Pearson S D, Raeke L H
Center for Ethics in Managed Care, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA.
J Gen Intern Med. 2000 Jul;15(7):509-13. doi: 10.1046/j.1525-1497.2000.11002.x.
Trust is one of the central features of patient-physician relationships. Rapid changes in the health care system are feared by many to be threatening patients' trust in their physicians. Yet, despite its acknowledged importance and potential fragility, rigorous efforts to conceptualize and measure patient trust have been relatively few. This article presents a synopsis of theories about patient trust and the evolution of methods to measure it. Clinicians, educators, and researchers interested in this area may find this information useful in practice and teaching. The gaps identified in our knowledge about trust can help target new efforts to strengthen the methodological basis of work to understand this vital element of medical relationships.
信任是医患关系的核心特征之一。许多人担心医疗保健系统的快速变化会威胁患者对医生的信任。然而,尽管信任的重要性已得到认可且具有潜在脆弱性,但对患者信任进行概念化和测量的严格努力相对较少。本文概述了有关患者信任的理论及其测量方法的演变。对该领域感兴趣的临床医生、教育工作者和研究人员可能会发现这些信息在实践和教学中很有用。我们在信任知识方面发现的差距有助于为加强理解医疗关系这一关键要素的工作的方法基础的新努力指明方向。