Evidence map›Paper›PMID 40276462›Full record

ArticleInternational journal of public health2025

Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries.

Louisa Ewald, John Bellettiere, Tamer H Farag, Kristina M Lee, Sidhartha Palani, Emma Castro, Amanda Deen, Catherine W Gillespie, Bethany M Huntley, Alison Tracy and 9 more

Abstract read
In one paragraph

Article in International journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
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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

19 authors.

Louisa EwaldInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
John BellettiereMeta, Menlo Park, CA, United States.
Tamer H FaragMeta, Menlo Park, CA, United States.
Kristina M LeeMeta, Menlo Park, CA, United States.
Sidhartha PalaniMeta, Menlo Park, CA, United States.
Emma CastroInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Amanda DeenInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Catherine W GillespieInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Bethany M HuntleyInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Alison TracyInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Anna-Carolina HaenschInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, Germany.
Frauke KreuterInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, Germany.
Wiebke WeberInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, Germany.
Stefan ZinsInstitute for Statistics, Ludwig-Maximilian Universitat, Munich, Germany.
Wichada La Motte-KerrInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Yao LiDepartment of Geographical Sciences, University of Maryland, College Park, MD, United States.
Kathleen StewartDepartment of Geographical Sciences, University of Maryland, College Park, MD, United States.
Emmanuela GakidouInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Ali H MokdadInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.

Funding

Sci-Tech Core-Maryland Population Research CenterP2CHD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI Susan W Parker · 2018 to 2026
$3.9M
NICHD NIH HHS P2C HD041041
6 · The paper itself

Abstract

Objectives: This study evaluates the association between trust in health care professionals and health care delays across 21 countries. Methods: We apply logistic regression models to survey data of over 621,000 individuals collected in Spring 2023. Results: Results show 44.5% of respondents with medical conditions experienced delays in accessing health care and 44.1% reported lack of trust in health care professionals. Those who trusted health care professionals had significantly lower odds of delaying medical care. Trust was most strongly associated with delays in the United Kingdom (OR = 0.373, 95% CI = 0.273-0.510), while South Africa had the smallest association (OR = 0.762, 95% CI = 0.582-0.997). Conclusion: Trust is important in influencing health care-seeking behaviors, though the causal direction warrants further research. There is a need for targeted strategies to build and sustain trust in health care relationships as well as enhancing health care access.

Indexed as

Health PersonnelHealth Services AccessibilityPatient Acceptance of Health CareTrustAdolescentAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultCOVID-19 pandemichealth care accesshealth care delayshealth care utilizationhealth systemstrust in health care providerstrust in institutions

Identifiers

PMID40276462
PMCPMC12018240

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.