Department of Primary Care, University of Exeter, Exeter, UK.
BMJ Open. 2013 May 28;3(5):e002762. doi: 10.1136/bmjopen-2013-002762.
Patients' trust in general practitioners (GPs) is fundamental to effective clinical encounters. Associations between patients' trust and their perceptions of communication within the consultation have been identified, but the influence of patients' demographic characteristics on these associations is unknown. We aimed to investigate the relative contribution of the patient's age, gender and ethnicity in any association between patients' ratings of interpersonal aspects of the consultation and their confidence and trust in the doctor.
Secondary analysis of English national GP patient survey data (2009).
Primary Care, England, UK.
Data from year 3 of the GP patient survey: 5 660 217 questionnaires sent to patients aged 18 and over, registered with a GP in England for at least 6 months; overall response rate was 42% after adjustment for sampling design.
We used binary logistic regression analysis to investigate patients' reported confidence and trust in the GP, analysing ratings of 7 interpersonal aspects of the consultation, controlling for patients' sociodemographic characteristics. Further modelling examined moderating effects of age, gender and ethnicity on the relative importance of these 7 predictors.
Among 1.5 million respondents (adjusted response rate 42%), the sense of 'being taken seriously' had the strongest association with confidence and trust. The relative importance of the 7 interpersonal aspects of care was similar for men and women. Non-white patients accorded higher priority to being given enough time than did white patients. Involvement in decisions regarding their care was more strongly associated with reports of confidence and trust for older patients than for younger patients.
Associations between patients' ratings of interpersonal aspects of care and their confidence and trust in their GP are influenced by patients' demographic characteristics. Taking account of these findings could inform patient-centred service design and delivery and potentially enhance patients' confidence and trust in their doctor.
患者对全科医生（GP）的信任是临床有效沟通的基础。患者信任与咨询中沟通感知之间存在关联，但患者人口统计学特征对这些关联的影响尚不清楚。我们旨在研究患者对咨询中人际方面的评价与其对医生的信心和信任之间的任何关联中，患者年龄、性别和种族的相对贡献。
对英国国家 GP 患者调查数据（2009 年）的二次分析。
英格兰初级保健。
来自 GP 患者调查第 3 年的数据：向年龄在 18 岁及以上、在英格兰注册至少 6 个月的 GP 患者发送了 5660217 份问卷；经过抽样设计调整后，总体回复率为 42%。
我们使用二元逻辑回归分析调查了患者对 GP 的报告信心和信任，分析了 7 项咨询人际方面的评分，控制了患者的社会人口统计学特征。进一步的模型检验了年龄、性别和种族对这 7 个预测因素的相对重要性的调节作用。
患者对护理人际方面的评价与对 GP 的信心和信任之间的关联受到患者人口统计学特征的影响。考虑到这些发现，可以为以患者为中心的服务设计和提供提供信息，并有可能增强患者对医生的信心和信任。
