International variations in fiduciary and competence trust of physicians: A multilevel study

IF 1.9 Q3 MANAGEMENT

Journal of Trust Research Pub Date : 2020-01-02 DOI:10.1080/21515581.2019.1684302

Robert R. Martin

{"title":"International variations in fiduciary and competence trust of physicians: A multilevel study","authors":"Robert R. Martin","doi":"10.1080/21515581.2019.1684302","DOIUrl":null,"url":null,"abstract":"ABSTRACT This article examines how public trust in physicians varies across two primary dimensions: trust in physicians' technical competence and in their fiduciary duty to prioritise patients' interests above their own. While prior empirical studies explain variations in trust of physicians primarily by focusing on patients' individual characteristics, trust differences across national borders remain underexplored. This study utilises nationally representative survey data from 26 countries and data from national-level collections to investigate the correlates of both dimensions of trust. Multilevel ordinal logistic regression analysis reveals associations between the two dimensions of trust in physicians and a host of individual and national characteristics. The study reveals a complex relationship between trust and how countries fund health care delivery. Trust that physicians uphold their fiduciary duty to patients is significantly stronger in countries with predominantly tax-funded primary care systems. Conversely, both fiduciary trust and competence trust are weaker where out-of-pocket payments comprise a greater percentage of total health spending. Finally, individuals who report they are in better health are more likely to trust physicians.","PeriodicalId":44602,"journal":{"name":"Journal of Trust Research","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21515581.2019.1684302","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Trust Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/21515581.2019.1684302","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MANAGEMENT","Score":null,"Total":0}

引用次数: 3

Abstract

ABSTRACT This article examines how public trust in physicians varies across two primary dimensions: trust in physicians' technical competence and in their fiduciary duty to prioritise patients' interests above their own. While prior empirical studies explain variations in trust of physicians primarily by focusing on patients' individual characteristics, trust differences across national borders remain underexplored. This study utilises nationally representative survey data from 26 countries and data from national-level collections to investigate the correlates of both dimensions of trust. Multilevel ordinal logistic regression analysis reveals associations between the two dimensions of trust in physicians and a host of individual and national characteristics. The study reveals a complex relationship between trust and how countries fund health care delivery. Trust that physicians uphold their fiduciary duty to patients is significantly stronger in countries with predominantly tax-funded primary care systems. Conversely, both fiduciary trust and competence trust are weaker where out-of-pocket payments comprise a greater percentage of total health spending. Finally, individuals who report they are in better health are more likely to trust physicians.

查看原文本刊更多论文

医生受托和能力信任的国际差异:一项多层次研究

摘要本文考察了公众对医生的信任如何在两个主要维度上发生变化：对医生技术能力的信任，以及他们将患者利益置于自身利益之上的信托义务。虽然先前的实证研究主要通过关注患者的个人特征来解释医生信任的变化，但跨国界的信任差异仍然没有得到充分的探索。这项研究利用了来自26个国家的具有全国代表性的调查数据和来自国家一级收集的数据来调查信任两个维度的相关性。多层次有序逻辑回归分析揭示了对医生信任的两个维度与一系列个人和国家特征之间的关联。这项研究揭示了信任与各国如何为医疗保健提供资金之间的复杂关系。在主要由税收资助的初级保健系统的国家，医生对患者履行信托义务的信任要高得多。相反，当自付费用在医疗支出总额中所占比例较大时，信托信托和能力信托都较弱。最后，报告自己健康状况较好的人更有可能信任医生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Trust Research Multiple-

CiteScore

2.60

自引率

42.90%

发文量

期刊介绍： As an inter-disciplinary and cross-cultural journal dedicated to advancing a cross-level, context-rich, process-oriented, and practice-relevant journal, JTR provides a focal point for an open dialogue and debate between diverse researchers, thus enhancing the understanding of trust in general and trust-related management in particular, especially in its organizational and social context in the broadest sense. Through both theoretical development and empirical investigation, JTR seeks to open the "black-box" of trust in various contexts.