<p>The Relationship Between Health-Related Quality of Life and Trust in Primary Care Physicians Among Patients with Diabetes</p>

Abstract

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.

Discrimination and Medical Mistrust in a Racially and Ethnically Diverse Sample of California Adults

“…This finding adds to the established body of literature indicating higher levels of mistrust among non-Hispanic Black and Hispanic individuals. 1,12,15,[28][29][30][31][32][33][34][35][36][37][38][39] We also documented a strong association between medical mistrust and perceived discrimination. Furthermore, we found a significant relationship between not having a primary care physician and higher level of mistrust with clinicians.…”

“…[1][2][3] Patient mistrust in health care clinicians and in the health care system generally, negatively influences patient behavior and health outcomes. [1][2][3] Medical mistrust can greatly influence the communication of sensitive medical history and information between patients and health care clinicians. 4 It has also been shown to reduce patient commitment to their treatment plan prescribed by their health care clinician.…”

Mental health status and quality of life in elderly patients with coronary heart disease

“…The data were from a single hospital, and the sample was relatively small. Second, this was a cross-sectional study in which we identified the relationship between the scores of two scales and the type of comorbidities; however, longitudinal studies are needed to examine the relationship over time ( AlRuthia et al, 2020 ). Finally, this is a questionnaire-based survey, and the results might have been negatively affected by acquiescence bias, social desirability bias, and interviewer bias ( Bowling, 2005 ).…”

Mental health status and quality of life in patients with end-stage renal disease undergoing maintenance hemodialysis

“…Many studies have showed that the survival rate of ESRD patients undergoing maintenance hemodialysis had improved (13)(14)(15), but when compared with the general population, the quality of life (QOL) of ESRD patients undergoing maintenance hemodialysis remained poor (16). QOL is the patient's subjective experience of physical, mental, and social health, and reflects the state of the patient's health, determines prognoses, and guides clinical practice (17). ESRD patients undergoing maintenance hemodialysis suffer from severe disease symptoms and psychological burdens that can have a profound impact on QOL (18).…”