Patient trust in the physician: relationship to patient requests

Thom, David H.

doi:10.1093/fampra/19.5.476

Cited by 300 publications

(274 citation statements)

References 8 publications

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“…Previous research has found that referral and monitoring by health professionals tends to increase trust, 47 whereas lack of trust in health professionals leads to greater dissatisfaction with services. 48 However, those who did not wish to visit their GP for their insomnia also wanted to be able to access CCBT-I directly.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Integrating online communities and social networks with computerised treatment for insomnia: a qualitative study

Middlemass

Davy²,

Cavanagh³

et al. 2012

Br J Gen Pract

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Background\ud Insomnia is a common psychological complaint. Cognitive behavioural therapy for insomnia (CBT-I), although effective, is little used because of lack of trained providers. Computerised CBT-I (CCBT-I) may be a solution to this shortfall in access.\ud Aim\ud To explore patient and health professional perspectives and the role of social networking, to develop a novel CCBT-I programme to increase access to this form of intervention.\ud Design and setting\ud Qualitative methods underpinned by the theory of planned behaviour in primary care in Lincolnshire and Nottinghamshire.\ud Method\ud Semi-structured interviews and focus groups with a purposive sample of health professionals and adults with insomnia.\ud Results\ud A total of 23 health professionals and 28 patients were interviewed. Features designed to engender trust and improve functionality were perceived to improve uptake and adherence to CCBT-I. Trust lay in programme accreditation; for professionals, trust derived from evidence of effectiveness; for patients, trust depended on the doctor-patient relationship, professional support, the quality of online peer support, and perceptions of risk. Patients wanted mobile applications; access in short periods; self-assessment; interactive, personalised information on sleep; and moderated contact with other users. Patients and practitioners differed over whether useful information could be distinguished from less useful or potentially incorrect information.\ud Conclusion\ud Improving uptake and adherence to online programmes for insomnia requires design features focusing on trust and functionality. Enabling greater patient control and interaction with other users and professionals may stimulate positive experiences of online therapy. CCBT-I would enable greater access to treatment but is limited by lack of online access or poor computer literacy

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Section: Strengths and Limitationsmentioning

confidence: 99%

Integrating online communities and social networks with computerised treatment for insomnia: a qualitative study

Middlemass

Davy²,

Cavanagh³

et al. 2012

Br J Gen Pract

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“…It is important in its own right and it mediates other positive outcomes, including adherence to treatment. 1 Recent changes to the organisation and delivery of primary care in the UK have the potential to reduce continuity of care markedly, 2 as patients are increasingly likely to be consulting unfamiliar health professionals. It is not clear how this will have an impact on patient trust.…”

Section: Introductionmentioning

confidence: 99%

Past experience, ‘shadow of the future’, and patient trust: a cross-sectional survey

Tarrant¹,

Colman²,

Stokes³

2008

Br J Gen Pract

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Recent changes to the organisation and delivery of primary care in the UK have the potential to reduce continuity of care markedly, but it is not clear how this will have an impact on patient trust. This study aims to test the associations between specific aspects of continuity in the GP-patient relationship, and patient trust, informed by the theoretical framework of behavioural game theory. A cross-sectional survey of patients in three Leicestershire general practices was conducted. Regression analysis showed that ratings of the GP's interpersonal care, past experience of cooperation, and expectation of continuing care from the GP were all independent predictors of patient trust. These findings highlight the value of longitudinal aspects of the GP-patient relationship. Keywordscontinuity of patient care; cross-sectional studies; primary health care; trust. INTRODUCTIONTrust is generally acknowledged to be a core component of the GP-patient relationship. It is important in its own right and it mediates other positive outcomes, including adherence to treatment.1 Recent changes to the organisation and delivery of primary care in the UK have the potential to reduce continuity of care markedly, 2 as patients are increasingly likely to be consulting unfamiliar health professionals. It is not clear how this will have an impact on patient trust.The limited research on the association between continuity and trust suggests that trust is promoted by the quality of the GP-patient relationship, and in particular the interpersonal aspects of the GP's care of the patient. [3][4][5][6] There is a need to determine whether and how the longitudinal aspects of the GP-patient relationship affect patient trust.This study uses a theoretical framework (behavioural game theory) as a basis for predictions about the specific aspects of continuity that promote trust. 7 Game theory indicates that trust is promoted when people interact with each other repeatedly, and particularly when individuals are aware of their partners' cooperativeness on past occasions (either from personal experience or reputation), have a reputation for cooperativeness themselves, and anticipate ongoing interactions in the future -described as the 'shadow of the future'.8 Hence, game theory points to information about past cooperativeness, and an expectation of future interactions, as important determinants of trust.This study aimed to test whether these dimensions of continuity, identified from game theory, are associated with patients' trust in GPs. METHODA questionnaire was developed and piloted prior to use. The questionnaire included a series of questions on aspects of continuity, devised specially for this study. These questions were based on specific hypotheses derived from the framework of behavioural game theory. The questions on continuity consisted of statements accompanied by a five-point Likert scale labelled from strongly agree to strongly disagree. Evidence of cooperativeness in the past was assessed by the questions 'This GP has always giv...

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“…Zaupanje pripomore k oblikovanju kakovostnega odnosa med zdravnikom in bolnikom, povezano je z boljšim izidom, kontinuiteto zdravljenja, sodelovanjem in zadovoljstvom bolnika (1)(2)(3)(4) ter naj bi bilo povezano tudi s placebo efektom (5). Gre za ključno komponento odnosa, kjer osebi druga drugi verjameta, da sta dobronamerni, kompetentni in pripravljeni ravnati na zaželeni in/ali dogovorjeni način (1,6).…”

Section: Uvodunclassified

“…Enako so potrjevale tudi tuje raziskave (3,7,11,14), kar pomeni, da IzvIrnI znanStvenI članek povezave med izobrazbo bolnika in zaupanjem v zdravnika (17). Prisotna kronična bolezen ni bila statistično povezana z zaupanjem (Tabela 2), kar se večinoma ujema s tujimi študi-jami (3,11). Zanimivi so rezultati Fiscellove raziskave, v kateri so bile določene bolezni, kot npr.…”

Section: Razpravljanjeunclassified

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Oris dejavnikov, povezanih z zaupanjem bolnikov v izbranega osebnega zdravnika v Splošni ambulanti Pernica

Lorber¹,

Selič²

2017

SlovMedJour

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Oris dejavnikov, povezanih z zaupanjem bolnikov v izbranega osebnega zdravnika v Splošni ambulanti Pernica IzvlečekIzhodišča: Zaupanje prispeva k oblikovanju kakovostnega medosebnega odnosa med bolnikom in zdravnikom, kjer osebi druga za drugo verjameta, da sta dobronamerni, kompetentni in pripravljeni ravnati na zaželen način. Raziskava preverja dejavnike, povezane z zaupanjem bolnikov v izbranega osebnega zdravnika (IOZ). Razpravljanje: Vedenje zdravnika je bilo statistično povezano z zaupanjem vanj, kar pomeni, da bi lahko z ustreznimi ukrepi to zaupanje še okrepili in s tem vplivali na boljši izid, na kontinuiteto zdravljenja, na boljše sodelovanje in ključno, na zadovoljstvo bolnika. AbstractIntroduction: Trust is crucial in forming a good relationship between a patient and a doctor, where both persons believe that they are benevolent, competent and willing to act in their best interest. This research examines factors associated with patient trust in their general practitioner (GP).

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Patient trust in the physician: relationship to patient requests

Cited by 300 publications

References 8 publications

Integrating online communities and social networks with computerised treatment for insomnia: a qualitative study

Integrating online communities and social networks with computerised treatment for insomnia: a qualitative study

Past experience, ‘shadow of the future’, and patient trust: a cross-sectional survey

Oris dejavnikov, povezanih z zaupanjem bolnikov v izbranega osebnega zdravnika v Splošni ambulanti Pernica

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