Title: Understanding the Determinants of Public Trust in the Health Care System in China: An Analysis of a Cross-sectional Survey

Authors: Dahai Zhao, Hongyu Zhao, Paul D. Cleary

First Published: September 3, 2018

Cite this article: Zhao D, Zhao H, Cleary PD. Understanding the Determinants of Public Trust in the Health Care System in China: An Analysis of a Cross-Sectional Survey[J]. Journal of Health Services Research & Policy. 2019, 24(1), 37-43. https://doi.org/10.1177/1355819618799113

 

Abstract

Objectives

Despite increasing research attention on public trust in health care systems, empirical evidence on this topic in the developing world is limited and inconclusive. This paper examines the level and determinants of public trust in the health care system in China.

Methods

We used data from a survey conducted with a sample of 5347 adults in all Chinese provincial areas between January and February 2016. Trust in the health care system was assessed with a question used by the 2011-2013 International Social Survey Programme (ISSP) to assess public trust in the health care systems of 29 industrialized countries and regions (‘In general, how much confidence do you have in the health care system in your country?’).

Results

Only 28% of respondents reported that they had a great deal or complete trust in China's health care system. Respondents who reported to have more trust in other people in society, more trust in the local government and who were more satisfied with their most recent health care system experience and their health insurance were significantly more likely to trust the country's health care system. Furthermore, respondents who reported a higher level of happiness, better health status and positive attitudes towards social equity were more likely to trust the health care system in China.

Conclusions

Our findings suggest that low public trust in China's health care system is a potential problem. Improving health care experiences may be the most practical and effective way of improving trust in the health care system in China.

Keywords

public trust, health care system, patient experience, patient satisfaction

 

 

以下是参考中文翻译：

研究文章

题目：中国医疗卫生系统公众信任的决定因素：一项横断面调查分析

作者：赵大海，赵宏宇，Paul Cleary

首次出版：2018年9月3日

引用本文：Zhao D, Zhao H, Cleary PD. Understanding the Determinants of Public Trust in the Health Care System in China: An Analysis of a Cross-Sectional Survey[J]. Journal of Health Services Research & Policy. 2019, 24(1), 37-43. https://doi.org/10.1177/1355819618799113

摘要

目标

尽管越来越多的研究关注公众对卫生保健系统的信任，但是在发展中国家有关该主题的经验证据有限且尚无定论。本文探讨了中国卫生保健体系中公众信任的水平和决定因素。

方法

我们使用的数据来自2016年1月至2月期间对中国所有省级地区5347名成年人进行的调查。通过使用2011-2013年国际社会调查计划（ISSP）中一个评估公众对29个工业化国家和地区对卫生保健系统信任的问题，来评估对卫生保健系统的信任（“总体来说，您对您国家的卫生保健系统有多大的信任？”）。

结果

只有28%的受访者表示，他们非常或完全信任中国的卫生保健系统。那些对社会上其他人更信任、对地方政府更信任、对自己近期在卫生保健系统的经历和自己的医疗保险更满意的受访者，明显更有可能信任国家的卫生保健系统。此外，幸福感、健康状况和对社会公平的积极态度越高的受访者，越有可能信任中国的卫生保健体系。

结论

我们的发现表明，公众对中国卫生保健系统的信任度低是一个潜在的问题。改善卫生保健体验可能是提高中国卫生保健系统信任度的最实际、最有效的方法。

关键词

公共信任，卫生保健系统，患者体验，患者满意度