Kalsingh Maria Jusler, Veliah Geetha, Gopichandran Vijayaprasad
Department of Biostatistics, National Institute of Malaria Research, Chennai, Tamil Nadu, India.
Division of Health Communication and Promotion, School of Public Health, SRM University, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2017 Jan-Mar;6(1):34-38. doi: 10.4103/2249-4863.214966.
Trust in health care is of high intrinsic value. It also leads to positive outcomes such as better treatment adherence and disclosure of sensitive information. Therefore, there is a need to measure trust in health care objectively.
To assess the psychometric properties of the Trust in Physician Scale in Tamil Nadu, India.
The study was conducted in a private tertiary hospital setting in Tamil Nadu by a cross-sectional survey design.
The Trust in Physician Scale and General Trust Scale were administered to 288 participants in the waiting area of a tertiary care hospital in Tamil Nadu.
Descriptive statistics, exploratory factor analysis, and Cronbach's alpha statistics were used to assess the validity and reliability of the scale.
The respondents were predominantly men from rural areas, older than 35 years of age, and with lesser than 8 years of schooling. The questionnaire had acceptable internal consistency with Cronbach's alpha of 0.707 (95% confidence interval 0.654-0.755). Exploratory factor analysis divided the questionnaire into four domains. Seven items loaded into factor 1 which explained dependability and competence of the physician, two items loaded on factor 2, and one each in factors 3 and 4. The latter four items had very low item to total correlations and hence did not contribute much to the questionnaire.
The Trust in Physician questionnaire needs to be modified to accurately measure the domains of trust in the context of the study area. More qualitative studies are required to understand the domains of trust in this cultural and social context.
对医疗保健的信任具有很高的内在价值。它还会带来积极的结果，如更好的治疗依从性和敏感信息的披露。因此，有必要客观地衡量对医疗保健的信任。
评估印度泰米尔纳德邦医生信任量表的心理测量特性。
该研究在泰米尔纳德邦的一家私立三级医院通过横断面调查设计进行。
在泰米尔纳德邦一家三级护理医院的候诊区，对288名参与者进行了医生信任量表和一般信任量表的施测。
采用描述性统计、探索性因素分析和克朗巴哈系数统计来评估量表的有效性和可靠性。
受访者主要是来自农村地区、年龄超过35岁、受教育年限少于8年的男性。该问卷具有可接受的内部一致性，克朗巴哈系数为0.707（95%置信区间0.654 - 0.755）。探索性因素分析将问卷分为四个领域。七个项目加载到因素1中，解释了医生的可靠性和能力，两个项目加载到因素2中，因素3和因素4各有一个项目。后四个项目的项目与总分相关性非常低，因此对问卷贡献不大。
医生信任问卷需要修改，以在研究区域的背景下准确测量信任领域。需要更多的定性研究来了解这种文化和社会背景下的信任领域。
