How can trust be investigated? Drawing lessons from past experience

How can trust be investigated? Drawing lessons from past experience
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DOI:
10.1016/j.socscimed.2004.11.071
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发表时间:
2005-10-01
影响因子:
5.4
通讯作者:
Gilson, L
Gilson, L
中科院分区:
医学2区
文献类型:
--
作者:
Goudge, J;Gilson, L

文献摘要

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虽然近年来信任的概念在公众辩论和学术分析中越来越受欢迎,但它仍然被许多人认为难以定义,因此难以调查。在本文中,我们提供了指导,如何进行未来的工作,在卫生部门的信任,通过审查在早期的研究中使用的方法。本文借鉴了一系列现有的文献,从不同的学科角度研究了不同环境下的信任,并提出了信任的适当定义是高度依赖于上下文的。在对信任如何发挥作用知之甚少的地方,探索受访者如何看待信任和“信任”行为的定性研究在定量调查之前很重要。定性调查的结果有利于发展和完善的假设如何信任的功能,并可用于生成问题,用于结构化问卷。定量调查是有价值的,因为它允许更大规模的调查,并产生可用于评估不同决定因素对整体信任水平的统计意义的数据。审查表明,试图使用现有数据来回答新的研究问题,而不确保受访者的回答涉及调查中的信任形式,可能会导致使用不适当的数据。在这方面,它强调需要测试现有的研究工具,以确保它们仍然有效和相关,并在不同的环境中保持其可靠性。虽然特定关系似乎有共同的结构特征,可以开发国际测量工具,供不同地理位置的同类环境使用,但文化差异可能使这些工具无效。因此,需要对这种差异进行具体调查,以探讨调查信任的国际工具的潜在有效性。(c)2005爱思唯尔有限公司保留所有权利。
Although the concept of trust has gained popularity in public debate and academic analysis over recent years, it continues to be regarded by many as difficult to define and so to investigate. In this paper we provide guidance on how to conduct future work on trust in the health sector, by reviewing the methods used in earlier studies. The paper draws on a range of the available literature which investigates trust in different settings from a variety of disciplinary perspectives.The review suggests that appropriate definitions of trust are highly context dependent. Where little is known about how trust functions, qualitative research to explore how respondents view trust and 'trusted' behaviour is important in advance of quantitative investigation. The results of qualitative inquiry facilitate the development and refinement of hypotheses about how trust functions and can be used to generate questions for use in structured questionnaires. Quantitative inquiry is valuable because it allows larger scale investigation and generates data that can be used, for example, to assess the statistical significance of different determinants to overall levels of trust. The review indicates that trying to use existing data to answer a new research question, without ensuring that respondents' answers refer to the form of trust under investigation, may lead to the generation of use of inappropriate data. In this respect, it highlights the need to test pre-existing research tools to ensure that they remain valid and relevant and retain their reliability in different settings. Although there may appear to be common structural features of specific relationships that might allow international measurement tools to be developed for use in the same type setting across geographical locations, cultural differences might invalidate such tools. Specific investigation of such differences is, therefore, needed to explore the potential validity of international tools for investigating trust. (c) 2005 Elsevier Ltd. All rights reserved.