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患者是否更有可能信任他们的医疗服务提供者而使用医用大麻?

Are Patients Who Trust Their Providers More Likely to Use Medical Cannabis?

机构信息

School of Nursing, 8367The George Washington University, Washington, DC, USA.

Marxe School of Public and International Affairs, Baruch College, 5920City University of New York, Newyork, NY, USA.

出版信息

Am J Hosp Palliat Care. 2023 Mar;40(3):264-270. doi: 10.1177/10499091221097090. Epub 2022 May 5.

Abstract

Trust is an essential element of the patient-provider relationship and has been associated with better patient outcomes; however, it is not clear what role trust might play in influencing patients' willingness to try medical cannabis when it is recommended in states where it has been legalized for medical use. To explore the relationship between peoples' trust in their health care clinicians and hospitals and their willingness to consider using medical cannabis if it is recommended by their clinician or hospital. We conducted an anonymous, cross-sectional, online survey of adults who participated in the Qualtrics Research Company Panel and used quotas to match our sample to the characteristics of the U.S. population. We received 1120 completed surveys. The vast majority of respondents (84.4%) reported having a regular provider and 42.5% of those who reported having a regular physician and nearly 35.6% of those who reported having another regular provider (e.g., nurse practitioner, physician assistant) reported that they "completely" trusted that clinician. Those who reported "completely" trusting their usual clinician were more than twice as likely to report they would definitely use medical cannabis if recommended (42.5% vs 20.6%). Similarly, the greater respondents' trust in hospitals, the more likely they were to report a willingness to consider using recommended medical cannabis. Patient trust in their health providers is related to patients' willingness to use recommended medical cannabis.

摘要

信任是医患关系的重要组成部分,与更好的患者结局相关;然而,目前尚不清楚在某些州医用大麻合法化后,信任在多大程度上影响患者尝试医用大麻的意愿。为了探讨人们对医疗保健临床医生和医院的信任与他们在临床医生或医院建议使用医用大麻时考虑使用的意愿之间的关系。我们对参与 Qualtrics Research Company 小组的成年人进行了一项匿名、横断面、在线调查,并使用配额使我们的样本与美国人口特征相匹配。我们收到了 1120 份完整的调查。绝大多数受访者(84.4%)报告有固定的提供者,其中 42.5%的人报告有固定的医生,近 35.6%的人报告有其他固定的提供者(如执业护士、医师助理)报告说他们“完全”信任该临床医生。那些报告“完全”信任他们的常规临床医生的人报告说,如果被推荐,他们肯定会使用医用大麻的可能性是报告说他们肯定不会使用医用大麻的人的两倍多(42.5%对 20.6%)。同样,受访者对医院的信任度越高,他们就越有可能报告愿意考虑使用推荐的医用大麻。患者对其医疗提供者的信任与患者使用推荐的医用大麻的意愿有关。

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