The association between psychosocial care by physicians and patients ’ trust: a retrospective analysis of severely injured patients in surgical intensive care units

Thüm, Sonja; Janßen, Christian; Pfaff, Holger; Lefering, Rolf; Neugebauer, Edmund; Ommen, Oliver

doi:10.3205/psm000082

Cited by 7 publications

(1 citation statement)

References 45 publications

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“…Although health behaviors, just like other areas of human functioning, are not entirely free from institutional regulation, they are the least regulated domain, subject to external pressure and legal regulations only to a small degree (Thüm et al, 2012). Those who applied repressive solutions in managing the health service domain soon found that these solutions failed to bring the desired outcomes (Dietz et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

The structure of the legitimacy of health care institutions. The Polish adaptation of the Legitimacy Questionnaire and its psychometric properties

Prusiński

2023

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Aim: The aim of the empirical research was (a) to identify the structure of institutional legitimacy in the health service and (b) to develop a Polish version of the Legitimacy Questionnaire (LQ) and determine its psychometric properties, especially validity and reliability. Method: To achieve the aim, based on data from two independent measurements, the author performed factor analyses: exploratory (nEFA = 210, 134 women and 76 men, MAGE = 42.37) and confirmatory (nCFA = 298, 184 women and 114 men, MAGE = 37.02). Factor analyses were used to assess validity. Multidimensional reliability estimation was also performed, using several coefficients: classic (Cronbach’s α, Jöreskog’s CR) and non-classic ones (Aranowska’s γ, ϱ2 intraclass correlation coefficient). Results: The adopted data analysis strategy yielded a three-factor structure of institutional legitimacy. The results of analyses provided strong evidence of acceptable goodness of measurement using the Polish version of the LQ. Reliability, just like construct validity, were confirmed, their levels were acceptable. Conclusions: The results indicate that the adapted LQ is a psychometrically valuable measure operationalizing three dimensions of legitimacy: normative alignment, duty to obey, and institutional trust.

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Section: Discussionmentioning

confidence: 99%

The structure of the legitimacy of health care institutions. The Polish adaptation of the Legitimacy Questionnaire and its psychometric properties

Prusiński

2023

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Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study

et al. 2021

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Background Multiple myeloma (MM) is an incurable cancer with complex treatment options. Trusting patient–clinician relationships are essential to promote effective shared decision‐making that aligns best clinical practices with patient values and preferences. This study sought to shed light on the development of trust between MM patients and clinicians. Methods Nineteen individual semi‐structured interviews were conducted with MM patients within 2 years of initial diagnosis or relapse for this qualitative study. Interviews were recorded and transcripts were coded thematically. Results We identified three main themes: (1) externally validated trust describes patients’ predisposition to trust or distrust clinicians based on factors outside of patient–clinician interactions; (2) internally validated trust describes how patients develop trust based on interactions with specific clinicians. Internally validated trust is driven primarily by clinician communication practices that demonstrate competence, responsiveness, listening, honesty, and empathy; and (3) trust in relation to shared decision‐making describes how patients relate the feeling of trust, or lack thereof, to the process of shared decision‐making. Conclusion Many factors contribute to the development of trust between MM patients and clinicians. While some are outside of clinicians’ control, others derive from clinician behaviors and interpersonal communication skills. These findings suggest the possibility that trust can be enhanced through communication training or shared decision‐making tools that emphasize relational communication. Given the important role trust plays in shared decision‐making, clinicians working with MM patients should prioritize establishing positive, trusting relationships.

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Social considerations of inflammatory bowel disease in Southern Israel

Taylor

Neff²

2017

BMJ Case Reports

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Chronic diseases pose unique social challenges beyond traditional health considerations that require specific attention. In this report, we examine the case of a middle-aged woman with ulcerative colitis, living in Southern Israel. Trust between the patient and physician is shown to positively influence a variety of therapeutic outcomes and should be considered a fundamental component of successful care. In context of the military conflict between Israel and Gaza, the needs of patients with chronic diseases cannot be forgotten. The work environment is also identified as an area of particular concern, as a supportive work environment is essential in order to maintain satisfaction in the workplace and sustain a high quality of life. Out-of-pocket costs for medications are confirmed to be a significant barrier to adherence. Better understanding of patientsâ€™ financial capabilities, along with affordable therapeutic interventions, will alleviate healthcare-related financial burdens and improve health outcomes.

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The association between psychosocial care by physicians and patients ’ trust: a retrospective analysis of severely injured patients in surgical intensive care units

Cited by 7 publications

References 45 publications

The structure of the legitimacy of health care institutions. The Polish adaptation of the Legitimacy Questionnaire and its psychometric properties

The structure of the legitimacy of health care institutions. The Polish adaptation of the Legitimacy Questionnaire and its psychometric properties

Trust and shared decision‐making among individuals with multiple myeloma: A qualitative study

Social considerations of inflammatory bowel disease in Southern Israel

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