Measuring patients' trust in physicians when assessing quality of care.

@article{Thom2004MeasuringPT,
  title={Measuring patients' trust in physicians when assessing quality of care.},
  author={David H. Thom and Mark A. Hall and L. Gregory Pawlson},
  journal={Health affairs},
  year={2004},
  volume={23 4},
  pages={
          124-32
        }
}
Trust is a fundamentally important aspect of medical treatment relationships. Studies have established that patient trust predicts instrumental variables such as use of preventive services, adherence, and continued enrollment at least as well as satisfaction does, and is more salient for measuring the quality of ongoing relationships. Measuring trust would help to inform public policy deliberations and balance market forces that threaten the doctor-patient relationship. Several validated… 

Trust in Physicians as a Quality Improvement Measure

Patient experiences and patient-reported outcomes are increasingly used to measure quality of health care and these experiences need to be carefully evaluated while developing trust as a quality metric in health care.

Measuring patient-provider trust in a primary care population: refinement of the health care relationship trust scale.

The psychometric properties of the HCR Trust Scale were examined in a random sample of adult primary care patients; Thirteen of the original 15 items fit the data best; a single-factor structure explained 67% of the variance in patient-provider trust.

Toward a Better Understanding of Trust on Outcomes : The Case of Patient-Physician Encounters

  • Medicine
  • 2008
Studying a sample of 480 adult patients with type 2 diabetes, it was found that patients who trust their physicians were more likely to have stronger self-efficacy expectations and outcome expectations, which was associated with better treatment adherence and objective health outcomes.

Antecedents of Patient Trust in Health-Care Insurers

Applying service-marketing concepts, trust in physicians and satisfaction with insurers were the strongest predictors of trust in health-care insurers.

Trust in healthcare settings: Scale development, methods, and preliminary determinants

Results suggest that physician behaviors are important in influencing trust in patients and should be included in scales measuring trust.

Does patient trust promote better care?

It is found that Health Maintenance Organization (HMO) patients have significantly lower trust in their primary care physicians than those with more traditional coverage, and trust has no significant effect on perceived quality for non-HMO patients, but significantly improves perceived outcomes for HMO patients.

Measuring trust in the examination system: some insights from the medical profession and elsewhere

If the examination system is to maintain its credibility within society, it is imperative that awarding bodies and their regulator make efforts to understand, measure, and engender public trust.

Trust and Distrust in CPR Decisions

The role of trust in decision-making about cardiopulmonary resuscitation (CPR) is explored and it is essential that the CPR discussion itself does not undermine trust and cause harm to the patient.

Trust, Participation, and Performance in Public Administration

This paper suggests a framework for measuring trust in health care at the institutional level and for explaining the impact of structural variables on trust. The empirical study was conducted in
...

References

SHOWING 1-10 OF 33 REFERENCES

Managing patient trust in managed care.

This analysis of the interrelationship between patient-physician trust and some of the key facets of managed care has important implications for managed care.

Development of the Trust in Physician Scale: A Measure to Assess Interpersonal Trust in Patient-Physician Relationships

Research and clinical applications of the Trust in Physician scale are discussed, and trust was significantly related to patients' desires for control in their clinical interactions and subsequent satisfaction with care.

The impact of managed care on patients' trust in medical care and their physicians.

It is argued that managed care plans rather than physicians should be required to disclose financial arrangements, that limits be placed on incentives that put physicians at financial risk, and that professional norms and public policies should encourage clear separation of interests of physicians from health plan organization and finance.

Measuring Patients’ Trust in their Primary Care Providers

Compared with previous scales, the Wake Forest physician trust scale has a somewhat improved combination of internal consistency, variability, and discriminability.

Reciprocal trust in health care relationships.

It is argued that reciprocal trust is a necessary component of satisfying, effective health care relationships when the illness is of an ongoing nature and it is imperative for health care professionals to alter their traditional beliefs with regard to sick role and trust.

Training physicians to increase patient trust.

  • D. Thom
  • Medicine
    Journal of evaluation in clinical practice
  • 2000
This short training course in a group of self-selected physicians was not a sufficiently strong intervention to achieve the desired effect and suggestions are given for designing a stronger training intervention.

Trust: the scarcest of medical resources.

It is claimed that the doctor-patient relationship can be viewed as a vessel of trust, and there is a moral obligation to protect the doctor's relationship from the cost-containment mechanisms that compromise its ability to produce trust.

Patient trust in the physician: relationship to patient requests.

BACKGROUND Patient trust is a key component of the patient-physician relationship. A previous qualitative study has suggested that a low level of trust is associated with unfulfilled requests.

Trust and trustworthy care in the managed care era.

Limitations on all the fronts suggest the continuing importance of a strong fiduciary ethic on the part of physicians who make patient care decisions, and four possible sources of trustworthiness in managed care are discussed.

Linking primary care performance to outcomes of care.

Patients' trust in their physician and physicians' knowledge of patients are leading correlates of three important outcomes of care, including adherence to physician's advice, patient satisfaction, and improved health status.