群体成员身份对哈萨克斯坦民众信任医护人员的影响
The Influence of In-Group Membership on Trust in Health-Care Professionals in Kazakhstan.
作者信息
Craig Brett J, Almatkyzy Gulaiim, Yurashevich Yuliya
机构信息
Liberal Arts Department, St Louis College of Pharmacy, St Louis, MO, USA.
School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA.
出版信息
J Patient Exp. 2020 Aug;7(4):554-560. doi: 10.1177/2374373519864827. Epub 2019 Jul 24.
BACKGROUND
Trust in providers is key to positive health outcomes. However, perceptions of trust in health-care professionals can vary by population. Factors beyond the immediate behaviors of health-care professionals such as group association may influence perceptions of trust.
OBJECTIVE
To examine the possible association of in-group membership and levels of trust in health-care professionals in Kazakhstan.
METHOD
We used an online survey including the General Trust in Physicians scale along with demographic questions and a question regarding family members as health-care professionals. Bivariate analysis was used to compare the mean differences between general levels of trust and sociodemographic characteristics. Then multivariate analysis was conducted to examine the association between having a family member who is a health-care professional and general level of trust in health-care professionals among Kazakhstani citizens. Statistical tests were 2-sided.
RESULTS
A total of 497 Kazakhstani participants completed the survey. In adjusted multivariate regression, participants with family members as health-care professionals scored significantly higher on the trust scale ( < .001), and other factors such as language ( < .001) and interaction term of language and education (< .05) were also shown to be influential in the general level of trust.
CONCLUSION
Further examinations of how group membership influences reported trust levels in health-care professionals in Kazakhstan are warranted. Such studies would be beneficial if trust in health-care professionals is to be understood and improved in order to achieve more desirable health outcomes.
背景
对医疗服务提供者的信任是实现积极健康结果的关键。然而，不同人群对医疗保健专业人员的信任认知可能存在差异。除了医疗保健专业人员的即时行为之外，诸如群体关联等因素可能会影响信任认知。
目的
研究哈萨克斯坦群体成员身份与对医疗保健专业人员的信任水平之间可能存在的关联。
方法
我们开展了一项在线调查，其中包括医生总体信任量表以及人口统计学问题，还有一个关于家庭成员是否为医疗保健专业人员的问题。采用双变量分析来比较总体信任水平与社会人口学特征之间的平均差异。然后进行多变量分析，以研究哈萨克斯坦公民中拥有一名身为医疗保健专业人员的家庭成员与对医疗保健专业人员的总体信任水平之间的关联。统计检验采用双侧检验。
结果
共有497名哈萨克斯坦参与者完成了该调查。在调整后的多变量回归分析中，拥有身为医疗保健专业人员的家庭成员的参与者在信任量表上的得分显著更高（<0.001），并且其他因素如语言（<0.001）以及语言与教育的交互项（<0.05）在总体信任水平方面也显示出有影响。
结论
有必要进一步研究群体成员身份如何影响哈萨克斯坦对医疗保健专业人员报告的信任水平。如果要理解并提高对医疗保健专业人员的信任以实现更理想的健康结果，此类研究将大有裨益。
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