Predictors of health care system and physician distrust in hospitalized cardiac patients.
Predictors of health care system and physician distrust in hospitalized cardiac patients.
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DOI：
10.1080/10810730.2014.934936
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发表时间：
2014
影响因子：
4.4
通讯作者：
Vanderbilt Inpatient Cohort Study (VICS)
中科院分区：
文献类型：
--
作者：
Gupta C;Bell SP;Schildcrout JS;Fletcher S;Goggins KM;Kripalani S;Vanderbilt Inpatient Cohort Study (VICS)
患者、医生和医疗保健系统之间的信任关系对于鼓励心血管患者的自我保健行为非常重要。该研究旨在评估该人群中医疗保健系统和医生不信任的普遍程度，比较两种形式的不信任，并描述高度不信任的人口、社会经济和心理社会预测因素。 1232 名患有急性冠脉综合征或心力衰竭的住院成人参与了一项前瞻性观察性研究，评估医疗保健系统和医生的不信任。整个人群对医疗保健系统的不信任程度很高（35%），而人际医生的不信任程度较低（16%）。在多变量分析中，不良的社会支持和应对技能是医疗保健系统（p = 0.026，p = 0.003）和医生不信任（p <0.001，p = 0.006）的强烈预测因素。健康素养较低或处于边缘的个体对医生不信任的可能性较高（p <0.001），但健康素养与医疗保健系统不信任之间没有发现任何关系。总之，不信任在急性心脏病患者中很常见。那些社会支持度低和应对技能低的人更不信任医生和医疗保健系统。
A trusting relationship between patients, physicians, and the healthcare system is important in encouraging self-care behaviors in cardiovascular patients. The study aimed to assess the prevalence of healthcare system and physician distrust in this population, compare the two forms of distrust, and describe the demographic, socioeconomic, and psycho-social predictors of high distrust. 1232 hospitalized adults with acute coronary syndrome or heart failure were enrolled in a prospective, observational study assessing both healthcare system and physician distrust. High healthcare system distrust (35%) was observed across the population, with lower levels of interpersonal physician distrust (16%). In a multivariate analysis, poor social support and coping skills were strong predictors of both healthcare system (p = 0.026, p = 0.003) and physician distrust (p <0.001, p = 0.006). Individuals with low or marginal health literacy had a higher likelihood of physician distrust (p <0.001), but no relationship was found between health literacy and healthcare system distrust. In conclusion, distrust is common among acutely ill cardiac patients. Those with low social support and low coping skills are more distrusting of physicians and the healthcare system.
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影响因子：
37.8
作者：
Go AS;Mozaffarian D;Roger VL;Benjamin EJ;Berry JD;Blaha MJ;Dai S;Ford ES;Fox CS;Franco S;Fullerton HJ;Gillespie C;Hailpern SM;Heit JA;Howard VJ;Huffman MD;Judd SE;Kissela BM;Kittner SJ;Lackland DT;Lichtman JH;Lisabeth LD;Mackey RH;Magid DJ;Marcus GM;Marelli A;Matchar DB;McGuire DK;Mohler ER 3rd;Moy CS;Mussolino ME;Neumar RW;Nichol G;Pandey DK;Paynter NP;Reeves MJ;Sorlie PD;Stein J;Towfighi A;Turan TN;Virani SS;Wong ND;Woo D;Turner MB;American Heart Association Statistics Committee and Stroke Statistics Subcommittee
通讯作者：
American Heart Association Statistics Committee and Stroke Statistics Subcommittee
DOI：
10.1111/j.1365-2753.2008.01064.x
发表时间：
2009-08-01
影响因子：
2.4
作者：
Kayaniyil, Sheena;Gravely-Witte, Shannon;Grace, Sherry L.
通讯作者：
Grace, Sherry L.
影响因子：
1.4
作者：
Bonds, DE;Foley, KL;Extrom, P
通讯作者：
Extrom, P
DOI：
10.1161/circoutcomes.109.883256
发表时间：
2009-09-01
影响因子：
6.9
作者：
Krumholz, Harlan M.;Merrill, Angela R.;Drye, Elizabeth E.
通讯作者：
Drye, Elizabeth E.
影响因子：
5.7
作者：
Chew, Lisa D.;Griffin, Joan M.;VanRyn, Michelle
通讯作者：
VanRyn, Michelle