ArticleJournal of health communication2014
Predictors of health care system and physician distrust in hospitalized cardiac patients.
Article in Journal of health communication, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Why do people trust (or mistrust) health organizations? A systematic review.International journal for equity in health · 2026Pooled it
- A model of contributors to a trusting patient-physician relationship: a critical review using a systematic search strategy.BMC primary care · 2024Pooled it
- Making space to listen: engaging people with a chronic condition and various health literacy levels as citizen researchers.Research involvement and engagement · 2026Article
- The relationship between health literacy and public trust in the health system: evidence from an Iranian setting.BMC public health · 2026Article
- The mediating role of health literacy in the relationship between trust in public health authorities and distrust in health systems.BMC public health · 2025Article
- Trust levels toward health care and government: insights from TrustMe, an Italian cross-sectional study.Journal of preventive medicine and hygiene · 2024Article
- Does Consumer Credit Precede or Follow Health Among Older Adults? An Investigation in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Trial.Innovation in aging · 2024Article
- Medical Doctors Approaches and Understanding of Health Literacy: A Systematic Literature Review.Cureus · 2024Review
- Greek medical professionals approaches and understanding of health literacy: a qualitative study.BMC health services research · 2023Article
- Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature.Life (Basel, Switzerland) · 2023Review
- Trust in and Use of COVID-19 Information Sources Differs by Health Literacy among College Students.Healthcare (Basel, Switzerland) · 2023Article
- Evaluation of Health Literacy Levels and Associated Factors Among Patients with Acute Coronary Syndrome and Heart Failure in Qatar.Patient preference and adherence · 2023Article
- Relation of corona-specific health literacy to use of and trust in information sources during the COVID-19 pandemic.BMC public health · 2022Article
- Disparities in Research Participation by Level of Health Literacy.Mayo Clinic proceedings · 2021Article
- Investigating factors influencing patient trust in a developing Pacific Island Country, Fiji, 2018.Heliyon · 2020Article
- Improving health literacy in a Japanese community population-A pilot study to develop an educational programme.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Perceptions of heart failure symptoms, disease severity, treatment decision-making, and side effects by patients and cardiologists: a multinational survey in a cardiology setting.Therapeutics and clinical risk management · 2018Article
- Health Literacy and Use and Trust in Health Information.Journal of health communication · 2018Article
- Effect of Health Literacy on Research Follow-Up.Journal of health communication · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Trusting relationships among patients, physicians, and the health care system is important in encouraging self-care behaviors in cardiovascular patients. This study aimed to assess the prevalence of health care system and physician distrust in this population, compare the 2 forms of distrust, and describe the demographic, socioeconomic, and psychosocial predictors of high distrust. A total of 1,232 hospitalized adults with acute coronary syndrome or heart failure were enrolled in a prospective, observational study assessing health care system distrust and physician distrust. High health care system distrust (35%) was observed across the population, with lower levels of interpersonal physician distrust (16%). In a multivariate analysis, poor social support and coping skills were strong predictors of both health care system (p=.026, p=.003) and physician distrust (p<.001, p=.006). Individuals with low or marginal health literacy had a higher likelihood of physician distrust (p<.001), but no relation was found between health literacy and health care system distrust. In conclusion, distrust is common among acutely ill cardiac patients. Those with low social support and low coping skills are more distrusting of physicians and the health care system.
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What OpenQuestion holds
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.