Year: 2014
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Trust in physicians influences the health and well-being of older adults and is an important indicator to assess the quality of medical care. However, Asian aging populations are often underrepresented in studies of patient trust in physicians. This study aims to examine the level of trust in physicians among Chinese older adults in a community-dwelling Chinese aging population. METHODS: Data were drawn from the Population Study of Chinese Elderly, a population-based survey of U.S. Chinese older adults in the Greater Chicago area. Guided by a community-based participatory research approach, a total of 3,159 Chinese older adults aged 60 and above were surveyed. An 11-item scale was used to measure participants' trust in physicians. RESULTS: On a scale of 11-55, the level of trust in physician among U.S. Chinese older adults was 42.0 (SD = 6.3). Items related to confidence in physicians' knowledge and skills were most commonly endorsed, including trusting physicians' judgment on medical care (84.8%), trusting physicians' advice (84.2%), and trusting physicians' words that something is so and must be true (81.2%). Younger age, male gender, higher educational level, fewer years of residing in the United States and in the community, poorer self-reported health status, and poorer quality of life were associated with lower level of trust in physicians. CONCLUSIONS: Trust in physician is commonly endorsed among U.S. Chinese older adults. However, future longitudinal studies are needed to improve our understanding of risk factors and outcomes associated with trust in physicians among U.S. Chinese older adults.
Authors: M. A. Simon, M. Zhang, X. Dong
Institutions: Northwestern University, Rush University Medical Center
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
Awards: NU: NEIGHBORS: A Social Science Partnership to Reduce Cancer Disparities ( 1 of, 2/2 - Suicide Prevention in Chinese Older Adults, Filial Piety and Psychosocial Well-being in Chinese Population, Extending Cancer Navigation to Underserved Suburban Women, Building Research Infrastructure & Network in Chicago Chinatown, Patient Navigation 2.0: Addressing the Challenge of Scaling Navigation through Checklist-based Implementation, Epidemiology of Psychological Distress in Chinese Aging Population, XinQi Dong Grant Transfer #5 from Rush to Rutgers PHS Grant #R34 MH100443: Suicide Prevention in Chinese Older Adults
OpenAlex ID: W1986566735