An integrative review of promoting trust in the patient–primary care provider relationship

Murray, Billie; McCrone, Susan

doi:10.1111/jan.12502

Cited by 148 publications

(138 citation statements)

References 96 publications

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“…'s () study, for example, showed that social isolation was a significant predictor of re‐hospitalisation for socially isolated older American veterans. On the other hand, strong patient–physician relationships are associated with greater medication adherence (Wroth & Pathman ), and patients with high trust in their healthcare providers have shown improved health outcomes, particularly in the area of chronic disease management (Murray & McCrone ). Care provided within a community context in particular has been shown to be more person‐focused, which is congruent with patient‐reported quality and satisfaction with care (Flocke et al .…”

Section: Discussionmentioning

confidence: 99%

It ‘makes you feel more like a person than a patient’: patients’ experiences receiving home-based primary care (HBPC) in Ontario, Canada

Smith-Carrier

Sinha

Nowaczynski

et al. 2016

Health Soc Care Community

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The lack of effective systems to appropriately manage the health and social care of frail older adults - especially among those who become homebound - is becoming all the more apparent. Home-based primary care (HBPC) is increasingly being promoted as a promising model that takes into account the accessibility needs of frail older adults, ensuring that they receive more appropriate primary and community care. There remains a paucity of literature exploring patients' experiences with HBPC programmes. The purpose of this study was to explore the experiences of patients accessing HBPC delivered by interprofessional teams, and their perspectives on the facilitators and barriers to this model of care in Ontario, Canada. Using certain grounded theory principles, we conducted an inductive qualitative content analysis of in-depth patient interviews (n = 26) undertaken in the winter of 2013 across seven programme sites exploring the lived experiences and perspectives of participants receiving HBPC. Themes emerged in relation to patients' perceptions regarding the preference for and necessity of HBPC, the promotion of better patient care afforded by the model in comparison to office-based care, and the benefits of and barriers to HBPC service provision. Underlying patterns also surfaced related to patients' feelings and emotions about their quality of life and satisfaction with HBPC services. We argue that HBPC is well positioned to serve frail homebound older adults, ensuring that patients receive appropriate primary and community care - which the office-based alternative provides little guarantee - and that they will be cared for, pointing to a model that may not only lead to greater patient satisfaction but also likely contributes to bettering the quality of life of a highly vulnerable population.

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Section: Discussionmentioning

confidence: 99%

It ‘makes you feel more like a person than a patient’: patients’ experiences receiving home-based primary care (HBPC) in Ontario, Canada

Smith-Carrier

Sinha

Nowaczynski

et al. 2016

Health Soc Care Community

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“…Given the absence of a gold standard for measuring trust, we explore the “performance” of both measures of patient trust by examining their construct validity. In their comprehensive review of the literature, Murray and McCrone () summarise a series of patient and provider characteristics expected to be associated with patient trust. Table summarises the characteristics captured in this study and indicates the expected direction of their association with patient trust.…”

Section: Datamentioning

confidence: 99%

Measuring patient trust: Comparing measures from a survey and an economic experiment

2019

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Despite its importance in health care, empirical evidence on patient trust is limited. This is likely because, as with many complex concepts, trust is difficult to measure. This study measured patient trust in health care providers in a sample of 667 patients in Senegal. Two instruments were used to measure patient trust in providers: a survey questionnaire and an incentivised behavioural economic experiment—a “trust game.” The results show that the two measures are significantly, but weakly, associated. Using information from patients and providers, we find that continuity of care, provider communication ability, and clinical competence were positively associated with patient trust. Based on the results obtained from both methods, the trust game seems to have higher construct validity than the survey instrument in this context. This paper contributes to the methodological literature on patient trust and the evidence on the determinants of patient trust. It suggests that researchers interested in studying patient trust in providers should rely more on economic experiments and explore their validity in different contexts.

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“…Presence and taking time with the care‐seeker is crucial in the development of trust (Murray & McCrone, ), and the participants in our study described that the sense that the nurse took the time to listen inspired trust that the nurse had fully understood the situation. Therefore, participants could rely on the assessment and safely embrace the advice.…”

Section: Discussionmentioning

confidence: 84%

“…Participants appreciated the nurse sharing personal experience and wanted to feel that the nurse was an actual person, that is, a person who was on the same “level” as them. Showing familiarity, partnering, offering a thorough assessment and an effective treatment plan are strategies for overcoming the negative impact of the power imbalance in a trusting relationship (Murray & McCrone, ). The ability to take action and engage in self‐care activities meant exercising control over the symptoms, and receiving clear advice about what to do enabled care‐seekers to gain control and broadened their field of action.…”

Section: Discussionmentioning

confidence: 99%

Need for reassurance in self‐care of minor illnesses

Gustafsson

Sävenstedt

Martinsson

et al. 2018

Journal of Clinical Nursing

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An integrative review of promoting trust in the patient–primary care provider relationship

Cited by 148 publications

References 96 publications

It ‘makes you feel more like a person than a patient’: patients’ experiences receiving home-based primary care (HBPC) in Ontario, Canada

It ‘makes you feel more like a person than a patient’: patients’ experiences receiving home-based primary care (HBPC) in Ontario, Canada

Measuring patient trust: Comparing measures from a survey and an economic experiment

Need for reassurance in self‐care of minor illnesses

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