Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Ergonomics. 2012;55(7):752-61. doi: 10.1080/00140139.2012.663002. Epub 2012 Apr 16.
The present study investigated factors that explain patient trust in health technology and the relationship between patient trust in technology and trust in their care provider. Sociotechnical systems theory states that changes in one part of the system are likely related to other parts of the system. Therefore, attitudes about technologies, like trust, are likely related to other aspects of the system. Contributing to appropriate trust at the technological, interpersonal, and system levels can potentially lead to positive health outcomes. The study described in this manuscript used data collected from 101 patients with a Trust in Medical Technology instrument. The instrument measured patients' trust in (1) their providers, (2) the technology, and (3) how their providers used the technology. Measure 3 was positively associated with measures 1 and 2, while measures 1 and 2 were not positively or negatively associated with one another. These results may indicate that patient assessments of the trustworthiness of care providers and technologies are based on their observations of how providers use technologies.
Though patients are not active users of technologies in health care, the results of this study show that their perceptions of how providers use technology are related to their trust in both technology and the care provider. Study findings have implications for how trust is conceptualised and measured in interpersonal relationships and in technologies.
本研究调查了能解释患者对医疗技术信任的因素,以及患者对技术的信任与对其医护提供者的信任之间的关系。社会技术系统理论指出,系统中某一部分的变化很可能与系统的其他部分有关。因此,对技术的态度(如信任)可能与系统的其他方面有关。在技术、人际和系统层面促进适当的信任,可能会带来积极的健康结果。本研究使用了从 101 名对医疗技术有信任的患者那里收集的数据。该仪器测量了患者对(1)提供者、(2)技术和(3)提供者如何使用技术的信任程度。测量 3 与测量 1 和测量 2 呈正相关,而测量 1 和测量 2 彼此之间没有正相关或负相关。这些结果可能表明,患者对医护提供者和技术的信任程度的评估是基于他们对提供者使用技术的观察。
尽管患者不是医疗保健技术的积极使用者,但这项研究的结果表明,他们对提供者使用技术的看法与他们对技术和医护提供者的信任有关。研究结果对如何在人际关系和技术中概念化和衡量信任具有启示意义。