Evidence map›Paper›PMID 41214644›Full record

ArticleBMC public health2025

Trust in the healthcare system as a predictor of patient satisfaction: a cross-sectional survey in Türkiye's primary care setting.

İbrahim Topuz, Mustafa Nal, Veli Durmuş, Gülfer Bektaş

Abstract read
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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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

4 authors.

İbrahim TopuzKütahya Health Sciences University, Kütahya, Türkiye.ORCID http://orcid.org/0000-0003-0540-2095
Mustafa NalKütahya Health Sciences University, Kütahya, Türkiye.ORCID http://orcid.org/0000-0002-3282-1124
Veli DurmuşKütahya Health Sciences University, Kütahya, Türkiye.ORCID http://orcid.org/0000-0001-6124-6109
Gülfer BektaşAcibadem Mehmet Ali Aydinlar University, Istanbul, Türkiye. gulfer.bektas@acibadem.edu.tr.ORCID http://orcid.org/0000-0002-0110-4181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient satisfaction is a fundamental indicator of healthcare quality. However, while structural factors affecting satisfaction have been extensively studied in the literature, perceptions of the service process and the communication dimension have been relatively neglected. It offers concrete suggestions for developing strategies to increase trust in the health system, improve patient satisfaction, and achieve sustainable quality in health services. This study aims to examine the relationship between trust in the healthcare system and the level of patient satisfaction.

methodsThis study used a descriptive cross-sectional design. Data were collected in Türkiye between March and August 2023 through an online survey using the snowball sampling method, involving 1010 individuals utilizing family medicine services. Validated instruments included: (1) a Descriptive Characteristics Form covering gender, education, and employment; (2) the Trust in the Health Care System Scale; and (3) a Patient Satisfaction Scale.

resultsTrust correlated strongly with satisfaction (r = 0.715, p < 0.001). Regression analysis showed trust sub-dimensions significantly predicted satisfaction (R²=0.512), with marital and employment status also influencing outcomes (p < 0.05). Trust in the healthcare system strongly predicted patient satisfaction (p < 0.001) and explained significant variance (Nagelkerke R²=0.512).

conclusionThis study found that patient satisfaction is significantly influenced by individual characteristics, service quality, and trust in the healthcare system. These findings suggest that policies to enhance patient satisfaction should adopt comprehensive strategies that reinforce public trust in all aspects of the healthcare system. Policies should not only focus on service delivery to enhance patient satisfaction, but also adopt comprehensive strategies that strengthen trust in the healthcare system. Policies aimed at increasing trust should incorporate multidimensional strategies, including transparency, accountability, effective communication, and the sustainability of service quality. These approaches will not only improve current satisfaction levels but also strengthen long-term social commitment to the healthcare system.

Indexed as

Delivery of Health CarePatient SatisfactionPrimary Health CareTrustAdolescentAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of Health CareSurveys and QuestionnairesYoung AdultPatient satisfactionPrimary healthcareTrust in healthcare health systemTürkiye

Identifiers

PMID41214644
PMCPMC12604317

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LicenceCC BY-NC-ND
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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.