Public Trust in Healthcare System in Iran: A Rapid Assessment During the COVID-19 Epidemic in Iran

Lankarani, Kamran Bagheri; Imanieh, Mohammad Hadi; Hassani, Amir Hossein; Vardanjani, Hossein Molavi

doi:10.34172/ijer.2021.27

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…As active personnel in the healthcare system of Iran, medical students might also lose their trust in the national healthcare system. This loss of trust, combined with low faith in the healthcare system by people, could have dire consequences, such as the total collapse of healthcare in Iran (47).…”

Section: Discussionmentioning

confidence: 99%

Fear and Empathy with COVID-19 Patients Among Medical Students

et al. 2023

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Background: The COVID-19 pandemic has induced fear and mental health problems in the community and among healthcare workers. Empathy with patients may be difficult in such situations due to urgent conditions. Objectives: We aimed to evaluate medical students’ empathy and fear toward COVID-19 patients during the pandemic. Methods: This cross-sectional study recruited 107 medical students from Shiraz Medical School in 2021. A Persian version of the Jefferson Scale of Physician Empathy (JSPE) was used to assess the participants’ empathy toward COVID-19 patients. The internal validity of the Persian version of JSPE was 0.78, and its test-retest reliability after 14 days was 0.92 in a previous study. The participants were requested to fill out a fear of COVID-19 scale (FCV-19S) previously developed to assess their fear of affliction with COVID-19. Since the normality of data distribution was not approved, we used nonparametric tests, namely, the Mann-Whitney U test and the Spearman correlation coefficient. Results: The mean empathy score based on the Persian version JSPE was 71.94 ± 12.83 out of 140, which was higher in male students and those who resided in dormitories. The mean fear score was 24.93 ± 6.16 out of 35. Participants living out of dormitories feared COVID-19 to a greater extent. No statistically significant association was found between the age of the participants and these two parameters. The Spearman correlation coefficient test showed that students with a history of COVID-19 had less fear and more empathy because of their experience with COVID-19 (r = -0.249, P-value = 0.02). Conclusions: This study highlights the impact of the pandemic on the interaction between medical students as healthcare professionals and patients by affecting medical students’ fear and empathy. The study indicates ways to improve readiness for future pandemics. Our study showed that living far away from families in dormitories may influence students’ fear and empathy. Moreover, empathy, unlike fear, was affected by gender. A reverse correlation existed between fear and empathy in students with a history of COVID-19, indicating that the more they had empathy, the less they experienced fear.

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Section: Discussionmentioning

confidence: 99%

Fear and Empathy with COVID-19 Patients Among Medical Students

et al. 2023

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“…Researchers emphasized the possibility of overcoming the healthcare crisis by increasing public trust in it. In the study (Bagheri-Lankarani et al, 2021), the Iranian scientists assessed the level of trust in the health care system in Iran during the COVID-19 pandemic. The scholars found a negative impact of destructive rumors and public fears on trust.…”

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confidence: 99%

Current Trends in Research on Confidence in the Healthcare System

Litovtseva

Brychko

Srovnalíková

2022

HEM

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The sphere of trust in the health care system, which is actively developing in covid and postcovid conditions, is accompanied by a significant increase in the amount of scientific literature that requires detailed analysis. Accordingly, the primary purpose of this study is to conduct a multilevel bibliometric analysis of publications on trust in the health care system. This will provide a global picture of the phenomenon to determine the dynamic aspects of trends from a statistical point of view, using content-contextual, descriptive, comparative, cluster and evolutionary-temporal analysis. The methodological basis of the study is a set of scientific publications indexed in the scientometric database Scopus, which was analyzed using analytical tools ScopusTools and VOSViewer. A total of 1,134 articles published between 1999 and the second quarter of 2022 were analyzed. The results show a growing trend in the spread of research on trust in the health care system. According to the results, five stages of scientific development of the researched subject were identified, in particular, the last one is characterized by extremely high research interest and covers the period from 2020 to the second quarter of 2022. The geographic center of research is the United Kingdom, and a significant contribution to the development of trust research in the health care system has been made by scientists in the United States, Australia and Canada. The analysis of the sectoral structure of financial sector trust research shows a weak diversification, and a comparative analysis of publications shows a close link between the concepts of trust in the health care system, vaccination and COVID-19. Cluster analysis identified five main groups of research. The results of evolutionary-temporal analysis show that at the beginning of scientific interest, research focused on interpersonal relationships between doctors and patients, and the latest area of research is to study the impact of trust on public decision-making on vaccination and other preventive measures. Thus, the study results showed that trust is one of the most crucial components in ensuring an effective health policy.

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Sağlık Bakım Sistemine Duyulan Güven Düzeyinin Belirlenmesi

Bayın Donar,

Hancıoğlu Başköy,

Arslan

et al. 2024

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Bu çalışmanın amacı, Türk toplumunun sağlık bakım sistemine duyduğu güven düzeyini belirlemektir. Araştırmanın evrenini Türkiye’de yaşayan 20-74 yaş aralığındaki bireyler oluşturmuş ve online form aracılığıyla 1020 kişiye ulaşılmıştır. Veri; Sosyodemografik Özellikler Formu ve Sağlık Bakım Sistemine Çok Boyutlu Güven Ölçeği aracılığıyla toplanmıştır. Katılımcıların ölçek puan ortalaması 56,32±10,65 olup orta düzeydedir. Sağlık bakım sistemine güven düzeyi; eğitim düzeyi, gelir durumu, düzenli olarak doktor kontrolüne gitme durumu ve sağlık çalışanı yakını bulunma değişkenlerine göre istatistiksel olarak anlamlı farklılıklar göstermektedir. Politika yapıcıların, güvenin oluşmasına ve sürdürülmesine katkı sağlayan bu ve benzeri araştırmalarda belirlenen çeşitli faktörleri inceleyerek etkili stratejiler geliştirmesi önerilmektedir. Bu kapsamda özellikle sağlık hizmetinin kalitesi ve hasta hakları alanlarında iyileştirme yapılmasının güven üzerinde olumlu etki yaratacağı düşünülmektedir. Sağlık hizmeti kullanımı deneyimi arttıkça sağlık sistemine güven düzeyinin de arttığı dikkate alındığında sağlık hizmetlerine erişim üzerinde etkili olan sağlıkta eşitsizliğe ilişkin ekonomik ve sosyal faktörlerin tespiti ve bu kapsamda iyileştirme yapılması, güven düzeyi zaman içerisinde değişiklik gösterebileceği için toplumun sağlık bakım sistemine güven düzeyinin belirli aralıklarla ölçülmesi önerilmektedir.

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Public Trust in Healthcare System in Iran: A Rapid Assessment During the COVID-19 Epidemic in Iran

Cited by 3 publications

References 28 publications

Fear and Empathy with COVID-19 Patients Among Medical Students

Fear and Empathy with COVID-19 Patients Among Medical Students

Current Trends in Research on Confidence in the Healthcare System

Sağlık Bakım Sistemine Duyulan Güven Düzeyinin Belirlenmesi

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