The Research Center of National Drug Policy & Ecosystem, China Pharmaceutical University, Nanjing City, China.
Health Soc Care Community. 2020 Sep;28(5):1590-1602. doi: 10.1111/hsc.12983. Epub 2020 Mar 23.
Elderly individuals' trust in general practitioners (GPs) is conducive to enhancing their health outcomes and promote healthy ageing. However, this trust has been declining in recent decades. Social capital is associated with patients' trust in healthcare providers in several countries, which make it a potential path for improving the trust of the elderly people in GPs in China, but it is not yet validated. The objective of this study was to explore how social capital influences elderly individuals' trust in GPs in China. The data were collected through a survey conducted with 2,754 people aged 60 and over in China, 2018. Multilevel regression models were employed to analyse the impact of social capital on the trust of the elderly people in GP in China. The results revealed that individual social capital (ISC) and community social capital (CSC) had significant positive correlations with the trust of the elderly people in GPs in China. In addition, CSC has more impact than ISC on the trust of the elderly people in GP. Additionally, older people, women and patients whose highest level of education was junior high school and who had participated in the New Cooperative Medical Scheme tended to have higher trust in GPs. In conclusion, more social capital, especially CSC, contributed more trust of the elderly people in GPs in China.
老年人对全科医生（GP）的信任有助于提高他们的健康状况并促进健康老龄化。然而，这种信任在近几十年来一直在下降。社会资本与多个国家的患者对医疗服务提供者的信任有关，这使其成为提高中国老年人对全科医生信任的潜在途径，但尚未得到验证。本研究旨在探讨社会资本如何影响中国老年人对全科医生的信任。数据来自 2018 年在中国进行的一项对 2754 名 60 岁及以上人群的调查。采用多水平回归模型分析社会资本对中国老年人对全科医生信任的影响。结果表明，个体社会资本（ISC）和社区社会资本（CSC）与中国老年人对全科医生的信任呈显著正相关。此外，CSC 对老年人对全科医生的信任影响大于 ISC。此外，老年人、女性以及最高学历为初中且参加过新型农村合作医疗的患者更倾向于对全科医生有更高的信任。总之，更多的社会资本，特别是 CSC，有助于提高中国老年人对全科医生的信任。
