Degree and correlates of patient trust in their cardiologist

被引:22
作者
Kayaniyil, Sheena [1 ]
Gravely-Witte, Shannon [1 ]
Stewart, Donna E. [2 ,3 ,4 ,5 ,6 ,7 ,8 ]
Higginson, Lyall [9 ]
Suskin, Neville [10 ,11 ]
Alter, David [6 ,12 ]
Grace, Sherry L. [1 ,2 ]
机构
[1] York Univ, Dept Kinesiol & Hlth Sci, Toronto, ON M3J 1P3, Canada
[2] Univ Hlth Network, Womens Hlth Program, Toronto, ON, Canada
[3] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[4] Univ Toronto, Dept Obstet & Gynecol, Toronto, ON, Canada
[5] Univ Toronto, Dept Surg, Toronto, ON, Canada
[6] Univ Toronto, Dept Med, Toronto, ON, Canada
[7] Univ Toronto, Dept Anesthesia, Toronto, ON, Canada
[8] Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada
[9] Univ Ottawa, Inst Heart, Div Cardiol, Dept Med, Ottawa, ON, Canada
[10] Univ Western Ontario, Dept Med, Div Cardiol, London, ON, Canada
[11] London Hlth Sci Ctr, Cardiac Rehabil & Secondary Prevent Program, London, ON, Canada
[12] Inst Clin Evaluat Sci, Toronto, ON, Canada
基金
加拿大健康研究院;
关键词
cardiologists; health care; heart disease; patient trust; SOUTH ASIANS; FUNCTIONAL-CAPACITY; INTERPERSONAL-TRUST; ETHNIC DISPARITIES; PHYSICIANS; GENDER; SATISFACTION; RATINGS; PAYMENT; TESTS;
D O I
10.1111/j.1365-2753.2008.01064.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Rationale and objectives Trust 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. Methods All 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. Results The 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. Conclusions The 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.
引用
收藏
页码:634 / 640
页数:7
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