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患者对医生的信任——“维克森林医生信任量表”荷兰语版的心理测量学特性。

Patients' trust in their physician--psychometric properties of the Dutch version of the "Wake Forest Physician Trust Scale".

机构信息

Academic Medical Center, University of Amsterdam, The Netherlands.

出版信息

Patient Educ Couns. 2009 Jul;76(1):126-31. doi: 10.1016/j.pec.2008.11.020. Epub 2009 Jan 10.

DOI:10.1016/j.pec.2008.11.020
PMID:19136228
Abstract

OBJECTIVE

Aim was to investigate the psychometric properties of a Dutch version of the "Wake Forest Physician Trust Scale", which intends to measure patients' trust in their physician.

METHODS

A random sample of internal medicine patients visiting the outpatient clinic completed the questionnaire (N=201). Dimensionality, reliability and validity of the instrument were examined.

RESULTS

The structure of the questionnaire was best explained by a unidimensional construct. Reliability was confirmed: internal consistency was high (alpha=.88), and mean item-total correlations were all above .40. Construct validity was indicated by patients' trust in their physician correlating significantly and as hypothesized with (1) satisfaction with their physician (r=.64), (2) with the length of the patient-physician relationship (r=.28), (3) with their willingness to recommend their physician (r=.71) and (4) their unwillingness to switch their physician (r=.61).

CONCLUSION

The results suggest the Dutch version of the Wake Forest Physician Trust Scale to be a psychometrically sound instrument to assess patients' interpersonal trust.

PRACTICE IMPLICATIONS

Trust is a key feature of the patient-physician relationship, yet has been scarcely researched in other than Anglophone cultures. An adequate Dutch trust questionnaire forms the first step to gaining more knowledge about patient-physician trust in another culture and health care setting.

摘要

目的

旨在调查“威克森林医师信任量表”荷兰语版本的心理测量特性,该量表旨在衡量患者对医生的信任程度。

方法

从访问门诊的内科患者中随机抽取样本,完成问卷调查(N=201)。检验了该工具的维度、信度和效度。

结果

问卷的结构最好由单一维度结构来解释。信度得到了确认:内部一致性很高(α=.88),平均项目总分相关系数均高于.40。结构效度表明,患者对医生的信任与(1)对医生的满意度(r=.64)、(2)与医患关系的长度(r=.28)、(3)与推荐医生的意愿(r=.71)和(4)不愿意更换医生(r=.61)显著相关且符合假设。

结论

结果表明,威克森林医师信任量表荷兰语版本是评估患者人际信任的心理测量学上合理的工具。

实践意义

信任是医患关系的关键特征,但在非英语文化中研究甚少。一个充分的荷兰语信任问卷是在另一种文化和医疗环境中获得更多关于医患信任知识的第一步。

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