ArticleBMJ open2013
Factors influencing trust in doctors: a community segmentation strategy for quality improvement in healthcare.
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 27 papers.
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Who cites it
27 citing papers in PubMed, 72 citations in OpenAlex.
- Trial
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- Role of trust in sustaining provision and uptake of maternal and child healthcare: Evidence from a national programme in Nigeria.Social science & medicine (1982) · 2022Article
- Trust in COVID-19 information sources and perceived risk among smokers: A nationally representative survey.PloS one · 2022Article
- Patient Trust in Primary Care Physicians: A Mixed Methods Study of Persons with Diabetes at University- Based Clinics in the Eastern Province of Saudi Arabia.Patient preference and adherence · 2022Article
- Perceived protectiveness of research safeguards and influences on willingness to participate in research: A novel MTurk pilot study.Journal of psychiatric research · 2021Article
- The effect of a dermato-oncological training programme on the diagnostic skills and quality of referrals for suspicious skin lesions by general practitioners.The British journal of dermatology · 2021Article
- What attributes do patients prefer in a family physician? A cross-sectional study in a northern region of Portugal.BMJ open · 2021Article
- Doctor-patient communication and trust in doctors during COVID 19 times-A cross sectional study in Chennai, India.PloS one · 2021Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrust is a forward-looking covenant between the patient and the doctor where the patient optimistically accepts his/her vulnerability. Trust is known to improve the clinical outcomes.
objectivesTo explore the factors that determine patients' trust in doctors and to segment the community based on factors which drive their trust.
settingResource-poor urban and rural settings in Tamil Nadu, a state in southern India.
participantsA questionnaire was administered to a sample of 625 adult community-dwelling respondents from four districts of Tamil Nadu, India, chosen by multistage sampling strategy. OUTCOME MEASURES: The outcomes were to understand the main domains of factors influencing trust in doctors and to segment the community based on which of these domains predominantly influenced their trust.
resultsFactor analysis revealed five main categories, namely, comfort with the doctor, doctor with personal involvement with the patient, behaviourally competent doctor, doctor with a simple appearance and culturally competent doctor, which explained 49.3% of the total variance. Using k-means cluster analysis the respondents were segmented into four groups, namely, those who have 'comfort-based trust', 'emotionally assessed trust', who were predominantly older and belonging to lower socioeconomic status, those who had 'personal trust', who were younger people from higher socioeconomic strata of the community and the group who had 'objectively assessed trust', who were younger women.
conclusionsTrust in doctors seems to be influenced by the doctor's behaviuor, perceived comfort levels, personal involvement with the patient, and to a lesser extent by cultural competence and doctor's physical appearance. On the basis of these dimensions, the community can be segmented into distinct groups, and trust building can happen in a strategic manner which may lead to improvement in perceived quality of care.
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