Determination of the relationship between physician trust, medical mistrust, and self-confidence in the health services provided in Turkey

Halil Şengül; Arzu Bulut

doi:10.14687/jhs.v17i4.6095

Authors

Halil Şengül İstanbul Sabahattin Zaim University https://orcid.org/0000-0001-5745-0369
Arzu Bulut Üsküdar University https://orcid.org/0000-0001-7362-5667

DOI:

https://doi.org/10.14687/jhs.v17i4.6095

Keywords:

Trust, Mistrust, Medical mistrust, physician trust, self-trust

Abstract

Objectives: A sense of trust is of great importance for professional professions. Failure to establish trust, especially in an industry where information asymmetry is too high, such as the health sector, also poses important problems for both employees and society. In this study, we aimed to identify variables that affect the distrust of the health system and trust in the physician.

Material and Method: This study was carried out in the descriptive design. The study group consisted of 561 people living in different cities of Turkey and whose ages ranged from 18-70 years. “Personal data form”, “ Medical mistrust scale”, “Physician trust scale” and “generalized trust inventory infrastructure scale” were used as data collection tools prepared by the researcher. As a data collection method, the test method performed in a computer environment was used. One-way analysis of variance from parametric test statistics and Pearson correlation analysis test statistics were used to compare data. P<0.050 and p<0.001 were determined for the significance level.

Results: In our study, medical mistrust decreased as trust in the physician increased. As a person's level of self-trust increases, medical mistrust increases, and confidence in the physician also decrease. Dissatisfaction with the health service increases medical mistrust, while also reducing trust in the physician. Based on the preferred type of hospital, the level of medical mistrust of patients going to private hospitals is greater than the level of medical mistrust of patients going to public hospitals.

Conclusion: This study reveals the importance of trust in the health sector and the factors that affect it. More detailed studies on practices that will increase confidence in the importance of this issue and measures that will reduce distrust will make a great contribution to this issue.

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Author Biographies

Halil Şengül, İstanbul Sabahattin Zaim University

Objectives: A sense of trust is of great importance for professional professions. Failure to establish trust, especially in an industry where information asymmetry is too high, such as the health sector, also poses important problems for both employees and society. In this study, we aimed to identify variables that affect the distrust of the health system and trust in the physician.

Material and Method: This study was carried out in the descriptive design. The study group consisted of 561 people living in different cities of Turkey and whose ages ranged from 18-70 years. “Personal data form”, “ Medical mistrust scale”, “Physician trust scale” and “generalized trust inventory infrastructure scale” were used as data collection tools prepared by the researcher. As a data collection method, the test method performed in a computer environment was used. One-way analysis of variance from parametric test statistics and Pearson correlation analysis test statistics were used to compare data. P<0.050 and p<0.001 were determined for the significance level.

Results: In our study, medical mistrust decreased as trust in the physician increased. As a person's level of self-trust increases, medical mistrust increases, and confidence in the physician also decrease. Dissatisfaction with the health service increases medical mistrust, while also reducing trust in the physician. Based on the preferred type of hospital, the level of medical mistrust of patients going to private hospitals is greater than the level of medical mistrust of patients going to public hospitals.

Conclusion: This study reveals the importance of trust in the health sector and the factors that affect it. More detailed studies on practices that will increase confidence in the importance of this issue and measures that will reduce distrust will make a great contribution to this issue.

Arzu Bulut, Üsküdar University

Ph.D. Candidate, Uskudar University, Faculty of Health Sciences, Health Management Department

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