The Association of Provider Communication with Trust among Adults with Sickle Cell Disease
The Association of Provider Communication with Trust among Adults with Sickle Cell Disease
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DOI：
10.1007/s11606-009-1247-7
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发表时间：
2010-06-01
影响因子：
5.7
通讯作者：
Beach, Mary Catherine
中科院分区：
文献类型：
--
作者：
Haywood, Carlton, Jr.;Lanzkron, Sophie;Beach, Mary Catherine
患有镰状细胞病的成年人经常报告人际保健经历差，包括与提供者沟通不良。然而，这些经历对患者信任的影响尚不清楚。目的：确定镰状细胞病患者对以往医护人员沟通质量的评分与当前对医疗专业的信任之间的关系。横断面调查。共有95名成人镰状细胞病患者。医疗保健计划与系统消费者评估调查中的四项提供者沟通子量表医学职业量表的五项韦克森林信托。对以前与医生沟通的评价越高，对医疗专业的信任度就越高。在调整了患者层面的人口学、临床和态度特征后，提供者沟通评分增加10%与信任评分增加3.76%相关（p < 0.001, 95% CI[1.76%, 5.76%]）。镰状细胞病患者对医疗服务提供者沟通的评分较差与对医疗专业的信任度较低有关。未来的研究应该检查低信任度对这类患者临床结果的影响。
Adults with sickle cell disease often report poor interpersonal healthcare experiences, including poor communication with providers. However, the effect of these experiences on patient trust is unknown.To determine the association between patient ratings of the previous quality of provider communication and current trust in the medical profession among adults with sickle cell disease.Cross-sectional survey.A total of 95 adults with sickle cell disease.The four-item Provider Communication Subscale from the Consumer Assessment of Healthcare Plans and Systems Survey; The five-item Wake Forest Trust in the Medical Profession Scale.Better ratings of previous provider communication were significantly associated with higher levels of trust toward the medical profession. A 10% increase in provider communication rating was associated with a 3.76% increase in trust scores (p < 0.001, 95% CI [1.76%, 5.76%]), adjusting for patient-level demographic, clinical, and attitudinal characteristics.Poorer patient ratings of provider communication are associated with lower trust toward the medical profession among adults with sickle cell disease. Future research should examine the impact of low trust in the medical profession on clinical outcomes in this population of patients.