School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan, China.
BMC Public Health. 2024 Nov 26;24(1):3278. doi: 10.1186/s12889-024-20805-1.
Based on the embeddedness theory, the present study aims to explore the association between patients' trust in family doctors (Interpersonal Trust), trust in community health centers (Organizational Trust), and trust in society as a whole (Social Trust).
A cross-sectional survey was conducted in six community health centers in China, using partial least squares structural equation modeling to assess trust scale reliability and validity while testing hypotheses.
The scores of Interpersonal Trust, Organizational Trust, and Social Trust were 3.761, 3.636, and 3.635, respectively. Our findings confirm that Interpersonal Trust is positively associated with Organizational Trust (β = 0.916, p < 0.001), Organizational Trust is positively associated with Social Trust (β = 0.617, p < 0.001) and Interpersonal Trust (β = 0.864, p < 0.001), and Social Trust is positively associated with Organizational Trust (β = 0.784, p < 0.001). However, the relationship between Interpersonal Trust and Social Trust was not demonstrated.
This study enhances our understanding of patient trust in family doctors. Applying embeddedness theory, we reveal positive correlations between Social Trust and Organizational Trust, as well as between Organizational Trust and Interpersonal Trust. Moreover, we have identified Organizational Trust as a crucial mediator in the relationship between Interpersonal Trust and Social Trust.
基于嵌入理论，本研究旨在探讨患者对家庭医生的信任（人际信任）、对社区卫生中心的信任（组织信任）和对整个社会的信任（社会信任）之间的关联。
在中国的六个社区卫生中心进行了横断面调查，采用偏最小二乘结构方程模型评估信任量表的信度和效度，并检验假设。
人际信任、组织信任和社会信任的得分分别为 3.761、3.636 和 3.635。我们的研究结果证实，人际信任与组织信任呈正相关（β=0.916，p<0.001），组织信任与社会信任呈正相关（β=0.617，p<0.001）和人际信任呈正相关（β=0.864，p<0.001），社会信任与组织信任呈正相关（β=0.784，p<0.001）。然而，人际信任和社会信任之间的关系没有得到证实。
本研究增进了我们对患者对家庭医生信任的理解。应用嵌入理论，我们揭示了社会信任与组织信任之间以及组织信任与人际信任之间的正相关关系。此外，我们已经确定组织信任是人际信任和社会信任之间关系的关键中介。
