Patients who trust their doctors more have better outcomes

December 09, 2005

Patients with higher levels of trust in their regular physicians are more likely than patients with less trust to have better care, a new study finds.

"Increasing patients' trust in a physician may be associated with improvement among patients in two important areas: getting care promptly and getting needed health care," the authors write in the December issue of the journal Health Services Research.

"This study emphasizes the importance of examining multiple levels of the context of health care simultaneously," said lead author Stefanie Mollborn of Stanford University. "We found that insurance status and poverty, and race-ethnicity factors influence the interaction level aspect of trust and its associations with unmet needs and delayed care."

The researchers measured the association of trust with unmet health care needs and delayed care in patients from a variety of ethnicities and income levels who had a regular physician.

They found that less trust was associated with delayed care and especially with unmet health care needs in most patients; however, among African-Americans, Hispanics, the poor and the uninsured, delayed care was not affected by trust. Surprisingly, patients who are more educated are more likely to have unmet or delayed health care needs than patients with less education.

Peter Muennig, M.D., of Columbia University, said that some of the findings need to be examined more closely and the patients' characteristics disentangled. "It could be that physicians who rush and fail to address all of a patient's needs are leading to lower levels of trust," Muennig said. "If this is the direction of causality, then delayed care might be seen as an institutional factor and unmet needs as a personal factor between the provider and the patient."
-end-
INTERVIEWS
Contact Stefanie Mollborn at 650-723-3956 or smollborn@stanford.edu.

Health Services Research is a bimonthly peer-reviewed journal of health services and policy research. Affiliated with AcademyHealth, an official journal of AcademyHealth, HSR is owned by Health Research and Educational Trust. For information contact Meighan Schreiber, Managing Editor, at 415-502-0201 and hsr.itsa@ucsf.edu or Jennifer Shaw, Business Manager, at 312-422-2646 and jshaw@aha.org.

Mollborn S, et al. Delayed care and unmet needs among health care system users: When does fiduciary trust in a physician matter? Health Services Research 40(6), 2005.

Center for Advancing Health

Related Physicians Articles from Brightsurf:

Needlestick, sharps injuries among resident physicians
Rates and characteristics of needle stick and other sharps injuries among resident physicians and other staff at a large health care center were examined in this study.

Prevalence of suicide-related behaviors among physicians
An analysis of published studies has found a relatively high prevalence of suicidal behaviors among physicians.

To support lactating emergency physicians, consider these strategies
A new paper highlights strategies that emergency departments can implement to support lactating emergency physicians.

Physicians call for an end to conversion therapy
Historically, conversion therapies have used electroshock therapy, chemical drugs, hormone administrations and even surgery.

Racial bias associated with burnout among resident physicians
Symptoms of physician burnout appear to be associated with greater bias toward black people in this study of nearly 3,400 second-year resident physicians in the United States who identified as nonblack.

Survey finds physicians struggle with their own self-care
Despite believing that self-care is a vitally important part of health and overall well-being, many physicians overlook their own self-care, according to a new survey released today, conducted by The Harris Poll on behalf of Samueli Integrative Health Programs.

Less burnout seen among US physicians, Stanford researcher says
The epidemic levels of physicians reporting burnout dropped modestly in 2017, according to a study by researchers at the Stanford University School of Medicine, the Mayo Clinic and the American Medical Association.

Payments to physicians may increase opioid prescribing
US doctors who receive direct payments from opioid manufacturers tend to prescribe more opioids than doctors who receive no such payments, according to new research published by Addiction.

Is marketing of opioids to physicians associated with overdose deaths?
This study examined the association between pharmaceutical company marketing of opioids to physicians and subsequent death from prescription opioid overdoses across US counties.

Nearly half of resident physicians report burnout
Resident physician burnout in the US is widespread, with the highest rates concentrated in certain specialties, according to research from Mayo Clinic, OHSU and collaborators.

Read More: Physicians News and Physicians Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.