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  1. The relationship between method of physician payment and patient trust.

    Article - En anglais

    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.

    Main Outcome Measure

    - 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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0021941

    Code Inist : 002B30A04B. Création : 31/05/1999.