Evidence map›Paper›PMID 23793686›Full record

ArticleBMJ open2013

Factors affecting patients' trust and confidence in GPs: evidence from the English national GP patient survey.

Joanne E Croker, Dawn R Swancutt, Martin J Roberts, Gary A Abel, Martin Roland, John L Campbell

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03786315 (Exploring 'VOLITION' in Context - a Study to Inform the Implementation of a New Intervention), which is not on this map. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT03786315 completednot on this mapstarted 2021, after this paper: background citation

Exploring 'VOLITION' in Context - a Study to Inform the Implementation of a New Intervention

TypeobservationalSponsorUniversity of ExeterRan2021 to 2022Enrolled72ConditionsDecision Making, Aged, Multimorbidity, General Practice
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Perspectives of young people who access support for mental health in primary care: a systematic review of their experiences and needs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Building Trust in a Newly Established Physician-Patient Relationship: A Scoping Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  6. Implications of skill-mix change in general practice: secondary analysis of data from the GP Patient Survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  7. Factors influencing confidence and trust in health professionals: a cross-sectional study of English general practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joanne E CrokerDepartment of Primary Care, University of Exeter, Exeter, UK.
Dawn R Swancutt
Martin J Roberts
Gary A Abel
Martin Roland
John L Campbell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPatients' trust in general practitioners (GPs) is fundamental to effective clinical encounters. Associations between patients' trust and their perceptions of communication within the consultation have been identified, but the influence of patients' demographic characteristics on these associations is unknown. We aimed to investigate the relative contribution of the patient's age, gender and ethnicity in any association between patients' ratings of interpersonal aspects of the consultation and their confidence and trust in the doctor.

designSecondary analysis of English national GP patient survey data (2009).

settingPrimary Care, England, UK.

participantsData from year 3 of the GP patient survey: 5 660 217 questionnaires sent to patients aged 18 and over, registered with a GP in England for at least 6 months; overall response rate was 42% after adjustment for sampling design. OUTCOME MEASURES: We used binary logistic regression analysis to investigate patients' reported confidence and trust in the GP, analysing ratings of 7 interpersonal aspects of the consultation, controlling for patients' sociodemographic characteristics. Further modelling examined moderating effects of age, gender and ethnicity on the relative importance of these 7 predictors.

resultsAmong 1.5 million respondents (adjusted response rate 42%), the sense of 'being taken seriously' had the strongest association with confidence and trust. The relative importance of the 7 interpersonal aspects of care was similar for men and women. Non-white patients accorded higher priority to being given enough time than did white patients. Involvement in decisions regarding their care was more strongly associated with reports of confidence and trust for older patients than for younger patients.

conclusionsAssociations between patients' ratings of interpersonal aspects of care and their confidence and trust in their GP are influenced by patients' demographic characteristics. Taking account of these findings could inform patient-centred service design and delivery and potentially enhance patients' confidence and trust in their doctor.

Indexed as

Health Services Administration & ManagementPrimary care

Identifiers

PMID23793686
PMCPMC3657663

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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.