…Consistent with other recent studies of trust in health professionals, sociodemographic variables were found to impact upon trust within our sample, but relational elements of care experience were most important (Khullar et al 2022). Amongst smokers and ex-smokers, these differences may be due to the variable effect of denormalization efforts on smokers across demographic and socioeconomic groups (Kim et al 2018).…”

Section: Discussionsupporting

confidence: 89%

The impact of smoking status on trust in general practitioners: a nationwide survey of smokers and ex-smokers

Kasiviswanathan,

Enticott,

Madawala

et al. 2023

J Public Health (Berl.)

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Background Trust is important to therapeutic relationships, influences patients’ motivation to seek care, cooperate during clinical examinations, adhere to treatment, return for follow-up, and facilitates exchange of health information. The aim of this study was to determine the influence of smoking status on patients’ trust in GPs, and how trust is related to willingness to act on advice to quit smoking. Methods A nationwide, online, cross-sectional survey was conducted among Australian smokers and ex-smokers aged 35 years and older. Participants were asked to rate their trust in GPs on a scale from 0 to 10, where 0 describes “you don’t trust GPs” and 10 describes “you trust GPs completely”. Multivariate linear and logistic regression analyses were used to test hypotheses. Results Responses from 886 respondents were analysed. Mean age was 60 years (± 9.5) and most were current smokers (69%). Trust scores were comparable for both smokers and ex-smokers (mean 7.6 (± 2.4)), but 39.4% were classified as having low trust (score < 8). Anticipated stigma was negatively associated with level of trust in GPs. Communication experience was positively associated with level of trust in GPs. Higher level of trust in GPs was associated with acceptance of advice to quit smoking. Conclusion Smokers and ex-smokers with higher levels of trust in their GPs reported more positive communication, and felt GPs advised them to quit smoking in a way that motivated them to quit. GP awareness with regard to anticipated stigma and experiences of communication amongst patients with a smoking history could improve provision of smoking cessation advice for this group.

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Section: Discussionsupporting

confidence: 89%

The impact of smoking status on trust in general practitioners: a nationwide survey of smokers and ex-smokers

Kasiviswanathan,

Enticott,

Madawala

et al. 2023

J Public Health (Berl.)

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“…Extant research on PCC at the micro level has focused on the decision-making processes through which HPs build PCC, the learning process that HPs and patients share (Alidina et al, 2021), the way in which information is processed in this relationship (Salge et al, 2018; Taggart et al, 2011), and the demographic and objective features of patients and HPs that can enable PCC (Khullar et al, 2022; Sieck et al, 2023). Although these cognitive and objective features are fundamental, the physical and emotional aspects of this interaction deserve to be further investigated to widen our understanding about how to develop PCC.…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Body work and body meanings in patient-centered care

Brizio,

Paolino

2024

Health Care Manage Rev

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Background This study integrates patient-centered care (PCC) research and body work studies to understand how a focus on physical and sensorial aspects in the relationship between health care professionals (HPs) and patients contribute to the implementation of PCC. Purpose To understand how HPs’ body work practices contribute to the implementation of PCC, we investigate the meanings HPs ascribe to their and to patients’ bodies. The goal is to grasp how these practices and meanings, rooted in unexplored sensorial perceptions, account for the emergence of a relationship of mutual acknowledgment between HPs and patients. Methodology Thirty-nine in-depth interviews were carried out with HPs, who interact with patients with disabilities in Italian hospitals. Results HPs engage in different body work practices: adopting a diagnostic gaze and an empathetic gaze, touching, and playing. The diagnostic gaze concurs to create a feeling of promptness between HPs and patients, but also a stronger distance with respect to other practices. The empathetic gaze, touching, and playing are associated with feelings of shared vulnerability and resilience. These shared perceptions and emotions build a common ground and shape a relationship focused on patients’ involvement. Practice Implications Voicing and feedback sessions can be arranged to listen to how HPs interpret their own and patients’ bodies. An organizational culture acknowledging emotions should be promoted to sponsor among HPs the consideration of the sensorial aspects of their connection with patients. The value of bricolage should be observed, where the HPs feel free to readjust tools, spaces, and routines. Sensitivity training exercises should be arranged to understand the interactions with patients with disabilities.

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“… 9 For instance, people with good public health literacy generally show higher trust in physicians’ diagnosis, advice, and treatment. 10 The characteristics of trustees comprise physicians’ professionalism, 11 as well as factors beyond technical competency such as physicians’ empathy, 12 communication, fairness, honesty, and confidentiality. 13 Interpersonal interaction refers to physician-related information obtained by individuals through interpersonal communication.…”

Section: Introductionmentioning

confidence: 99%

Exploring the Relationship Between Intolerance of Uncertainty and Trust in Physicians from Spousal and Parent-Child Perspectives

Gao¹,

Wu²,

Fan³

et al. 2023

PRBM

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Objective The present study aimed to probe the intergenerational transmission of intolerance of uncertainty (IU) and trust in physicians. Besides, through the actor-partner interdependence model (APIM), the predictive effect of parents’ IU on their own and their spouses’ trust in physicians was examined. A mediation model was further constructed to probe the mechanisms by which parents’ IU affects children’s trust in physicians. Methods The Intolerance of Uncertainty Scale-12 (IUS-12) and the Wake Forest Physician Trust Scale (WFPTS) were employed to conduct the questionnaire survey among 384 families (each family with a father, mother, and one child). Results IU and trust in physicians were found to be intergenerationally transmitted. The results of the APIM analyses showed that fathers’ total IUS-12 scores negatively predicted their own ( β = −0.419, p < 0.01) and mothers’ ( β = −0.235, p < 0.01) total WFPTS scores. Mothers’ total IUS-12 scores negatively predicted their own ( β = −0.353, p < 0.01) and fathers’ ( β = −0.138, p = 0.017) total WFPTS scores. The results of mediation analyses indicated that parents’ total WFPTS scores and children’s total IUS-12 scores mediated the effect of parents’ total IUS-12 scores on children’s total WFPTS scores. Conclusion The public’s IU is a crucial influencing factor of their trust in physicians. Besides, the IU between couples and between parents and children could be mutually affected. On the one hand, husbands’ IU could affect their own and their wives’ trust in physicians, and vice versa. On the other hand, parents’ IU and trust in physicians could affect their children’s IU and trust in physicians, respectively.

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Factors associated with patient trust in their clinicians: Results from the Healthy Work Place Study

Cited by 7 publications

References 30 publications

The impact of smoking status on trust in general practitioners: a nationwide survey of smokers and ex-smokers

The impact of smoking status on trust in general practitioners: a nationwide survey of smokers and ex-smokers

Body work and body meanings in patient-centered care

Exploring the Relationship Between Intolerance of Uncertainty and Trust in Physicians from Spousal and Parent-Child Perspectives

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