ArticleJournal of critical care2012
Health-care system distrust in the intensive care unit.
Article in Journal of critical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Surrogate Trust in the Intensive Care Unit: What Can We Do Better?Healthcare (Basel, Switzerland) · 2025Article
- Predictors of Medical Mistrust Among Surrogate Decision-Makers of Patients in the ICU at High Risk of Death: A Pilot Study.CHEST critical care · 2024Article
- Health Care System Distrust, Race, and Surrogate Decision-Making Regarding Code Status.Health equity · 2022Article
- A survey on self-medication for the prevention or treatment of COVID-19 and distrust in healthcare of veterans in a primary care setting in the United States.Therapeutic advances in drug safety · 2022Article
- Dimensions and Role-Specific Mediators of Surrogate Trust in the ICU.Critical care medicine · 2016Article
- Concerns of ABO incompatible and crossmatch-positive potential donors and recipients about participating in kidney exchanges.Clinical transplantation · 2015Article
- Predictors of health care system and physician distrust in hospitalized cardiac patients.Journal of health communication · 2014Article
- Governance mechanisms in the physician-patient relationship: a literature review and conceptual framework.Health expectations : an international journal of public participation in health care and health policy · 2013Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
purposeTo examine the performance and properties of the Revised Health Care System Distrust Scale among surrogates in the intensive care unit (ICU). MATERIALS AND
methodsPilot, prospective cohort study of 50 surrogates of adult, mechanically ventilated patients surveyed on days 1, 3, and 7 of ICU admission.
resultsResponses on the Health Care System Distrust Scale on day 1 ranged from 9 to 34 (possible range 9-45, with higher scores indicating more distrust), with a mean and SD of 20.3 ± 6.9. Factor analysis demonstrated a 2-factor structure, corresponding to the domains of values and competence. Cronbach α for the overall scale was .83, for the competence subscale, .76, and for the values subscale, .74. Health-care system distrust was inversely correlated with trust in ICU physicians (Pearson coefficient -.63). When evaluated over the course of each patient's ICU stay, health-care system distrust ratings decreased by 0.31 per patient-day (95% CI 0.55-0.06, P = .015). Correlation between health-care system distrust and trust in ICU physicians decreased slightly over time.
conclusionsAmong surrogates in the ICU, the Health Care System Distrust Scale has high internal consistency and convergent validity. There was substantial variability in surrogates' trust in the health-care system.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.