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

Anderson, Lynda A.; Dedrick, Robert F.

doi:10.2466/pr0.1990.67.3f.1091

Cited by 650 publications

(650 citation statements)

References 15 publications

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“…15 Trust was assessed with two items adapted from the Trust in Physicians Scale. 16,17 Shared decision-making was assessed with two items modified from the Interpersonal Processes of Care Instrument, 18,19 one of which is similar to a CAHPS supplementary item (see Table 2 for specific item wording). 15,20 To simplify the survey and improve consistency across items, the time frame (last 12 months) and response choices ("never", "sometimes", "usually", and "always") from the CAHPS were employed for all items.…”

Section: Methodsmentioning

confidence: 99%

Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)

et al. 2014

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Section: Methodsmentioning

confidence: 99%

Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)

et al. 2014

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“…To develop our new scale, we modified an existing scale by modifying the wording of some items to refer specifically to the patient's physician. 17 Several new items related to confidentiality and reliability were included and tested. In addition, one other competency item was added and seven items were added that assessed patients' trust in their physicians to provide necessary care under various cost constraints and administrative restrictions.…”

Section: Methodsmentioning

confidence: 99%

Patients’ trust in their physicians

et al. 1998

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OBJECTIVE:To evaluate the extent to which physician choice, length of patient-physician relationship, and perceived physician payment method predict patients' trust in their physician. DESIGN:Survey of patients of physicians in Atlanta, Georgia. PATIENTS:Subjects were 292 patients aged 18 years and older. MEASUREMENTS AND MAIN RESULTS:Scale of patients' trust in their physician was the main outcome measure. Most patients completely trusted their physicians "to put their needs above all other considerations" (69%). Patients who reported having enough choice of physician ( p Ͻ .05), a longer relationship with the physician ( p Ͻ .001), and who trusted their managed care organization ( p Ͻ .001) were more likely to trust their physician. Approximately two thirds of all respondents did not know the method by which their physician was paid. The majority of patients believed paying a physician each time a test is done rather than a fixed monthly amount would not affect their care (72.4%). However, 40.5% of all respondents believed paying a physician more for ordering fewer than the average number of tests would make their care worse. Of these patients, 53.3% would accept higher copayments to obtain necessary medical tests. T rust is a fundamental aspect of the patient-physician relationship. 1-5 Even well-informed and knowledgeable patients have to rely on their physicians to provide them with appropriate information, keep personal information confidential, provide competent care, and act in their best interests. In spite of the importance of trust to the patient-physician relationship, there are few studies of the factors related to patients' trust in their physicians. CONCLUSIONS:One predictor of trust in social relationships is the length of those relationships, 6-8 and there is reason to believe this would hold for patient-physician relationships. 9 Having a choice of physician is important to many patients, 10-13 and it is possible that wider choices would encourage greater trust in the physician eventually chosen. Recent developments in health care delivery also make it plausible that the way physicians are paid could influence patients' trust in them. Reports regularly appear in the popular press about how new managed care arrangements may compromise the care provided to patients. Health service researchers have shown that payment methods may have an impact on clinical decision making. 14-16 We know of no empirical studies that have examined whether patients' beliefs about how their physician is paid affect their trust in the physician. In the study described herein, we interviewed a probability sample of patients covered by a large health care insurer in Atlanta. We assessed how patients thought their physicians were paid and whether their perceptions were accurate. We also examined whether availability of a choice of physicians, length of patient-physician relationship, or perceived physician payment method was related to the patients' trust in their physician. METHODS Study Design and SampleThe study was con...

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“…To assess trust in physicians and health insurance plans, we asked respondents to rate their agreement with two statements derived from the Trust in Physician Scale, 10,13,17,18 which had been previously validated among the general public and convenience samples: (a) "I trust my physician to put my medical needs above all other considerations when treating my medical problems" and (b) "I trust my health plan to put my medical needs above all other considerations when treating my medical problems." Responses on a fivepoint scale were "completely agree," "mostly agree," "somewhat agree," "agree a little," and "not agree at all.…”

Section: Questionnaire Contentmentioning

confidence: 99%

Race and Trust in the Health Care System

Boulware

Cooper

Ratner

et al. 2003

Public Health Reports

591

489

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SYNOPSISObjective. A legacy of racial discrimination in medical research and the health care system has been linked to a low level of trust in medical research and medical care among African Americans. While racial differences in trust in physicians have been demonstrated, little is known about racial variation in trust of health insurance plans and hospitals. For the present study, the authors analyzed responses to a cross-sectional telephone survey to assess the independent relationship of self-reported race (non-Hispanic black or non-Hispanic white) with trust in physicians, hospitals, and health insurance plans.Methods. Respondents ages 18-75 years were asked to rate their level of trust in physicians, health insurance plans, and hospitals. Items from the Medical Mistrust Index were used to assess fear and suspicion of hospitals.Results. Responses were analyzed for 49 (42%) non-Hispanic black and 69 (58%) non-Hispanic white respondents (N=118; 94% of total survey population). A majority of respondents trusted physicians (71%) and hospitals (70%), but fewer trusted their health insurance plans (28%). After adjustment for potential confounders, non-Hispanic black respondents were less likely to trust their physicians than non-Hispanic white respondents (adjusted absolute difference 37%; p=0.01) and more likely to trust their health insurance plans (adjusted absolute difference 28%; p=0.04). The difference in trust of hospitals (adjusted absolute difference 13%) was not statistically significant. Non-Hispanic black respondents were more likely than non-Hispanic white respondents to be concerned about personal privacy and the potential for harmful experimentation in hospitals.Conclusions. Patterns of trust in components of our health care system differ by race. Differences in trust may reflect divergent cultural experiences of blacks and whites as well as differences in expectations for care. Improved understanding of these factors is needed if efforts to enhance patient access to and satisfaction with care are to be effective.

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

Cited by 650 publications

References 15 publications

Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)

Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)

Patients’ trust in their physicians

Race and Trust in the Health Care System

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