Measuring Patients’ Trust in their Primary Care Providers

Medical Care Research and Review - Tập 59 Số 3 - Trang 293-318 - 2002
Mark A. Hall1, Beiyao Zheng2,2, Elizabeth Dugan3, Fabian Camacho4, Kristin E. Kidd4, Aneil K. Mishra4, Rajesh Balkrishnan5,4
1Wake Forest University USA
2Genentech, Inc.
3New England Research Institutes
4Wake Forest University
5Health Management and Policy

Tóm tắt

Existing scales to measure trust in physicians have differing content and limited testing. To improve on these measures, a large item pool (n = 78) was generated following a detailed conceptual model and expert review. After pilot testing, the best-performing items were validated with a random national sample (n = 9) and a regional sample of HMO members (n = 99). Various psychometric tests produced a 10-item unidimensional scale consistent with most aspects of the conceptual model.Compared with previous scales, the Wake Forest physician trust scale has a somewhat improved combination of internal consistency, variability, and discriminability. The scale is more strongly correlated with satisfaction, desire to remain with a physician, willingness to recommend to friends, and not seeking second opinions; it is less correlated with insurer trust, membership in managed care, and choice of physician; and correlations are equivalent with lack of disputes, length of relationship, and number of visits.

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Medical Care Research and Review

Tập 59 Số 3

293-318

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