Degree and correlates of patient trust in their cardiologist
Degree and correlates of patient trust in their cardiologist
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DOI：
10.1111/j.1365-2753.2008.01064.x
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发表时间：
2009-08-01
影响因子：
2.4
通讯作者：
Grace, Sherry L.
中科院分区：
文献类型：
--
作者：
Kayaniyil, Sheena;Gravely-Witte, Shannon;Grace, Sherry L.
理由和目标对医生的信任与增加治疗依从性、患者满意度和改善健康状况有关。本研究探讨了患者的信任，在他们的心脏specialist.MethodsAll 386城市心脏病学家在南安大略（95参与，响应率= 30%）的水平和相关因素进行了探讨，招募他们的冠状动脉疾病门诊病人的样本。共有1111例近期和连续患者同意参加（每名心脏病专家约13例患者，317名女性（26.7%）;应答率= 60%），临床数据从他们的病历中提取。参与者完成了邮寄的调查，包括信任医生规模，除了社会人口，临床和心理社会correlations.ResultsThe平均信任分数的评估是相当于在初级保健患者的研究报告。显著性多变量模型的结果（F = 7.631，P < 0.001）显示文化程度低者（P < 0.001），收缩压升高（P = 0.022），感知的周期性/不可预测疾病时间轴较少（P = 0.007）和更大的个人控制他们的心脏状况（P = 0.004），有显着的相关性，更大的信任，在心脏病学家care.ConclusionsThe意义的教育是证实了调查结果的满意度较低的心脏护理之间的社会经济地位较高，尽管在安大略有更多的机会获得护理。此外，高血压和更大的信任之间的关系可能表明，这种看法不是基于医生的能力。未来的研究应该进一步调查信任的相关性，以及信任对心脏健康结果的影响。
Rationale and objectivesTrust in one's doctor has been associated with increased treatment adherence, patient satisfaction and improved health status. This study investigated the level and correlates of patient trust in their cardiac specialist.MethodsAll 386 urban cardiologists in Southern Ontario (95 participating, response rate = 30%) were approached to recruit a sample of their coronary artery disease outpatients. A total of 1111 recent and consecutive patients consented to participate (approximately 13 patients per cardiologist, 317 female (26.7%); response rate = 60%), and clinical data were extracted from their medical charts. Participants completed a mailed survey including the Trust in Physicians scale, in addition to an assessment of socio-demographic, clinical and psychosocial correlates.ResultsThe mean trust score was equivalent to that reported in studies of primary care patients. Results of the significant multivariate model (F = 7.631, P < 0.001) revealed that less education (P < 0.001), higher systolic blood pressure (P = 0.022), less perceived cyclical/unpredictable illness timeline (P = 0.007) and greater perceived personal control over their heart condition (P = 0.004), were significant correlates of greater trust in cardiologist care.ConclusionsThe significance of education is corroborated by findings of lower satisfaction with cardiac care among those of higher socio-economic status, despite having generally greater access to care in Ontario. Moreover, the relationship between hypertension and greater trust may suggest that such perceptions are not based on doctor competence. Future studies should further investigate the correlates of trust, as well as the impact of trust on cardiac health outcomes.