Background： Patient trust in physicians, which can be considered a collective good, is necessary tot an effective health care system. However, there is a widespread concern that patient trust in physicians is declini...Background： Patient trust in physicians, which can be considered a collective good, is necessary tot an effective health care system. However, there is a widespread concern that patient trust in physicians is declining under various threats to the physician patient relationship worldwide. This article aimed to assess patient trust in physicians through a quantitative study in Shanghai, China, and to provide appropriate suggestions for improving the trust in China. Methods： The data from a survey conducted in Zhongshan Hospital and Shanghai Tenth People＇s Hospital which are two tertiary public hospitals in Shanghai, were used in this study. Patient trust in physicians was the dependent variable. Furthermore, a 10-item scale was used to precisely describe the dependent variable. The demographic characteristics were independent variables of trust in physicians. Binomial logistic regression was employed to analyze the fhctors associated with the dependent variable, which was divided into two categories on the basis of the responses （1： Strongly agree or agree and 0： Strongly disagree, disagree, or neutral）. Results： This study tbund that 67% of patients trusted or strongly trusted physicians. The mean score of patient trust in physicians was 35.4 from a total score of 50. Furthermore, patient trust in physicians was significantly correlated with the age, education level, annual income, and health insurance coverage of the patients. Conclusions： Patient trust in physicians in Shanghai, China is higher than previously reported. Furthermore, the most crucial reason for patient distrust in physicians is the information asymmetry between patients and physicians, which is a natural property of the physician patient relationship, rather than the so-called for-profit characteristic of physicians or patients＇ excessive expectations.展开更多
This study examined whether patients’negative metastereotypes undermine their perception of doctor–patient relations through raising their intergroup anxiety and decreasing their trust level.One hundred twenty-four ...This study examined whether patients’negative metastereotypes undermine their perception of doctor–patient relations through raising their intergroup anxiety and decreasing their trust level.One hundred twenty-four outpatients from a Chinese hospital participated in this study;they were randomly assigned to either the negative metastereotype activation(NMSA)or the non-NMSA condition according to different instructions.Then,they were asked to complete the Intergroup Anxiety,Patient Trust,and Doctor–Patient Relations Scale.Patients’negative metastereotypes undermined doctor–patient relations through the mediation of intergroup anxiety and patient trust(i.e.,the independent mediation effect of intergroup anxiety and patient trust)and the serial mediation effect of intergroup anxiety and patient trust.These findings suggest that future research consider intergroup anxiety and patient trust in developing interventions to improve doctor–patient relations.展开更多
Sufferers’mental illnesses experience changes in communication,cognition,and behavior,exposing differences in social behavior and relationships.Many who suffer from mental health problems notice that the reduced comm...Sufferers’mental illnesses experience changes in communication,cognition,and behavior,exposing differences in social behavior and relationships.Many who suffer from mental health problems notice that the reduced communication ability leads to social inclusion and distrust of others.Online Mental Health Communities(OMHCs)facilitate a new means of communication between patients and physicians.Based on the trust source credibility framework,trust transitivity theory,social resources and physician-patient interactions,this study aims to evaluate the factors that influence patients’trust in OMHCs.We crawled the data from Haodf.com,the leading healthcare community platform in China,to study the factors that influence patients’trust using the ordinary least squares regression method.725 psychologists’records were collected on 19 November,2019,20 December,2019,and 20 May,2020.Compared with face-to-face physician appointments,Chief Physicians are more likely to gain patients’initial trust online.Further,psychologists’integrity,online reputation,and group size have significant positive impact on the initial trust of patients.Similarly,patients’online initial trust and efforts have significantly positive influences on their continuous trust online.To improve relationships between physicians and patients,physicians must strengthen their clinical abilities and be honest with patients.The findings of this study provide insights into the factors that influence patients’trust in OMHCs.展开更多
Background: The aim of this study is to gain a better understanding of the true importance of trust in clinical practice by looking at how it is formed, how it affects clinical practice, and how to improve it. Methods...Background: The aim of this study is to gain a better understanding of the true importance of trust in clinical practice by looking at how it is formed, how it affects clinical practice, and how to improve it. Methods: Using the PRISMA-ScR checklist, a review of the literature was performed to identify research evaluating the importance of trust in the doctor-patient relationship. After thorough screening and removal of duplicates, 21 articles were used in the literature review. Results: The classifying themes that emerged in the selected articles were What Makes Trust and Effects of Trust. The theme of What Makes Trust garnered two subthemes as well: Impact of Doctor-Patient Relationship on Trust and Impact of Shared Decision-Making on Trust. Further to that, the overarching themes found were slightly more specific. They were Traits of Trust, Mistrust and Barriers to Trust, Positive Effects of Trust and the Effects of a Lack of Trust. We found that the best way to improve trust was to improve communication between the patient and the doctor. Additionally, we found that the biggest barrier to a trusting doctor patient relationship was a stigmatised condition, followed by a perception of a financially-motivated doctor. Finally, we found that a lack of trust can prevent patients from seeking and receiving proper treatment. Conclusions: With a better understanding of how trust is built and the extent of the role it plays in clinical practice, we hope that this growing knowledge can improve the practice of many doctors in the future. It is certain that more research needs to be done in this area, especially focusing on vulnerable and stigmatised populations such as chronic pain patients.展开更多
Hypophosphatasia(HPP)is a rare metabolic bone disorder often misdiagnosed as fibromyalgia due to overlapping symptoms such as chronic pain,fatigue,and muscle weakness.This diagnostic error disproportionately affects w...Hypophosphatasia(HPP)is a rare metabolic bone disorder often misdiagnosed as fibromyalgia due to overlapping symptoms such as chronic pain,fatigue,and muscle weakness.This diagnostic error disproportionately affects women and can result in significant psychological distress due to repeated dismissal of symptoms.Despite low serum alkaline phosphatase(ALP)being a key biochemical clue to HPP,it is frequently overlooked in standard diagnostic evaluations.Consequen-tly,many patients endure years of ineffective treatment,invalidation,and worse-ning psychiatric outcomes.This editorial emphasizes the need for greater clinical vigilance in distinguishing HPP from fibromyalgia,particularly when features such as chronic pain,premature tooth loss,and persistently low ALP are present.Gender biases in pain diagnosis further compound this problem,leading to gr-eater misdiagnosis rates among women and contributing to the erosion of trust in medical care.The psychiatric consequences of diagnostic delays are substantial,with affected individuals experiencing elevated rates of depression,anxiety,and emotional distress.Greater recognition of low ALP as a meaningful diagnostic clue may enhance diagnostic accuracy,improve patient outcomes,and reduce the psychological toll of misdiagnosis.展开更多
基金This work was supported by grants from National Social Science Foundation of China （No. 13CGL135）, and the Humanities and Sciences Cross-disciplinary Foundation of Shanghai Jiao Tong University （No. 14JCY04）.
文摘Background： Patient trust in physicians, which can be considered a collective good, is necessary tot an effective health care system. However, there is a widespread concern that patient trust in physicians is declining under various threats to the physician patient relationship worldwide. This article aimed to assess patient trust in physicians through a quantitative study in Shanghai, China, and to provide appropriate suggestions for improving the trust in China. Methods： The data from a survey conducted in Zhongshan Hospital and Shanghai Tenth People＇s Hospital which are two tertiary public hospitals in Shanghai, were used in this study. Patient trust in physicians was the dependent variable. Furthermore, a 10-item scale was used to precisely describe the dependent variable. The demographic characteristics were independent variables of trust in physicians. Binomial logistic regression was employed to analyze the fhctors associated with the dependent variable, which was divided into two categories on the basis of the responses （1： Strongly agree or agree and 0： Strongly disagree, disagree, or neutral）. Results： This study tbund that 67% of patients trusted or strongly trusted physicians. The mean score of patient trust in physicians was 35.4 from a total score of 50. Furthermore, patient trust in physicians was significantly correlated with the age, education level, annual income, and health insurance coverage of the patients. Conclusions： Patient trust in physicians in Shanghai, China is higher than previously reported. Furthermore, the most crucial reason for patient distrust in physicians is the information asymmetry between patients and physicians, which is a natural property of the physician patient relationship, rather than the so-called for-profit characteristic of physicians or patients＇ excessive expectations.
文摘This study examined whether patients’negative metastereotypes undermine their perception of doctor–patient relations through raising their intergroup anxiety and decreasing their trust level.One hundred twenty-four outpatients from a Chinese hospital participated in this study;they were randomly assigned to either the negative metastereotype activation(NMSA)or the non-NMSA condition according to different instructions.Then,they were asked to complete the Intergroup Anxiety,Patient Trust,and Doctor–Patient Relations Scale.Patients’negative metastereotypes undermined doctor–patient relations through the mediation of intergroup anxiety and patient trust(i.e.,the independent mediation effect of intergroup anxiety and patient trust)and the serial mediation effect of intergroup anxiety and patient trust.These findings suggest that future research consider intergroup anxiety and patient trust in developing interventions to improve doctor–patient relations.
基金supported by the National Natural Science Foundation of China(Grant Nos.:71971092 and 72001087).
文摘Sufferers’mental illnesses experience changes in communication,cognition,and behavior,exposing differences in social behavior and relationships.Many who suffer from mental health problems notice that the reduced communication ability leads to social inclusion and distrust of others.Online Mental Health Communities(OMHCs)facilitate a new means of communication between patients and physicians.Based on the trust source credibility framework,trust transitivity theory,social resources and physician-patient interactions,this study aims to evaluate the factors that influence patients’trust in OMHCs.We crawled the data from Haodf.com,the leading healthcare community platform in China,to study the factors that influence patients’trust using the ordinary least squares regression method.725 psychologists’records were collected on 19 November,2019,20 December,2019,and 20 May,2020.Compared with face-to-face physician appointments,Chief Physicians are more likely to gain patients’initial trust online.Further,psychologists’integrity,online reputation,and group size have significant positive impact on the initial trust of patients.Similarly,patients’online initial trust and efforts have significantly positive influences on their continuous trust online.To improve relationships between physicians and patients,physicians must strengthen their clinical abilities and be honest with patients.The findings of this study provide insights into the factors that influence patients’trust in OMHCs.
文摘Background: The aim of this study is to gain a better understanding of the true importance of trust in clinical practice by looking at how it is formed, how it affects clinical practice, and how to improve it. Methods: Using the PRISMA-ScR checklist, a review of the literature was performed to identify research evaluating the importance of trust in the doctor-patient relationship. After thorough screening and removal of duplicates, 21 articles were used in the literature review. Results: The classifying themes that emerged in the selected articles were What Makes Trust and Effects of Trust. The theme of What Makes Trust garnered two subthemes as well: Impact of Doctor-Patient Relationship on Trust and Impact of Shared Decision-Making on Trust. Further to that, the overarching themes found were slightly more specific. They were Traits of Trust, Mistrust and Barriers to Trust, Positive Effects of Trust and the Effects of a Lack of Trust. We found that the best way to improve trust was to improve communication between the patient and the doctor. Additionally, we found that the biggest barrier to a trusting doctor patient relationship was a stigmatised condition, followed by a perception of a financially-motivated doctor. Finally, we found that a lack of trust can prevent patients from seeking and receiving proper treatment. Conclusions: With a better understanding of how trust is built and the extent of the role it plays in clinical practice, we hope that this growing knowledge can improve the practice of many doctors in the future. It is certain that more research needs to be done in this area, especially focusing on vulnerable and stigmatised populations such as chronic pain patients.
文摘Hypophosphatasia(HPP)is a rare metabolic bone disorder often misdiagnosed as fibromyalgia due to overlapping symptoms such as chronic pain,fatigue,and muscle weakness.This diagnostic error disproportionately affects women and can result in significant psychological distress due to repeated dismissal of symptoms.Despite low serum alkaline phosphatase(ALP)being a key biochemical clue to HPP,it is frequently overlooked in standard diagnostic evaluations.Consequen-tly,many patients endure years of ineffective treatment,invalidation,and worse-ning psychiatric outcomes.This editorial emphasizes the need for greater clinical vigilance in distinguishing HPP from fibromyalgia,particularly when features such as chronic pain,premature tooth loss,and persistently low ALP are present.Gender biases in pain diagnosis further compound this problem,leading to gr-eater misdiagnosis rates among women and contributing to the erosion of trust in medical care.The psychiatric consequences of diagnostic delays are substantial,with affected individuals experiencing elevated rates of depression,anxiety,and emotional distress.Greater recognition of low ALP as a meaningful diagnostic clue may enhance diagnostic accuracy,improve patient outcomes,and reduce the psychological toll of misdiagnosis.
