ArticleBMJ open2013
Comparison of health confidence in rural, suburban and urban areas in the UK and the USA: a secondary analysis.
Article in BMJ open, 2013. 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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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Investigating the association between urban rural classification with fragility fractures and bone density in the UK: evidence from a large observational clinical cohort.Rheumatology advances in practice · 2026Article
- Hospital discharge communication problems in 10 high-income nations: a secondary analysis of an international health policy survey.BMJ open · 2025Article
- Developing an effective and comprehensive communication curriculum for undergraduate medical education in Poland - the review and recommendations.BMC medical education · 2023Article
- Mapping Health Disparities in 11 High-Income Nations.JAMA network open · 2023Article
- Social factors associated with trust in the health system in northern Sweden: a cross-sectional study.BMC public health · 2022Article
- General and Vulnerable Population's Satisfaction With the Healthcare System in Urban and Rural Areas: Findings From the European Social Survey.International journal of public health · 2022Article
- Changes in public trust in physicians: empirical evidence from China.Frontiers of medicine · 2019Article
- Nurses' Attitudes toward, and Needs for Online Learning: Differences between Rural and Urban Hospitals in Shanghai, East China.International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveConfidence in healthcare may influence the patients' utilisation of healthcare resources and perceptions of healthcare quality. We sought to determine whether self-reported confidence in healthcare differed between the UK and the USA, as well as by rurality or urbanicity.
designA secondary analysis of a subset of survey questions regarding self-reported confidence in healthcare from the 2010 Commonwealth Fund International Health Policy Survey.
settingTelephone survey of participants from the UK and the USA.
participantsOur final analysis included 1511 UK residents (688 rural, 446 suburban, 372 urban, 5 uncategorised) and 2501 US residents (536 rural, 1294 suburban, 671 urban). OUTCOME MEASURES: Questions assessed respondents' confidence in the effectiveness and affordability of the treatment. We compared survey outcomes from these questions between, and within, the two regions and among, and within, residence types (rural, suburban and urban).
resultsSignificant differences were found in self-reported confidence in healthcare between the UK and US, among residence types, and between the two regions within residence types. Reported levels were higher in the UK. Within regions, significant differences by residence type were found for the US, but not the UK. Within the US, suburban respondents had the highest self-reported confidence in healthcare.
conclusionsSignificant differences exist between the UK and US in confidence in healthcare. In the US, but not in the UK, self-reported confidence is related to residence type. Within countries, significant differences by residence type were found for the US, but not the UK. Our findings warrant the examination of causes for relative confidence levels in healthcare between regions and among US residence types.
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