Department of Oncology, Leicester Royal Infirmary, Leicester, UK.
Clin Oncol (R Coll Radiol). 2012 Feb;24(1):13-21. doi: 10.1016/j.clon.2011.05.010. Epub 2011 Jul 13.
To assess the effect of patient physician trust on how British South Asian (BSA) and British White (BW) patients cope when diagnosed with cancer.
We administered a questionnaire incorporating domains of fidelity, honesty, competence, confidentiality and global trust. The patient-physician relationship most preferred by the patient was tested by a further five questions. Five other questionnaires were completed, including the Brief Illness Perception Questionnaire and mini-MAC. In total, 94 BSA patients and 185 BW patients were recruited in the Leicestershire Cancer Centre by an English-speaking nurse or two radiographers who between them spoke English, Gujarati, Hindi and Urdu.
In all the five domains of trust, BW and BSA patients rated doctors in the Leicestershire Cancer Centre consistently high or very high; 97.4% (BW 97.2%, BSA 95.7%) were satisfied with the medical care received and 94.4% completely trusted the hospital doctor; 9.3% were concerned that 'the NHS would not give the best possible care'. Fewer (80.2%) showed a high degree of trust in general practitioners, particularly in BSA patients (BW 81.4%, BSA 78%, P<0.027). More BSA patients, however, preferred to receive sensitive information from their general practitioner (BSA 62.5% versus 32.6%; P<0.0005 or from 'someone of the similar religion or background to me' (BSA 38.1% versus BW 7.4%; P<0.0001). Confidentiality (P=0.0005), faith in treatment (P=0.011) and understanding of cancer (P=0.011) plus a low detrimental effect of the illness on lives (P=0.0005) were strong predictors of trust in this sample.
Trust in both the hospital, general practitioners and the National Health Service in general is very high among BSA and BW cancer patients in Leicestershire. Greater partnership between the hospital and general practitioners is desirable for some sections of our population.
评估患者与医生的信任程度对英国南亚裔（BSA）和英国白人（BW）患者在被诊断患有癌症时应对方式的影响。
我们采用了一种包含保真度、诚实、能力、保密性和整体信任等领域的问卷。通过另外五个问题来测试患者最期望的医患关系。还完成了其他五个问卷，包括简要疾病认知问卷和 mini-MAC。总共在莱斯特癌症中心招募了 94 名 BSA 患者和 185 名 BW 患者，由一名讲英语的护士或两名会讲英语、古吉拉特语、印地语和乌尔都语的放射技师招募。
在信任的所有五个领域，BW 和 BSA 患者对莱斯特癌症中心的医生给予了一致的高度或非常高的评价；97.4%（BW 为 97.2%，BSA 为 95.7%）对所接受的医疗护理感到满意，94.4%的人完全信任医院医生；9.3%的人担心“NHS 不会提供最佳的护理”。信任程度较低的（80.2%）是全科医生，尤其是 BSA 患者（BW 为 81.4%，BSA 为 78%，P<0.027）。然而，更多的 BSA 患者希望从他们的全科医生那里获得敏感信息（BSA 为 62.5%，而 BW 为 32.6%；P<0.0005）或“与我有相似宗教或背景的人”（BSA 为 38.1%，而 BW 为 7.4%；P<0.0001）。在该样本中，保密性（P=0.0005）、对治疗的信心（P=0.011）、对癌症的理解（P=0.011）以及疾病对生活的不利影响较小（P=0.0005）是信任的强烈预测因素。
莱斯特郡的 BSA 和 BW 癌症患者对医院、全科医生和整个国民保健制度的信任度非常高。对于我们的一些人群，医院和全科医生之间更紧密的合作是可取的。
