Louisa Ewald, John Bellettiere, Tamer H Farag, Kristina M Lee, Sidhartha Palani, Emma Castro, Amanda Deen, Catherine W Gillespie, Bethany M Huntley, Alison Tracy, Anna-Carolina Haensch, Frauke Kreuter, Wiebke Weber, Stefan Zins, Wichada La Motte-Kerr, Yao Li, Kathleen Stewart, Emmanuela Gakidou, Ali H Mokdad
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引用次数: 0
摘要
目的：本研究评估了21个国家对卫生保健专业人员的信任与卫生保健延误之间的关系。方法：采用logistic回归模型对2023年春季收集的62.1万余人的调查数据进行分析。结果：结果显示44.5%有医疗状况的受访者在获得医疗保健方面遇到延误，44.1%报告对卫生保健专业人员缺乏信任。那些信任卫生保健专业人员的人延迟就医的几率明显较低。在英国，信任与延误的相关性最强（OR = 0.373, 95% CI = 0.273-0.510），而南非的相关性最小（OR = 0.762, 95% CI = 0.582-0.997）。结论：信任对就医行为有重要影响，但其因果关系有待进一步研究。有必要制定有针对性的战略，以建立和维持对卫生保健关系的信任，并加强获得卫生保健的机会。
Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries.
Objectives: This study evaluates the association between trust in health care professionals and health care delays across 21 countries.
Methods: We apply logistic regression models to survey data of over 621,000 individuals collected in Spring 2023.
Results: Results show 44.5% of respondents with medical conditions experienced delays in accessing health care and 44.1% reported lack of trust in health care professionals. Those who trusted health care professionals had significantly lower odds of delaying medical care. Trust was most strongly associated with delays in the United Kingdom (OR = 0.373, 95% CI = 0.273-0.510), while South Africa had the smallest association (OR = 0.762, 95% CI = 0.582-0.997).
Conclusion: Trust is important in influencing health care-seeking behaviors, though the causal direction warrants further research. There is a need for targeted strategies to build and sustain trust in health care relationships as well as enhancing health care access.
期刊介绍：
The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.
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