ArticleKorean journal of medical education2026
The mediating effect of trust in the physician on the impact of the physician's open communication on patients' adherence to treatment: a cross-sectional study from Turkey.
Article in Korean journal of medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aims to determine the mediating role of trust in the physician in the effect of the physician's open communication on patients' adherence to treatment.
methodsThis cross-sectional study included 594 patients who applied to a public hospital in Turkey for healthcare services. Participants completed scales for physicians' open communication, trust in physicians, and treatment adherence. Data were analyzed using descriptive statistics, Pearson correlation, and structural equation modeling. SPSS and AMOS programs were used to analyze the research data.
resultsOpen communication of physicians was significantly associated with trust in physicians (r=0.752, p<0.01) and treatment adherence (r=0.612, p<0.01). Trust in physicians and treatment adherence were also significantly associated (r=0.671, p<0.01). Structural Equation Model and bootstrap analysis showed that trust in physicians fully mediated the relationship between open communication and treatment adherence (β=0.529; 95% confidence interval, 0.390-0.712).
conclusionThis study found that open communication and trust increased patient adherence to treatment and confirmed that trust fully mediated adherence to treatment. Physicians' open communication with patients increases patients' trust in their physicians, thereby improving their treatment adherence. These findings demonstrate the importance of both physicians and medical students gaining competence beyond their technical competence to communicate effectively and build trust. In medical education, students should be given importance in acquiring behavioral skills.
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