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PubMedDate not supplied

Parents' trust in their child's physician: using an adapted Trust in Physician Scale.

OBJECTIVES: To assess the performance of the Pediatric Trust in Physician Scale (Pedi-TiPS) that refers to a child's physician and is a modified version of the Trust in Physician Scale (TiPS), and to explore the association of trust to demographic variables. METHODS: We performed a cross-sectional survey of parents in pediatric specialty and primary care sites. Parents completed an anonymous questionnaire that included the Pedi-TiPS. Our main outcome variable was total Pedi-TiPS score (higher scores = higher trust). Reliability was determined by Cronbach's alpha. Bivariate comparisons and linear regression modeling explored potential associations between demographic variables and total score. RESULTS: Five hundred twenty-six parents completed surveys (73% response rate). The mean total score was 45.4 (SD 6), with good internal consistency (alpha = .84). In bivariate analysis, lower scores were associated with being a father (P = 0.03), older parent age (P = 0.02), private insurance status (P < 0.01), parent education greater than high school (P = 0.04), and not having a child age <3 years (P = 0.03). In a regression model adjusted for other factors, parents who were either African American (P = 0.05), or "other" race (P < 0.01), parents with private insurance (P = 0.02), and parents who had no children <3 years of age (P = 0.04) had lower trust. CONCLUSIONS: The Pedi-TiPS has properties similar to the original instrument. We found associations between trust and demographic factors that should be confirmed with further studies.

Adult↗
PubMed2005

Earning trust and losing it: adolescents' views on trusting physicians.

OBJECTIVE: To explore how adolescents with and without chronic illness perceive patient-physician trust and to identify physician behaviors related to these perceptions that might be modified to promote adolescent health care. METHODS: Fifty-four adolescents recruited from the community (healthy subjects) and from hospital-based clinics (subjects with chronic illnesses) participated in 12 focus groups divided by age (11-14 or 15-19 years old), gender, and health status. Major themes related to preferred physician characteristics and trusting one's doctor were derived through a multistep, team-based qualitative analytic process. RESULTS: Adolescents hold varied perspectives of trust in their physicians. They describe elements of patient-physician trust similarly to the comprehensive model developed with adults, including fidelity, confidentiality, competency, honesty, and a global perspective intersecting several of the more specific domains. However, adolescents differ in the relative importance of these dimensions. Younger adolescents express more concern about confidentiality of their health information, and adolescents with chronic illnesses are more interested in involving parents in their care than are adolescents without chronic illnesses. Examples of specific behaviors to improve trust include asking for adolescent's opinion, keeping private information confidential, not withholding information, and engaging in small talk to show concern. CONCLUSION: Understanding the importance of trust and listening to recommendations about behaviors to improve it, in the words of the adolescents, may help physicians build positive relationships with their adolescent patients.

Adolescent↗
PubMed1990

Development of the Trust in Physician scale: a measure to assess interpersonal trust in patient-physician relationships.

Trust is widely acknowledged as an essential ingredient in patient-physician relationships. Given a dearth of situation-specific measures designed to quantify patients' trust in their physicians, we set out to develop an instrument to assess a patient's interpersonal trust in his physician. Findings from two studies are reported describing the development and validation of the Trust in Physician scale. Study 1 of 160 participants provided preliminary support for the reliability (Cronbach alpha = .90) and construct validity of the 11-item scale. Study 2, a replication study of 106 participants, supplied further evidence of the reliability and validity of the scale. Cronbach alpha was .85. Trust was significantly related to patients' desires for control in their clinical interactions and subsequent satisfaction with care. Research and clinical applications of the Trust in Physician scale are discussed.

Diabetes Mellitus, Type 2↗
PubMed2003

The "trust gap" hypothesis: predicting support for biotechnology across national cultures as a function of trust in actors.

Using results from the 1999 Eurobarometer survey and a parallel telephone survey done in the United States in 2000, this study explored the relationship between levels of knowledge, educational levels, and degrees of encouragement for biotechnology development across a number of medical and agricultural applications. This cross-cultural exploration found only weak relationships among these variables, calling into question the common assumption that higher science literacy produces greater acceptance (whether or not mediated by lower perceived risk). The relationship between encouragement and trust in specific social institutions was also weak. However, regression analysis based on "trust gap" variables (defined as numerical differences between trust in specific pairs of actors) did predict national levels of encouragement for several applications, suggesting an opinion formation climate in which audiences are actively choosing among competing claims. Differences between European and U.S. reactions to biotechnology appear to be a result of different trust and especially "trust gap" patterns, rather than differences in knowledge or education.

Biotechnology↗
PubMed2002

Attorney-client trust among convicted criminal defendants: preliminary examination of the attorney-client trust scale.

The current study describes the development of the Attorney-Client Trust Scale (ACTS), a measure designed to assess a client's trust in his or her attorney. A sample of 307 male inmates completed the ACTS and provided information about their most recent case and attorney. Low ACTS scores were associated with having a court-appointed attorney, going to trial, and receiving a lengthy prison sentence. High ACTS scores were related to satisfaction with sentences and attorneys. In addition, findings suggest that perceptions about attorneys' interpersonal skills were as important as perceptions about legal skills in forming opinions about overall lawyering ability. It is recommended that attorneys employ a well rounded assortment of interpersonal skills to foster their clients' trust and to make better use of the limited amount of time they have to spend with clients.

Adult↗
PubMed1996

Developing multidisciplinary library services in trust hospitals: a case study at the City Hospitals Sunderland NHS Trust.

The paper describes an example of good practice in the establishment of multidisciplinary library services at a Trust hospital. In 1995, City Hospitals Sunderland NHS Trust commissioned a survey to determine their needs for library services for all staff. The results of the survey and the recommendations are described. The Trust's further actions are briefly noted. This case study is set into the wider context of the need for well-resourced library and information services within the NHS. The constraints under which such developments operate are listed.

Accreditation↗
PubMed1999

Radiation protection information: can you trust the government's risks or risk the government's trust?: 1997 G. William Morgan lecture.

Public acceptance of information concerning radiation risks has been impacted by the erosion of trust in government agencies and by societal images that personify radiation or its effects in terms of monsters and ogres. The loss of trust in government agencies, particularly the Atomic Energy Commission and later the Department of Energy, has been influenced by a number of key events and individuals. Examples of these are given, including the anti-Viet Nam war movement, the Watergate incident, the activities of the Union of Concerned Scientists, Ralph Nader and the Critical Mass movement, the claims of Ernest Sternglass, and the widely publicized views of John Gofman and Arthur Tamplin. The use of negative images, pictures, and symbols in the mass media has reinforced the public perception of radiation as a thing to be feared. There is growing evidence that the public perception of radiation risks is related more to mistrust and negative images than it is to the technical information health physicists provide or to the issue of whether or not the linear no-threshold theory of radiation risks is correct. Attempts by federal agencies to regain public trust in radiation risk information generated by health physicists or other radiation scientists appear to be largely unsuccessful. If health physicists hope to be successful in changing such public perceptions, they may have to focus efforts on the next generation and concentrate on assuring that elementary and secondary school children receive sound instruction on radiation risks. Additional research at the molecular biology level is needed to elucidate the risks, if any, at low doses so that the practice of extrapolating low dose responses from high dose data can be eliminated.

Fear↗
PubMed2005

Foundation trusts. Bradford: how the trust and the regulator finally fell out.

Foundation regulator Bill Moyes gradually lost confidence in recovery plans put forward by Bradford Teaching Hospitals trust in a series of meetings last November and December. Papers released under the Freedom of Information Act show it accused the trust of not taking 'timely or appropriate action' to resolve the crisis, and not settling disputes with local PCTs.

Disclosure↗
PubMedDate not supplied

Accessing third-party data for research: trust me? Trust me not?

Epidemiologists are often asked to evaluate product safety or provide information about the history of disease and use of health services. Most of this research is conducted through sponsorship from a governmental or other non-profit agency, or with direct support from a for-profit company with an economic interest in the outcome. Vast amounts of information that are routinely collected for administrative and billing purposes may also be used for research. These data can reveal information about the etiology of disease, utilization patterns of prescription drugs, and trends in disease occurrence. Using third-party data requires a trusting partnership between researchers and data custodians. Although such data offer public health benefits, their use can also lead to embarrassment and legal action. Five guiding principles will help outside contractors facilitate access to third-party data and avoid pitfalls. (1) Understand the sponsor's objectives by understanding the purpose of the research. (2) Identify and approach data resources that have appropriate information. (3) Consider special issues relating to accessing confidential information. (4) Establish terms of the research engagement with the sponsor. (5) Establish ground rules with the data provider.

Confidentiality↗
PubMed1999

Best practice organizational effectiveness in NHS Trusts. Leeds Teaching Hospitals NHS Trust. Case study.

Measuring organisational effectiveness in a health-care delivery context is quite a challenging task. Although there are numerous performance assessment models, audit tools and managerial diagnostic tools, they all, however, tend to fall short in their attempts to scrutinize how health-care organizations deploy their capabilities to deliver optimum quality in service provision and what performance levels they achieved as a result of their approach. The project reported here attempted to address these issues, reflecting the experience of Leeds Teaching Hospitals, one of a series of Trusts whose approach to organizational effectiveness was closely examined.

Benchmarking↗
PubMed1999

Best practice organisational effectiveness in NHS Trusts. Allington NHS Trust case study.

Measuring organisational effectiveness in a health care delivery context is a challenging task. Although there are numerous performance assessment models, audit tools and managerial diagnostic tools, they all tend to fall short in their attempts to closely scrutinize how health care organisations deploy their capabilities to deliver optimum quality in service provision and what performance levels they achieve as a result of their approach. The project reported here attempted to address the aforementioned issues. It set out to examine health care providers from an integrated perspective and to assess the key drivers of effective organisational performance using an adapted model based on the 7s' principles. The research project culminated into a major report highlighting best practices found to be inherent in 18 well performing health care providers. This paper reflects the experience of one of a series of Trusts whose approach to organisational effectiveness was closely examined.

Community Health Services↗
PubMed2000

Care trusts. A question of trust.

The constitution, powers and accountability of care trusts have yet to be announced by the government. Their establishment offers opportunities for more integrated care. It is important that they are not perceived as takeovers of one organisation by another. The appointment of board members will be a key issue.

Cooperative Behavior↗
PubMedDate not supplied

In trust we trust.

Explore the source record for details and available documents.

Humans↗