2.50
Hdl Handle:
http://hdl.handle.net/10755/150415
Type:
Presentation
Title:
Trust and Health Care Outcomes
Abstract:
Trust and Health Care Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Chen, Huey, PhD
P.I. Institution Name:Louis de la Parte Florida Mental Health Institute, USF
Title:
Managed care has grown rapidly in our health care systems to control high rising health care cost (Ma, & McGuire, 1998). However, the management strategies used by the managed care organizations also raised concerns by health care providers, scholars, and health care advocates. Of special concern is the professional trust relationship between patients and their health care providers (Mechanic, & Schlesinger, 1996). Several studies have been conducted to explore the relationship between trust and health care outcomes within the managed care environment (Kao, Green, & et al., 1998; Thom & Campbell, 1997). These studies primarily focused on general population rather than the volunerable population. This cross-sectional study examined the relationship between the level of trust of individuals with chronic severe illness in their health care providers and their health care outcomes using a population-based mail survey procedure recommended by Dillman (Salant & Dillman, 1997). Methods: Through a multi-stage stratified sampling procedure, the self-administered questionnaires, including SF-12, Client Satisfaction Questionnaire (CSQ-8), the Trust in Health Care Provider Scale (TIHCP), and other related questions, were sent to 881 adult Medicaid Supplemental Security Incomes (SSI) recipients. There were 581 final participants, age ranged from 24 to 68 years old, including 75% (433) females with various race/ethnicities backgrounds, 54% (316) White, 25% (146) African American, and 20% (119) Hispanic and other minorities. Analytical approaches included post-stratification case mixed adjustment, Pearson correlation coefficient, and t-test. Results and Conclusion The level of trust in health care providers was related to health conditions. Individuals who have less severe physical or mental health conditions tended to have a higher level of trust in their health care providers. In addition, individuals with a higher level of trust in their health care providers tended to have a higher level of satisfaction with services received. Individuals with a higher level of trust in their health care providers were more likely to adhere to prescription medications. These findings provide health professionals, administrators, and health policymakers a further understanding about the impact of trust on health care outcomes and possibly health care costs in managed care environments.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTrust and Health Care Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150415-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Trust and Health Care Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Huey, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Louis de la Parte Florida Mental Health Institute, USF</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value"> </td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">chen@mirage.fmhi.usf.edu</td></tr><tr><td colspan="2" class="item-abstract">Managed care has grown rapidly in our health care systems to control high rising health care cost (Ma, &amp; McGuire, 1998). However, the management strategies used by the managed care organizations also raised concerns by health care providers, scholars, and health care advocates. Of special concern is the professional trust relationship between patients and their health care providers (Mechanic, &amp; Schlesinger, 1996). Several studies have been conducted to explore the relationship between trust and health care outcomes within the managed care environment (Kao, Green, &amp; et al., 1998; Thom &amp; Campbell, 1997). These studies primarily focused on general population rather than the volunerable population. This cross-sectional study examined the relationship between the level of trust of individuals with chronic severe illness in their health care providers and their health care outcomes using a population-based mail survey procedure recommended by Dillman (Salant &amp; Dillman, 1997). Methods: Through a multi-stage stratified sampling procedure, the self-administered questionnaires, including SF-12, Client Satisfaction Questionnaire (CSQ-8), the Trust in Health Care Provider Scale (TIHCP), and other related questions, were sent to 881 adult Medicaid Supplemental Security Incomes (SSI) recipients. There were 581 final participants, age ranged from 24 to 68 years old, including 75% (433) females with various race/ethnicities backgrounds, 54% (316) White, 25% (146) African American, and 20% (119) Hispanic and other minorities. Analytical approaches included post-stratification case mixed adjustment, Pearson correlation coefficient, and t-test. Results and Conclusion The level of trust in health care providers was related to health conditions. Individuals who have less severe physical or mental health conditions tended to have a higher level of trust in their health care providers. In addition, individuals with a higher level of trust in their health care providers tended to have a higher level of satisfaction with services received. Individuals with a higher level of trust in their health care providers were more likely to adhere to prescription medications. These findings provide health professionals, administrators, and health policymakers a further understanding about the impact of trust on health care outcomes and possibly health care costs in managed care environments.</td></tr></table>en_GB
dc.date.available2011-10-26T10:23:56Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:23:56Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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