Rebuilding an Enduring Trust in Medicine

Jacobs, Alice K.

doi:10.1161/circulationaha.105.166277

Cited by 43 publications

(20 citation statements)

References 13 publications

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“…Contrary to Asian patients, a study conducted in the US found that people in the West valued patient-physician partnerships via therapeutic alliances such as mutual trust among both parties, coordinated and continuous healthcare, and the patients’ perception of feeling respected and cared for [71, 72]. Unlike Asian countries, to be trustworthy, healthcare providers need to be able to provide optimal information, display a desire to promote the health of the patients, possess good interpersonal skills, show empathy with the patients’ condition, and give opportunities for patients to express their concerns [73, 74]. Thus, having a good patient-provider alliance via trustworthy healthcare providers would motivate patients to adhere to their treatment plan [75–78].…”

Section: Discussionmentioning

confidence: 99%

Barriers and facilitators of adherence to antidepressants among outpatients with major depressive disorder: A qualitative study

2017

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BackgroundOne of the major challenges in treating major depressive disorder (MDD) is patients’ non-adherence to medication. This study aimed to explore the barriers and facilitators of patients’ adherence to antidepressants among outpatients with MDD.MethodsSemi-structured and individual in-depth interviews were conducted among patients with MDD who were taking antidepressants, in the psychiatric clinic of a government-run hospital in Malaysia. Participants were purposively sampled from different genders and ethnicities. Interviews were conducted using a validated topic guide, and responses were audio-recorded, transcribed verbatim, checked, and analyzed using the grounded theory approach.ResultsA total of 30 patients were interviewed. Forty different themes and sub-themes were identified which were conceptually divided into two distinct categories related to barriers and facilitators to adherence. The barriers were: patient-specific, medication-specific, healthcare provision and system, social-cultural, and logistics. The facilitators were: having insight, perceived health benefits, regular activities, patient-provider relationship, reminders, and social support networks.ConclusionsPatient-specific barriers and medication side effects were the major challenges for adhering to treatment. Perceived health benefits and having insight on the need for treatment were the most frequently cited facilitators. Targeted interventions should be developed to address the key barriers, and promote measures to facilitate adherence in this group of patients.

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Section: Discussionmentioning

confidence: 99%

Barriers and facilitators of adherence to antidepressants among outpatients with major depressive disorder: A qualitative study

2017

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“…It has previously been defined as “intuitive confidence and a sense of comfort that comes from the belief that [patients] can rely on an individual or organization to perform competently, responsibly, and in a manner considerate of [patients’] interests” (Barber, 1983). It is a growing concern for healthcare providers because it is considered an “essential element in diagnosis, treatment, and healing” (Jacobs, 2005). Research suggests that there is a progressive decline in how medicine as an institution is perceived by the public (Taylor, 2008).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Health Care System and Physician Distrust in Hospitalized Cardiac Patients

Gupta

Bell

Schildcrout

et al. 2014

Journal of Health Communication

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A trusting relationship between patients, physicians, and the healthcare system is important in encouraging self-care behaviors in cardiovascular patients. The study aimed to assess the prevalence of healthcare system and physician distrust in this population, compare the two forms of distrust, and describe the demographic, socioeconomic, and psycho-social predictors of high distrust. 1232 hospitalized adults with acute coronary syndrome or heart failure were enrolled in a prospective, observational study assessing both healthcare system and physician distrust. High healthcare system distrust (35%) was observed across the population, with lower levels of interpersonal physician distrust (16%). In a multivariate analysis, poor social support and coping skills were strong predictors of both healthcare system (p = 0.026, p = 0.003) and physician distrust (p <0.001, p = 0.006). Individuals with low or marginal health literacy had a higher likelihood of physician distrust (p <0.001), but no relationship was found between health literacy and healthcare system distrust. In conclusion, distrust is common among acutely ill cardiac patients. Those with low social support and low coping skills are more distrusting of physicians and the healthcare system.

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“…Likewise, trustworthy patients need to be honest, adhere to the treatment regimen, and perform self-care behaviors (2). Trust is not assumed, but it can be earned over time as the patient and health care provider get to know each other by working together to ensure that accurate medical conclusions are obtained and the best course of treatment is determined and executed (1). Similarly, a patient’s trust in the health care provider implies confidence that their words are truthful and actions are appropriate in the provision of care and treatment (1).…”

Section: Introductionmentioning

confidence: 99%

The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension

Abel

Efird

2013

Front. Public Health

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Background: Black women have the highest prevalence of hypertension in the world. Reasons for this disparity are poorly understood. The historical legacy of medical maltreatment of Blacks in the U.S. provides some insight into distrust in the medical profession, refusal of treatment, and poor adherence to treatment regimens.Methods: Black women (N = 80) who were prescribed antihypertensive medications were recruited from urban communities in North Carolina. Study participants completed the Trust in Physician and Hill-Bone Compliance to High Blood Pressure Therapy questionnaires. An exact discrete-event model was used to examine the relationship between trust and medication adherence.Results: Mean age of study participants was 48 ± 9.2 years. The majority of participants (67%) were actively employed and 30% had incomes at or below the federal poverty level. Increasing levels of trust in the health care provider was independently associated with greater medication adherence (PTrend = 0.015).Conclusion: Black women with hypertension who trusted their health care providers were more likely to be adherent with their prescribed antihypertensive medications than those who did not trust their health care providers. Findings suggest that trusting relationships between Black women and health care providers are important to decreasing disparate rates of hypertension.

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Rebuilding an Enduring Trust in Medicine

Cited by 43 publications

References 13 publications

Barriers and facilitators of adherence to antidepressants among outpatients with major depressive disorder: A qualitative study

Barriers and facilitators of adherence to antidepressants among outpatients with major depressive disorder: A qualitative study

Predictors of Health Care System and Physician Distrust in Hospitalized Cardiac Patients

The Association between Trust in Health Care Providers and Medication Adherence among Black Women with Hypertension

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