Bell Ronny A, Arcury Thomas A, Ip Edward, Grzywacz Joseph G, Nguyen Ha, Kirk Julienne K, Saldana Santiago, Quandt Sara A
Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Am J Health Behav. 2013 Sep;37(5):660-6. doi: 10.5993/AJHB.37.5.10.
To examine the demographic, health and diabetes management correlates of physician trust in a rural, multiethnic population with diabetes.
563 older (≥ 60 years) African American, American Indian and White adults completed in-home surveys, including the 11-item General Trust in Physicians Scale.
Higher trust scores were seen among: older (>75) participants (p < .01), those with fewer (<3) chronic health conditions (p < .01), and those who adhered to physical activity (p < .05) and dilated eye exam (p < .01) guidelines; the latter remained significant (eye exam, p = .019) or approached significance (physical activity, p = .051) after adjustment for potential confounders.
Physician trust may influence patient adherence to diabetes management recommendations. Efforts should be made to build trust in the patient-provider relationship to enhance patient outcomes.
在一个患有糖尿病的农村多民族人群中，研究医生信任度与人口统计学、健康状况及糖尿病管理之间的相关性。
563名年龄较大（≥60岁）的非裔美国人、美洲印第安人和白人成年人完成了家庭调查，其中包括11项医生总体信任量表。
在以下人群中观察到较高的信任得分：年龄较大（>75岁）的参与者（p <.01）、患有较少（<3种）慢性健康问题的参与者（p <.01）、坚持体育活动（p <.05）和遵循散瞳眼科检查（p <.01）指南的参与者；在对潜在混杂因素进行调整后，后者仍具有显著意义（眼科检查，p = 0.019）或接近显著意义（体育活动，p = 0.051）。
医生信任可能会影响患者对糖尿病管理建议的依从性。应努力在医患关系中建立信任，以改善患者的治疗效果。
