| Titre : | The relationship between method of physician payment and patient trust. (1998) |
| Auteurs : | A.C. KAO ; P.D. CLEARY ; D.C. GREEN ; J.P. KOPLAN ; A.M. ZASLAVSKY ; Department of Health Care Policy. Harvard Medical School. Boston. MA. USA ; Prudential Center for Health Care Research. Atlanta. GA. USA |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 19, 1998) |
| Pagination : | 1708-1714 |
| Langues: | Anglais |
| Mots-clés : | Etats Unis ; Amérique ; Homme ; Relation médecin malade ; Soins ; Honoraires ; Questionnaire ; Economie santé ; Politique santé ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST MR0xZUVm. Diffusion soumise à autorisation]. Context. - Trust is the cornerstone of the patient-physician relationship. Payment methods that place physicians at financial risk have raised concerns about patients'trust in physicians to act in patients'best interests. Objective. To evaluate the extent to which methods of physician payment are related to patient trust. Design. - Cross-sectional telephone interview survey done between January and June 1997. Setting. - Health plans of a large national insurer in Atlanta, Ga, the Baltimore, Md-Washington, DC, area, and Orlando, Fla. Participants. - A total of 2086 adult managed care and indemnity patients. Main Outcome Measure. - A 10-item scale (alpha=94) assessing patients'trust in physicians. Results. - More fee-for-service (FFS) indemnity patients (94%) completely or mostly trust their physicians to "put their health and well-being above keeping down the health plan's costs" than salary (77%), capitated (83%), or FFS managed care patients (85%) (P<. 001 for pairwise comparisons). In multivariate analyses that adjusted for potentially confounding factors, FFS indemnity patients also had higher scores on the 10-item trust scale than salary (P<. 001), capitated (P<. 001), or FFS managed care patients (P<. 01). (...) |
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