Parental trust in health care—a prospective study from the Children's Cancer Hospital in Egypt

Abstract

Parents being met with care by the child's physicians at the beginning of the child's chemotherapy treatment develop an increased trust in the medical care.

Adherence to medication: A nation-wide study from the Children’s Cancer Hospital, Egypt

“…Non-adherence to medication in Egypt study made by Safran et al [25] , trust was found to be a key element in the patient-physician relationship and older patients who trust their physician were among those who complied best with the medical regimen. We have previously reported a lack of trust towards the child's physicians and the health care professionals in our study group [16] . We can now show that adherence to prescribed medical regiment was more commonly reported in parents who trusted the physicians and the health-care professionals ( Figure 2C).…”

“…Working in accordance with the methodology of study preparation established at the Division of Clinical Cancer Epidemiology, a methodology described in detail in several articles [16,[19][20][21][22][23] , we developed two study-specific questionnaires. The study preparation included conducting in-depth interviews (n = 29) with parents of children newly diagnosed with and undergoing cancer treatment at the paediatric oncology wards in three governmental hospitals in Cairo, Egypt.…”

“…Disagreement with or low trust in the clinicians, lack of adequate medical information, and the desire to manage the situation independent of the medical profession (self-efficacy) are predictors for nonadherence in patients [15] . In a study addressing trust in health-care and children's physicians in the paediatric oncology setting, El Malla et al [16] found that provision of information is a strong predictor of trust in health-care. In particular, being provided with information about the disease and treatment in a kind and thoughtful way and being met with care were predictors of trust.…”

“…Parents who felt they were given the opportunity to communicate with the child's physician, and who felt they had the chance to express thoughts and concerns at the start of treatment were more likely to trust the medical caregivers. Furthermore, parents who reported that they felt that their emotional and intellectual needs were met to at least a moderate degree at the start of treatment were more likely to report trust [16] . Locus of control has been previously addressed in the literature in relation to adherence.…”

Advances in Pediatric Oncology- a Five-Year Nation-Wide Survival follow-up at Children’s Cancer Hospital in Egypt

“…Nevertheless, this is the first psychosocial study conducted at CCHE and, to our knowledge, the only prospective study within this field in the Arab World in which data has been collected on more than one occasion and with a five-year follow-up. In summary, we found that mother's level of education was statistically significant predictor of child mortality at the CCH in Egypt [12][13][14].…”