ArticlePloS one2013
Dimensions and determinants of trust in health care in resource poor settings--a qualitative exploration.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 54 citations in OpenAlex.
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- Measuring trust in one's physician: A scoping review.PloS one · 2024Article
- Hostility has a trivial effect on persuasiveness of rebutting science denialism on social media.Communications psychology · 2023Article
- Morbidity and utilisation of healthcare services among people with cardiometabolic disease in three diverse regions of rural India.Chronic illness · 2023Article
- Trust Deficit in Surgical Systems in an Urban Slum in India Under Universal Health Coverage: A Mixed Method Study.International journal of public health · 2022Article
- Community health workers' efforts to build health system trust in marginalised communities: a qualitative study from South Africa.BMJ open · 2021Article
- Doctor-patient communication and trust in doctors during COVID 19 times-A cross sectional study in Chennai, India.PloS one · 2021Article
- Understanding patient satisfaction and loyalty in public and private primary health care.Journal of public health research · 2020Article
- Factors associated with the public's trust in physicians in the context of the Lebanese healthcare system: a qualitative study.BMC health services research · 2019Article
- Obstacles for Iranian rural population to participate in health education programmes: a qualitative study.Family medicine and community health · 2019Article
- Factors determining satisfaction among facility-based maternity clients in Nepal.BMC pregnancy and childbirth · 2017Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrust in health care has been intensely researched in resource rich settings. Some studies in resource poor settings suggest that the dimensions and determinants of trust are likely to be different.
objectivesThis study was done as a qualitative exploration of the dimensions and determinants of trust in health care in Tamil Nadu, a state in south India to assess the differences from dimensions and determinants in resource rich settings. METHODOLOGY: The participants included people belonging to marginalized communities with poor access to health care services and living in conditions of resource deprivation. A total of thirty five in depth interviews were conducted. The interviews were summarized and transcribed and data were analyzed following thematic analysis and grounded theory approach.
resultsThe key dimensions of trust in health care identified during the interviews were perceived competence, assurance of treatment irrespective of ability to pay or at any time of the day, patients' willingness to accept drawbacks in health care, loyalty to the physician and respect for the physician. Comfort with the physician and health facility, personal involvement of the doctor with the patient, behavior and approach of doctor, economic factors, and health awareness were identified as factors determining the levels of trust in health care.
conclusionsThe dimensions and determinants of trust in health care in resource poor settings are different from that in resource rich settings. There is a need to develop scales to measure trust in health care in resource poor settings using these specific dimensions and determinants.
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