Measuring patients' trust in their primary care providers
Measuring patients' trust in their primary care providers
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DOI：
10.1177/1077558702059003004
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发表时间：
2002-09-01
影响因子：
2.5
通讯作者：
Balkrishnan, R
中科院分区：
文献类型：
--
作者：
Hall, MA;Zheng, BY;Balkrishnan, R
现有的衡量对医生信任的量表内容不同，测试也有限。为了改进这些措施，在详细的概念模型和专家审查之后，产生了一个大型项目池（n = 78）。在试点测试之后，用一个随机的国家样本（n = 9）和一个地区的HMO成员样本（n = 99）来验证表现最好的项目。各种心理测试产生了一个10项的单维量表，与概念模型的大多数方面一致。与以前的量表相比，维克森林医生信任量表在内部一致性、可变性和可辨别性方面有所改善。该量表与满意度、继续看医生的愿望、向朋友推荐的意愿以及不寻求第二意见的相关性更强；它与保险公司的信任、管理医疗的成员资格和医生选择的相关性较小；相关性等同于没有纠纷，关系的长度和访问次数。
Existing scales to measure trust in physicians have differing content and limited testing. To improve on these measures, a large item pool (n = 78) was generated following a detailed conceptual model and expert review. After pilot testing, the best-performing items were validated with a random national sample (n = 9) and a regional sample of HMO members (n = 99). Various psychometric tests produced a 10-item unidimensional scale consistent with most aspects of the conceptual model. Compared with previous scales, the Wake Forest physician trust scale has a somewhat improved combination of internal consistency, variability, and discriminability. The scale is more strongly correlated with satisfaction, desire to remain with a physician, willingness to recommend to friends, and not seeking second opinions; it is less correlated with insurer trust, membership in managed care, and choice of physician; and correlations are equivalent with lack of disputes, length of relationship, and number of visits.