Title: Changes in Public Trust in Physicians: Empirical Evidence from China

Authors: Dahai Zhao1, Zhiruo Zhang2

1. School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, China

2. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China

Just Accepted Date: 09 August 2018; Online First Date: 07 September 2018; Issue Date: 02 August 2019

Cite this article: Dahai Zhao,Zhiruo Zhang. Changes in public trust in physicians: empirical evidence from China[J]. Front. Med., 2019, 13(4): 504-510.

Abstract

Studies examining the trends in public trust in physicians have provided a considerable amount of valuable policy implications for policymakers compared with cross-sectional studies on this topic in many countries. This study investigated changes in public trust in physicians in China based on two cross-sectional national surveys conducted in 2011 and 2016 and identified the determinants of these changes. The results indicated 83.4% of respondents in 2011 reported trust or strong trust in physicians in China, which decreased to 64.2% by 2016. The results of ordinal logistic regression demonstrated that public trust in physicians in China had decreased significantly from 2011 to 2016 (P<0.001) after adjusting for other independent variables. Self-reported health status, self-rated happiness, and self-identified social class were all associated positively with public trust in physicians in China. The results also confirmed that decreasing public satisfaction with the most recent treatment experience was the major determinant of decreasing public trust in physicians in China. The findings of this study suggest that decreasing public trust in physicians deserves considerable attention from national policymakers and that improving satisfaction with treatment experiences would be the most effective strategy for enhancing public trust in physicians in China.

Keywords

Trust in Physicians; Public Trust; Physician-patient Relationship; Health System Performance

以下是参考中文翻译：

研究文章

题目：公众对医生信任的变化:来自中国的经验证据

作者：赵大海1，张智若2

1.上海交通大学国际与公共事务学院，上海200030

2.上海交通大学公共卫生学院，上海200025

接受稿件：2018年8月9日；在线首发：2018年9月7日；发行日期：2019年8月2日

引用文章： Dahai Zhao,Zhiruo Zhang. Changes in public trust in physicians: empirical evidence from China[J]. Front. Med., 2019, 13(4): 504-510.

摘要

关于对医生的公众信任趋势研究与该主题在许多国家的横断面研究相比，为决策者提供了大量有价值的政策建议。这项研究基于2011年和2016年进行的两次全国性横断面调查，研究了中国公众对医生信任的变化，并确定了这些变化的决定因素。结果表明，2011年有83.4％的受访者表示对中国医生信任或高度信任，到2016年这一比例降至64.2%。有序逻辑回归结果表明，从2011年到2016年，经其它自变量调整后对中国医生的公众信任呈显著下降（P <0.001）。在中国，自我报告的健康状况，自我评价的幸福感和自我的社会阶层认同都与公众对医生的信任度呈正相关。结果还证实，公众对最近治疗经验的满意度下降是中国公众对医生信任度下降的主要决定因素。本研究的结果表明，公众对医生信任的降低应得到国家政策制定者的关注，提高对公众治疗经验的满意度将是增强中国公众对医生信任的最有效策略。

关键词

对医生的信任;公众信任;医患关系;卫生系统绩效