Measuring Patients’ Trust in their Primary Care Providers

Hall, Mark A.; Zheng, Beiyao; Dugan, Elizabeth; Camacho, Fabian; Kidd, Kristin E.; Mishra, Aneil K.; Balkrishnan, Rajesh

doi:10.1177/1077558702059003004

Cited by 523 publications

(605 citation statements)

References 47 publications

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“…The variation in responses to confidential questions does not correlate well with the variation in responses to other instruments measuring trust [42][43][44]. The same can be noted in this study where the mean values are quite high.…”

Section: Discussionsupporting

confidence: 56%

Use of the emergency medical services by patients with suspected acute primary healthcare problems: developing a questionnaire to measure patient trust in healthcare

Norberg-Boysen

Christensson

Wireklint-Sundström

et al. 2016

EJPCH

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Rationale, aims and objectives: The objective of this study was to develop a questionnaire measuring the level of trust and its constituents in patients calling the Emergency Medical Services (EMS) for suspected acute primary healthcare problems. The questionnaire is called the Patient Trust Questionnaire (PTQ). The following frontline service providers were involved: (1) The Dispatch Centre, (2) the Emergency Medical Services, and (3) the receiving unit (Emergency Department/Healthcare Centre). Method: Cross-sectional data were collected repeatedly and redundant items were discarded using a step-by-step approach. Based on a literature review, the PTQ was developed in line with the following 4-step procedure: (1) Item construction, (2) a face-to-face evaluation of separate items, (3) an empirical pre-evaluation targeting each separate frontline service provider and (4) an empirical full-scale evaluation. The inclusion criteria for participating were that the patient must be 18 years of age or older and suspected having an acute primary healthcare problem when calling the EMS. In the final full-scale evaluation of the questionnaire, 427 patients were included. Results: A set of 8 items with good psychometric properties remained through the developing procedure. Two constituents of trust emerged (labelled credibility and accessibility), which were robust across all frontline service providers. Conclusion: A new measuring instrument has been developed for this particular healthcare chain, for patients with suspected acute primary healthcare problems calling the EMS.Although not yet validated, the PTQ is a potentially useful tool in future healthcare research with reference to the concept of patient trust.

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Section: Discussionsupporting

confidence: 56%

Use of the emergency medical services by patients with suspected acute primary healthcare problems: developing a questionnaire to measure patient trust in healthcare

Norberg-Boysen

Christensson

Wireklint-Sundström

et al. 2016

EJPCH

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“…28 The association between continuity, patient trust and satisfaction has been previously discussed in the literature. 6,37 Trust in the treating primary care physician has been shown to be positively associated with patient satisfaction, the duration of the doctor-patient relationship and the number of visits to the physician. 37 The GPR, with a relatively brief period of time in a practice, is unlikely to have the opportunity to establish the level of trust that his/her supervisors have previously established.…”

Section: Patient Trustmentioning

confidence: 99%

“…6,37 Trust in the treating primary care physician has been shown to be positively associated with patient satisfaction, the duration of the doctor-patient relationship and the number of visits to the physician. 37 The GPR, with a relatively brief period of time in a practice, is unlikely to have the opportunity to establish the level of trust that his/her supervisors have previously established. In the GPRs' favour is the description of 'institutional trust', whereby the patients' trust in a medical facility carried over to include trust in the staff of the facility.…”

Section: Patient Trustmentioning

confidence: 99%

Patients’ Attitudes to General Practice Registrars: A Review of the Literature

Bonney

Phillipson

Reis

et al. 2009

Education for Primary Care

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Introduction With the population ageing, it is imperative for training practices to provide GP registrars with sound experience in managing the health problems of older persons, especially chronic conditions. However, it is reported that a significant proportion of these patients will be resistant to consulting registrars, with concerns regarding disruption of continuity of care being a significant factor. The challenge for training practices is to identify approaches to engage registrars in the management of older patients whilst maintaining patient satisfaction. This paper presents a review of the literature on patient attitudes to general practice registrars to better understand the nature and magnitude of the challenge, and to identify important research gaps. Methods Major electronic medical literature databases were searched for relevant articles using search terms including general practice, registrar, doctor-patient relationship, patient attitudes and elderly, for the period from 1980 to March 2009. The studies were analysed by methodology, content and theme. Results A total of 15 studies were identified that directly addressed patients' attitudes to GP registrars. Whilst there appeared an overall high acceptance of registrars by patients, increasing patient age was associated with more negative attitudes towards registrars, reduced trust and decreased satisfaction with communication. Presentations for chronic or emotional problems were associated with reduced willingness to consult registrars. Patients generally appreciated an ongoing involvement with their usual GP. Discussion These findings have implications for training practices and research directions. Demonstrating continuity of care through shared chronic disease management between supervisors and registrars is a possible model that meets registrars training and continuity needs. There is a need for quality research on the type and magnitude of problems affecting GP registrar encounters with older patients and, based on results from these studies to, create and assess models of registrar training involving older patients, that meet patients' needs for continuity of care.

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“…Wake Forest Physician Trust Scale (Hall et al, 2002a) This scale was used to assess level of trust in one's physician. The scale is strongly correlated with desire to stay with a physician, satisfaction with that physician, willingness to recommend the physician to friends (desire to switch physicians: r = −0.69, satisfaction: r = 0.76, recommend to friends: r = 0.74).…”

Section: Disclosure Questionnairementioning

confidence: 99%

Heteronormativity and practitioner–patient interaction

Utamsingh

Richman

Martin

et al. 2015

Health Communication

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Heteronormativity is the presumption of heterosexuality as the default sexual orientation and can result in discrimination against the lesbian, gay, and bisexual (LGB) population. This study serves as one of the first experimental studies to examine heteronormative perceptions in communication and their effects on practitioner-patient relationships.LGB participants were randomly assigned to read either heteronormative or non-heteronormative vignettes of a doctor-patient interaction. They then indicated how much health-relevant information they would disclose to the doctor in the vignette and their level of trust in the doctor. In the heteronormative condition, participants were less likely to disclose healthrelevant information to the doctor in the vignette and were less trustful of the doctor as compared to those in the non-heteronormative condition. These results have important health implications, as lack of disclosure and trust may prevent people from getting needed care and prevent doctors from giving the best health advice possible. The results of this study provide further evidence that there is a need for more education for all health care professionals to feel comfortable while respectfully communicating with and treating patients who do not identify as heterosexual in order to ensure the best health care experience.

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Measuring Patients’ Trust in their Primary Care Providers

Cited by 523 publications

References 47 publications

Use of the emergency medical services by patients with suspected acute primary healthcare problems: developing a questionnaire to measure patient trust in healthcare

Use of the emergency medical services by patients with suspected acute primary healthcare problems: developing a questionnaire to measure patient trust in healthcare

Patients’ Attitudes to General Practice Registrars: A Review of the Literature

Heteronormativity and practitioner–patient interaction

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