van den Berk-Clark Carissa, McGuire James
J Health Care Poor Underserved. 2014 Aug;25(3):1278-90. doi: 10.1353/hpu.2014.0115.
We examined whether a combination of predisposing, enabling, need, and primary care experience variables would predict trust in medical health care providers for homeless veterans over 18 months. Linear mixed model analysis indicated that, among these variables, race, social support, service-connected disability status, and satisfaction and continuity with providers predicted trust in provider over time. Trust in providers improved during the initial stages of the relationship between patient and provider and then declined to slightly below baseline levels over time. Further research is needed to determine generalizability and effects of provider trust on patient health care status over longer periods of time.
我们研究了易感性、促成因素、需求以及初级保健经验变量的组合是否能预测18个月以上无家可归退伍军人对医疗保健提供者的信任度。线性混合模型分析表明，在这些变量中，种族、社会支持、与服役相关的残疾状况以及对提供者的满意度和连续性能够预测随着时间推移对提供者的信任度。在患者与提供者关系的初始阶段，对提供者的信任度有所提高，然后随着时间的推移下降至略低于基线水平。需要进一步研究以确定其普遍性以及提供者信任在更长时间段内对患者医疗保健状况的影响。
