Evidence map›Paper›PMID 38720303›Full record

ArticleInternational journal for equity in health2024

Development and validation of the Trust in Multidimensional Healthcare Systems Scale (TIMHSS).

Samantha B Meyer, Patrick Brown, Michael Calnan, Paul R Ward, Jerrica Little, Gustavo S Betini, Christopher M Perlman, Kathleen E Burns, Eric Filice

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
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  4. "Just be honest with us": A qualitative analysis of Canadians' public trust during the COVID-19 pandemic.Canadian journal of public health = Revue canadienne de sante publique · 2026
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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

9 authors.

Samantha B MeyerSchool of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada. samantha.meyer@uwaterloo.ca.
Patrick BrownDepartment of Sociology, University of Amsterdam, Amsterdam, The Netherlands.
Michael CalnanSchool of Social Policy, Sociology and Social Research, University of Kent, Canterbury, UK.
Paul R WardCentre for Public Health, Equity & Human Flourishing, Torrens University, Adelaide, Australia.
Jerrica LittleSchool of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada.
Gustavo S BetiniSchool of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada.
Christopher M PerlmanSchool of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada.
Kathleen E BurnsSchool of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada.
Eric FiliceUnity Health Toronto, Toronto, Canada.

Funding

CIHR GA3-177730
6 · The paper itself

Abstract

contextThe COVID-19 pandemic has reignited a commitment from the health policy and health services research communities to rebuilding trust in healthcare and created a renewed appetite for measures of trust for system monitoring and evaluation. The aim of the present paper was to develop a multidimensional measure of trust in healthcare that: (1) Is responsive to the conceptual and methodological limitations of existing measures; (2) Can be used to identify systemic explanations for lower levels of trust in equity-deserving populations; (3) Can be used to design and evaluate interventions aiming to (re)build trust.

methodsWe conducted a 2021 review of existing measures of trust in healthcare, 72 qualitative interviews (Aug-Dec 2021; oversampling for equity-deserving populations), an expert review consensus process (Oct 2021), and factor analyses and validation testing based on two waves of survey data (Nov 2021, n = 694; Jan-Feb 2022, n = 740 respectively).

findingsWe present the Trust in Multidimensional Healthcare Systems Scale (TIMHSS); a 38-item correlated three-factor measure of trust in doctors, policies, and the system. Measurement of invariance tests suggest that the TIMHSS can also be reliably administered to diverse populations.

conclusionsThis global measure of trust in healthcare can be used to measure trust over time at a population level, or used within specific subpopulations, to inform interventions to (re)build trust. It can also be used within a clinical setting to provide a stronger evidence base for associations between trust and therapeutic outcomes.

Indexed as

COVID-19Delivery of Health CareTrustAdultFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2Surveys and QuestionnairesHealth policyPhysiciansQuality indicators, health careTrustValidation study

Identifiers

PMID38720303
PMCPMC11078716

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.