Public trust in the healthcare system in a developing country
Public trust in the healthcare system in a developing country
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DOI：
10.1002/hpm.2280
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发表时间：
2016-04-01
影响因子：
2.7
通讯作者：
Youssef, Farid F.
中科院分区：
文献类型：
--
作者：
Peters, Dexnell;Youssef, Farid F.
广义而言，对医疗保健系统的信任涉及公众如何看待该系统以及其中的参与者，因为这关系到他们提供服务以及为其服务对象谋求最佳利益的能力。信任很重要，因为它影响一系列健康行为，包括依从性，并最终影响医疗保健系统实现其目标的能力。虽然在发达国家有一些关于公众信任的研究，但在发展中国家很少有研究探讨这一问题。因此，本文评估了一个发展中小岛国特立尼达和多巴哥的公众对其医疗保健系统的信任。使用一份在欧洲已成功使用的问卷对成年人进行了横断面调查。我们报告称，特立尼达和多巴哥医疗保健系统的信任水平相对较低，只有不到50%的人表示对医疗保健系统有一定程度的信任。此外，个体医疗专业人员的得分也不高，护士和辅助治疗师的得分最低。在信任的五个维度中的四个维度上的结果也显示，得分明显低于更发达国家所报告的得分。开放式评论支持了这些发现，大多数人表示对医疗保健系统缺乏信心。这些结果可能反映了更广泛的发展中世界的现实，我们建议，增强信任是全国医疗保健服务提供中需要关注的一个领域。版权所有(C) 2014约翰威立父子有限公司
Broadly defined, trust in the healthcare system is concerned with how the public perceives the system and the actors therein as it pertains to their ability to both deliver services and seek the best interests of their clientele. Trust is important because it impacts upon a range of health behaviors including compliance and ultimately affects the ability of the healthcare system to meet its goals. While several studies exist on public trust within the developed world, few studies have explored this issue in developing countries. This paper therefore assesses public trust in the healthcare system of a developing small island nation, Trinidad and Tobago. A cross-sectional survey of adults was conducted using a questionnaire that has been successfully used across Europe. We report that trust levels in the healthcare system in Trinidad and Tobago are relatively low with less than 50% of persons indicating fair trust in the healthcare system. In addition, individual health professionals also did not score highly with lowest scores found for nurses and complementary therapists. Results on four out of five dimensions of trust also demonstrated scores significantly lower than those reported in more developed nations. Open-ended comments supported these findings with the majority of persons indicating a lack of confidence in the healthcare system. These results may reflect the reality in the wider developing world, and we suggest that bolstering trust is a needed area of focus in the delivery of healthcare services throughout the nation. Copyright (C) 2014 John Wiley & Sons, Ltd.