Psychometric properties of primary health care trust questionnaire

Sadeghi‐Bazargani, Homayoun; Farahbakhsh, Mostafa; Tabrizi, Jafar Sadegh; Zare, Zahra; Saadati, Mohammad

doi:10.1186/s12913-019-4340-6

Cited by 13 publications

(16 citation statements)

References 23 publications

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“…According to Gille et al (2015) due to the role of trust/mistrust in health system, it is needed to provide more evidences to improve the efficiency of health systems [25]. Public trust has been used as a public indicator and has a key role in developing health policies therefore, it is necessary to be measured constantly using valid tools [26]. Measuring public trust in PHC provides evidences on people experiences and also the accountability and performance of PHC system.…”

Section: Introductionmentioning

confidence: 99%

Forty years after Alma-Ata: how people trust primary health care?

et al. 2020

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Background: Primary Health Care (PHC) was introduced as the first level of health services delivery after Alma-Ata declaration. However, after forty years, it needs to be more trustful to achieve its predefined objectives. Public trust in PHC is one of the neglected issues in the context. The aim of this study is to evaluate public trust in PHC in Iran. Methods: The present investigation is a household survey conducted in East Azerbaijan Province, Iran. Two-stage cluster sampling method with Probability Proportional to Size (PPS) approach was used. Totally, 1178 households were enrolled in the study. PHC trust questionnaire and Ultra-short version of SocioEconomic Status assessment questionnaire (SES-Iran) was used for data collection. Data were analyzed using STATA software (version 15) through descriptive statistics and linear regression. Results: The mean ± SD age of the participants was 41.2 ± 15.1 and most (53.7%) were female. Mean score of PHC trust was 56.9 ± 24.7 (out of 100). It was significantly different between residents of Tabriz (the capital of province) and other cities in the province (p < 0.001). Linear regression showed that younger age, gender, insurance type, being married, and households higher socioeconomic status had a significant positive effect on PHC trust level with R 2 = 0.14383. Conclusions: Public trust in PHC system in Iran needs to be improved. Individual variables had a small but key role in trust level. PHC trust cannot be only affected by individual's variables and experiences but also by health system and health providers' characteristics and public context in which PHC system exists. PHC trust level could be used as a public indicator in health systems especially in Low and Middle Income Countries (LMIC) to contribute in system strengthening policies at the national and international levels.

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Section: Introductionmentioning

confidence: 99%

Forty years after Alma-Ata: how people trust primary health care?

et al. 2020

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“…Questionnaires: PHC trust questionnaire was used for data collection [26]. The questionnaire validity (Kappa coe cient = 0.94) and reliability (Cronbach-Alpha=0.98, ICC=0.94; CI: 0.87-0.97) was approved.…”

Section: Methodsmentioning

confidence: 99%

“…Gille et al (2015) stated that regarding the effects of trust/mistrust in health system, it is needed to produce more evidences on it to improving e ciency and effectiveness of the health systems [25]. Considering that public trust was used as a public indicator and have an important share in developing health policies, it is necessary to be measured continuously using valid tools [26]. Measuring public trust in PHC provides evidences on the people experience with and PHC system accountability and performance.…”

Section: Introductionmentioning

confidence: 99%

40 years after Alma Ata: How people trust in primary health care?

Bazargani

Saadati

Tabrizi

et al. 2020

Preprint

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Background: Primary Health Care (PHC) was introduced as the first level of health services delivery after Alma Ata declaration. It needs to be more trustful to achieve its defined goals. Public trust in PHC is one of the ignored issues in the context. The aim of this study was to explore public trust in PHC in Iran.Methods: This was a household survey study conducted in East Azerbaijan Province, Iran. Two-stage cluster sampling method with probability proportional to size (PPS) approach was used. Totally 1178 households were enrolled in the study. PHC trust questionnaire and Ultra-short version of socio-economic status assessment questionnaire (SES-Iran) was used for data collection. Data were analyzed using STATA 15 through descriptive statistics and linear regression. Results: The mean age of the participants was 41.2, (SD: 15.1) and most of them (53.7%) were female. Mean score of PHC trust was 56.9±24.7 (out of 100). It was significantly different between inhabitants of Tabriz (the province capital city) and other cities in the province (p<0.001). Linear regression showed that younger age, gender, insurance type, being married and households higher socio-economic situation had a significant positive influence on PHC trust level with R2 = 0.14383 .Conclusions: Public trust in PHC system in Iran needs to be improved. Individual variables had a small but significant share in trust level. PHC trust not only influenced by individual variables and experience but also by health system and health providers characteristics and public sphere about PHC system. PHC trust level could be used as a public indicator in health systems especially in Low and Middle income countries to lead system strengthening policies in national and international levels.

show abstract

“…According to Gille et al (2015) due to the role of trust/mistrust in health system, it is needed to provide more evidences to improve the e ciency of health systems [25]. Public trust has been used as a public indicator and has a key role in developing health policies therefore, it is necessary to be measured constantly using valid tools [26]. Measuring public trust in PHC provides evidences on people experiences and also the accountability and performance of PHC system.…”

Section: Introductionmentioning

confidence: 99%

“…Questionnaires: PHC trust questionnaire was used for data collection [26]. The validity (Kappa coe cient = 0.94) and reliability (Cronbach-Alpha=0.98, ICC=0.94; CI: 0.87-0.97) of the scale was approved.…”

Section: Introductionmentioning

confidence: 99%

Forty Years after Alma-Ata: How People Trust Primary Health Care?

Bazargani

Saadati

Tabrizi

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Primary Health Care (PHC) was introduced as the first level of health services delivery after Alma-Ata declaration. However, after forty years, it needs to be more trustful to achieve its predefined objectives. Public trust in PHC is one of the neglected issues in the context. The aim of this study is to evaluate public trust in PHC in Iran.Methods: The present investigation is a household survey conducted in East Azerbaijan Province, Iran. Two-stage cluster sampling method with Probability Proportional to Size (PPS) approach was used. Totally, 1178 households were enrolled in the study. PHC trust questionnaire and Ultra-short version of Socio-Economic Status assessment questionnaire (SES-Iran) was used for data collection. Data were analyzed using STATA software (version 15) through descriptive statistics and linear regression. Results: The mean± SD age of the participants was 41.2±15.1 and most (53.7%) were female. Mean score of PHC trust was 56.9±24.7 (out of 100). It was significantly different between residents of Tabriz (the capital of province) and other cities in the province (p<0.001). Linear regression showed that younger age, gender, insurance type, being married, and households higher socio-economic status had a significant positive effect on PHC trust level with R2 = 0.14383.Conclusions: Public trust in PHC system in Iran needs to be improved. Individual variables had a small but key role in trust level. PHC trust cannot be only affected by individual's variables and experiences but also by health system and health providers' characteristics and public context in which PHC system exists. PHC trust level could be used as a public indicator in health systems especially in Low and Middle Income Countries (LMIC) to contribute in system strengthening policies at the national and international levels.

show abstract

Psychometric properties of primary health care trust questionnaire

Cited by 13 publications

References 23 publications

Forty years after Alma-Ata: how people trust primary health care?

Forty years after Alma-Ata: how people trust primary health care?

40 years after Alma Ata: How people trust in primary health care?

Forty Years after Alma-Ata: How People Trust Primary Health Care?

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