Context. - Trust is the cornerstone of the patient-physician relationship.
Payment methods that place physicians at financial risk have raised concerns about patients'trust in physicians to act in patients'best interests.
- To evaluate the extent to which methods of physician payment are related to patient trust.
- Cross-sectional telephone interview survey done between January and June 1997.
- Health plans of a large national insurer in Atlanta, Ga, the Baltimore, Md-Washington, DC, area, and Orlando, Fla.
- A total of 2086 adult managed care and indemnity patients.
- A 10-item scale (alpha=94) assessing patients'trust in physicians.
- More fee-for-service (FFS) indemnity patients (94%) completely or mostly trust their physicians to « put their health and well-being above keeping down the health plan's costs » than salary (77%), capitated (83%), or FFS managed care patients (85%) (P<. 001 for pairwise comparisons).
In multivariate analyses that adjusted for potentially confounding factors, FFS indemnity patients also had higher scores on the 10-item trust scale than salary (P<. 001), capitated (P<. 001), or FFS managed care patients (P<. 01). (...)
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Homme, Relation médecin malade, Soin, Honoraires, Questionnaire, Satisfaction, Analyse statistique, Economie santé, Politique sanitaire
Mots-clés Pascal anglais : United States, North America, America, Human, Physician patient relation, Care, Fees, Questionnaire, Satisfaction, Statistical analysis, Health economy, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0021941
Code Inist : 002B30A04B. Création : 31/05/1999.