Huang Ellery Chih-Han, Pu Christy, Chou Yiing-Jenq, Huang Nicole
1 National Yang-Ming University, Taipei, Taiwan.
2 Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Inquiry. 2018 Jan-Dec;55:46958018759174. doi: 10.1177/0046958018759174.
Trust in physicians has declined, and surveys of public opinion show a poor level of public trust in physicians. Commodification of health care has been speculated as a plausible driving force. We used cross-national data of 23 countries from the International Social Survey Programme 2011 to quantify health care commodification and study its role in the trust that patients generally place in physicians. A modified health care index was used to quantify health care commodification. There were 34 968 respondents. A question about the level of general trust in physicians and a 4-item "general trust in physicians" scale were used as our major and minor outcomes. The results were that compared with those in the reference countries, the respondents in the health care-commodified countries were approximately half as likely to trust physicians (odds ratio: 0.47, 95% confidence interval [CI]: 0.31-0.72) and scored 1.13 (95% CI: 1.89-0.37) less on the general trust scale. However, trust in physicians in the health care-decommodified countries did not differ from that in the reference countries. In conclusion, health care commodification may play a meaningful role in the deterioration of public trust in physicians.
人们对医生的信任度有所下降，民意调查显示公众对医生的信任程度较低。医疗保健的商品化被认为是一个可能的驱动因素。我们使用了2011年国际社会调查项目中23个国家的跨国数据来量化医疗保健商品化，并研究其在患者对医生的普遍信任中所起的作用。我们使用了一个经过修改的医疗保健指数来量化医疗保健商品化。共有34968名受访者。一个关于对医生总体信任程度的问题和一个包含4个项目的“对医生的总体信任”量表被用作我们的主要和次要结果指标。结果显示，与参考国家的受访者相比，医疗保健商品化国家的受访者信任医生的可能性约为参考国家受访者的一半（优势比：0.47，95%置信区间[CI]：0.31 - 0.72），并且在总体信任量表上的得分低1.13（95% CI：1.89 - 0.37）。然而，医疗保健去商品化国家的受访者对医生的信任与参考国家没有差异。总之，医疗保健商品化可能在公众对医生信任的恶化中起到重要作用。
