Frontiers of Medicine
>> 2019,
Volume 13,
Issue 4
doi:
10.1007/s11684-018-0666-4
RESEARCH ARTICLE
Changes in public trust in physicians: empirical evidence from China
. School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai 200030, China.. School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China
Accepted: 2018-09-07
Available online: 2018-09-07
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Abstract
Studies examining the trends in public trust in physicians have provided a considerable amount of valuable policy implications for policymakers compared with cross-sectional studies on this topic in many countries. This study investigated changes in public trust in physicians in China based on two cross-sectional national surveys conducted in 2011 and 2016 and identified the determinants of these changes. The results indicated 83.4% of respondents in 2011 reported trust or strong trust in physicians in China, which decreased to 64.2% by 2016. The results of ordinal logistic regression demonstrated that public trust in physicians in China had decreased significantly from 2011 to 2016 ( <0.001) after adjusting for other independent variables. Self-reported health status, self-rated happiness, and self-identified social class were all associated positively with public trust in physicians in China. The results also confirmed that decreasing public satisfaction with the most recent treatment experience was the major determinant of decreasing public trust in physicians in China. The findings of this study suggest that decreasing public trust in physicians deserves considerable attention from national policymakers and that improving satisfaction with treatment experiences would be the most effective strategy for enhancing public trust in physicians in China.
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