Evidence map›Paper›PMID 31351485›Full record

ArticleBMC health services research2019

Factors associated with the public's trust in physicians in the context of the Lebanese healthcare system: a qualitative study.

Bashir Shaya, Nadine Al Homsi, Kevin Eid, Zeinab Haidar, Ali Khalil, Kelly Merheb, Gladys Honein-Abou Haidar, Elie A Akl

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A socioecological framework for physician advocacy: motivators, enablers, and barriers.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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  14. The Effect of the COVID-19 Pandemic on Physicians' Use and Perception of Telehealth: The Case of Lebanon.International journal of environmental research and public health · 2020
    Article
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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

8 authors.

Bashir ShayaSchool of Medicine, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Nadine Al HomsiSchool of Medicine, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Kevin EidSchool of Medicine, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Zeinab HaidarSchool of Medicine, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Ali KhalilSchool of Medicine, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Kelly MerhebSchool of Medicine, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Gladys Honein-Abou HaidarHariri School of Nursing, American University of Beirut, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon.
Elie A AklDepartment on Internal Medicine, American University of Beirut Medical Center, P.O. Box: 11-0236, Riad-El-Solh Beirut, Beirut, 1107 2020, Lebanon. ea32@aub.edu.lb.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Lebanese public perceives the physician-patient relationship as flawed. The objectives of this study are to assess factors associated with the public's trust in physicians in the context of the Lebanese healthcare system and to explore potential ways to enhance it.

methodsWe conducted a qualitative study based on a grounded theory methodology using semi-structured interviews with members of the Lebanese public (not restricted to patients). We selected participants through convenience and maximum variation sampling approaches. The constant comparative analysis resulted in a theoretical framework that describes the factors influencing trust in physicians.

resultsParticipants trusted an experienced, up-to-date, graduate of a North American or Western European school, working in a reputable hospital, with a high level of diagnostic skills. The personal characteristics that improved trust were physicians who are 'non-materialistic', have a good rapport, and have sufficient encounter time with patients. Social factors that enhance trust in the physician include: being a family member, recommended by a family member, featured in mainstream media, and/or having a good reputation. Trust increased compliance, loyalty despite occasional mistakes committed, high consultation fees, and negative attitudes towards the physician's institution. Conversely, no trust led to severed therapeutic relationship and seeking second opinions.

conclusionThe level of trust of members of the Lebanese public in physicians was affected by the personal characteristics of physicians, their practice or clinical skills, their interactions with the patient, finances, in addition to a number of social factors. Moreover, the level of trust had major implications on patients' interactions with their physicians.

Indexed as

Attitude to HealthPhysician-Patient RelationsTrustAdolescentAdultClinical CompetenceDelivery of Health CareFemaleHumansLebanonMaleMiddle AgedPhysiciansQualitative ResearchSocioeconomic FactorsYoung AdultLebanonPhysician-patient relationshipTrust

Identifiers

PMID31351485
PMCPMC6660947

What OpenQuestion holds

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Registered trials

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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.