An exploration of patients' trust in physicians in training
An exploration of patients' trust in physicians in training
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DOI：
10.1353/hpu.2004.0018
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发表时间：
2004-05-01
影响因子：
1.4
通讯作者：
Extrom, P
中科院分区：
文献类型：
--
作者：
Bonds, DE;Foley, KL;Extrom, P
确定了与患者信任相关的几个特征。为了确定弱势环境患者对其初级保健住院医师的信任程度，并确定预测信任的患者和医生特征，我们对随机选择的由内科住院医师组成的学术医疗中心的初级保健患者进行了一项调查。参与者都是成年人。该小组种族多样（50%非白人），讲英语，来自社会经济地位较低的群体。这份10页的调查包括7个部分（医生信任量表、患者人口统计、患者健康和幸福、医患关系特征、全球医生信任量表和医生特征）。初级保健提供者的平均信任得分为42.70（标准差[SD] 6.20，最大可能值为50）。患者信任与参与者的女性性别、受教育程度、男性医师、医患性别一致性相关，与患者年龄呈负相关。对诊所所在医院的医生和护士的信任也与信任呈正相关。与文献中讨论的高社会经济群体的患者相比，这些低社会经济群体的患者具有相对较高的信任水平。
Several characteristics associated with patient trust are identified. To determine the level of trust patients from disadvantaged circumstances have in their primary care resident physician, and to determine patient and physician characteristics that predict trust, we administered a survey to randomly selected primary care patients of an academic medical center staffed by internal medicine residents after a visit to their primary care provider. Participants were adults. The group was racially diverse (50% non-white), English-speaking, and from lower socioeconomic groups. The 10-page survey consisted of 7 sections (Physician Trust Scale, Patient Demographics, Patient Health and Well-Being, Patient-Physician Relationship Characteristics, Global Doctor Trust Scale, and Physician Characteristics). The average trust score for primary care providers was 42.70 (standard deviation [SD] 6.20, maximum possible 50). Patient trust was associated with female gender of the participant, higher education level, male physician, and gender concordance between physician and patient, and was inversely related to patient age. Trust in the doctors and nurses at the hospital in which the clinic was located also had a positive association with trust. These patients from lower socioeconomic groups had relatively high levels of trust compared with patients from higher socioeconomic groups discussed in the literature.