Measuring Trust in Primary Care

Author:

MERENSTEIN ZACHARY1,SHUEMAKER JILL C.2,PHILLIPS ROBERT L.2ORCID

Affiliation:

1. University of Maryland

2. American Board of Family Medicine Foundation, The Center for Professionalism & Value in Health Care

Abstract

Policy Points Trust in primary care clinicians is essential for effective patient care and is associated with better health outcomes, but it is rarely assessed, and existing measures have not been thoroughly evaluated. This scoping review reveals that research assessing patients’ trust in primary care clinicians largely stopped more than a decade ago but offers candidate measures for future testing, implementation, and policy applications. ContextTrust is a fundamental aspect of any human relationship, and medical care is no exception. An ongoing, trusting relationship between clinicians and patients has shown demonstrable value to primary care. However, there is currently no measure of trust in general use, and none endorsed for use by most value‐based payment programs. This review searched the literature for any existing measures of patient trust in primary care clinicians and assessed their potential to be implemented as a patient‐reported outcome measure.MethodsA keyword search on PubMed along with scanning references was conducted to find any trust measures in health care. Measures that did not address primary care clinicians were eliminated and the remaining measures were then assessed for their utility to primary care.ResultsThis purposeful, scoping review found four tested measures for assessing patients’ trust in primary care clinicians that are candidates for general use. Of these four, the revised Trust in Physicians Scale and Wake Forest Physician Trust Scale are the most tested and viable options.ConclusionRenewed national interest in trust in health care should focus on the capacity to measure it. This review informs the effort to test trust measures for use in research, practice improvement, and value‐based payment. Measuring trust, how it relates to outcomes, and learning how it is produced or lost are key to assisting practices and health systems toward earning it.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Health Policy

Reference69 articles.

1. White House Virtual Town Hall on the Role of Primary Care Providers Health Systems and the Next Phase of the Vaccination Rollout. June 11 2021. Accessed April 27 2023.https://www.youtube.com/watch?v=t6gIClSru8E

2. Building Trust: Focusing on Trust to Improve Health Care. ABIM Foundation. Accessed April 27 2023.https://abimfoundation.org/what‐we‐do/rebuilding‐trust‐in‐health‐care

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