Thom D H, Bloch D A, Segal E S
Department of Medicine, Stanford University School of Medicine, Palo Alto, California 94304-1760, USA.
Acad Med. 1999 Feb;74(2):195-8. doi: 10.1097/00001888-199902000-00019.
To investigate the effect of a one-day workshop in which physicians were taught trust-building behaviors on their patients' levels of trust and on outcomes of care.
In 1994, the study recruited 20 community-based family physicians and enrolled 412 consecutive adult patients from those physicians' practices. Ten of the physicians (the intervention group) were randomly assigned to receive a one-day training course in building and maintaining patients' trust. Outcomes were patients' trust in their physicians, patients' and physicians' satisfaction with the office visit, continuity in the patient-physician relationship, patients' adherence to their treatment plans, and the numbers of diagnostic tests and referrals.
Physicians and patients in the intervention and control groups were similar in demographic and other data. There was no significant difference in any outcome. Although their overall ratings were not statistically significantly different, the patients of physicians in the intervention group reported more positive physician behaviors than did the patients of physicians in the control group.
The trust-building workshop had no measurable effect on patients' trust or on outcomes hypothesized to be related to trust.
探讨为期一天的培训工作坊对医生建立信任行为的教导，对患者信任水平及护理结果的影响。
1994年，该研究招募了20名社区家庭医生，并从这些医生的诊疗中纳入了412名连续的成年患者。其中10名医生（干预组）被随机分配接受为期一天的关于建立和维持患者信任的培训课程。结果指标包括患者对医生的信任、患者和医生对门诊的满意度、医患关系的连续性、患者对治疗计划的依从性以及诊断检查和转诊的数量。
干预组和对照组的医生及患者在人口统计学和其他数据方面相似。在任何结果指标上均无显著差异。尽管总体评分无统计学显著差异，但干预组医生的患者报告的医生积极行为比对照组医生的患者更多。
建立信任的工作坊对患者的信任或假设与信任相关的结果没有可测量的影响。
