The Study of Relationship between Hospitalized Patient’s Trust and Evaluation Toward Physician
Date Issued
2006
Date
2006
Author(s)
Jhuang, Wan-Yi
DOI
zh-TW
Abstract
Background and objective：Trust is a fundamentally important aspect of medical treatment relationship. Experience in USA has shown that trust between physician and patient has become one of the most serious problems under managed care systems. Patient trust is concerned in physician patient relationship, but it is destroyed under different threat to patient trust. It had been done by previous research on trust in primary care physicians. However, research in hospitalized care is still not enough. The purpose is to explore the relationship between hospitalized patient’s trust and evaluation toward physician.
Method：This study adopted Interpersonal Physician Trust Scale developed by professor Hall etc. in Wake Forest University to measure patients’ trust in physicians. The study obtained the authorization directly from Professor Hall. The modification procedures included translation from English to Chinese, back- translation from Chinese to English, rated of English by Professor Hall as gold standard, and modified the Chinese according to his rating. The final version was decided after pretest of the draft.
This is a cross-sectional study. After searching for cooperation from hospitals and approved by the Institutional Review Board procedure, five hospitals in Taipei agreed to join this study that included two private medical centers, one public medical center, one public regional hospital and one private local hospital. Hospitalized patients in sample hospitals were treated as unit of analysis. All samples came from convenient sampling. There were 397 valid samples with collection period from May first to June 19, year 2006.
Result：There are 10 questions in IPTS with high internal consistency (the coefficient of Cronbach α= 0.884). From multiple regression analysis, the results found that age, whether consultations on other specialist and hospitals as a whole had significant relationship with patients’ trust in their physician; patients’ trust in their physician, marriage status and hospital as a whole had significant relationship with patients’ satisfaction in their physician. From logistic regression analysis, patients’ trust in their physician, marriage status and route of admission had significant relationship with searching second opinion; patients’ trust in their physician and admission department had significant relationship with disputing physician; patients’ trust in their physician and hospital as a whole had significant relationship with complying with physicians’ recommendation; patients’ trust in their physician and occupation had significant relationship with intention for switching physician.
Conclusion：After controlled for other variables, patient’s trust in their physicians is related to patient’s evaluation toward physician.
Subjects
病人信任
醫病關係
病人主觀評價
滿意度
換醫師
patient trust
physician-patient relationship
subjective evaluation
satisfaction
switching physician
Type
thesis
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