Document Detail


The import of trust in regular providers to trust in cancer physicians among white, African American, and Hispanic breast cancer patients.
MedLine Citation:
PMID:  20811783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Interpersonal trust is an important component of the patient-doctor relationship. Little is known about patients' trust in the multiple providers seen when confronting serious illness.
OBJECTIVES: To characterize breast cancer patients' trust in their regular providers, diagnosing physicians, and cancer treatment team and examine whether high trust in one's regular provider confers high trust to cancer physicians.
DESIGN: In-person interviews.
PARTICIPANTS: 704 white, black, and Hispanic breast cancer patients, age 30 to 79, with a first primary in situ or invasive breast cancer who reported having a regular provider.
MEASURES: We measure trust in: (1) regular provider, (2) diagnosing doctors, and (3) cancer treatment team. Other variables include demographic variables, preventive health care, comorbidities, time with regular provider, time since diagnosis, cancer stage, and treatment modality.
RESULTS: Sixty-five percent of patients reported high trust in their regular provider, 84% indicated high trust in their diagnosing doctors, and 83% reported high trust in their treatment team. Women who reported high trust in their regular provider were significantly more likely to be very trusting of diagnosing doctors (OR: 3.44, 95% CI: 2.27-5.21) and cancer treatment team (OR: 3.09, 95% CI: 2.02-4.72 ). Black women were significantly less likely to be very trusting of their regular doctor (OR: 0.58, 95% CI: 0.38-0.88) and cancer treatment team (OR: 0.45, 95% CI: 0.25-0.80). English-speaking Hispanic women were significantly less trusting of their diagnosing doctors (OR: 0.29, 95% CI: 0.11-0.80).
CONCLUSIONS: Our results suggest that patients are very trusting of their breast cancer providers. This is an important finding given that research with other populations has shown an association between trust and patient satisfaction and treatment adherence. Our findings also suggest that a trusting relationship with a regular provider facilitates trusting relationships with specialists. Additional work is needed to increase interpersonal trust among black women.
Authors:
Karen Kaiser; Garth H Rauscher; Elizabeth A Jacobs; Teri A Strenski; Carol Estwing Ferrans; Richard B Warnecke
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural     Date:  2010-09-01
Journal Detail:
Title:  Journal of general internal medicine     Volume:  26     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-24     Completed Date:  2011-10-24     Revised Date:  2013-05-28    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  51-7     Citation Subset:  IM    
Affiliation:
Institute for Health Research and Policy, University of Illinois at Chicago (UIC), 1747 W. Roosevelt Rd., Suite 558, Chicago, IL 60608, USA. kkaiser1@uic.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / ethnology,  psychology*
Aged
Breast Neoplasms / ethnology,  psychology*,  therapy
European Continental Ancestry Group / ethnology,  psychology*
Female
Hispanic Americans / ethnology,  psychology*
Humans
Interviews as Topic / methods
Medical Oncology
Middle Aged
Physician-Patient Relations*
Primary Health Care
Trust / psychology*
Grant Support
ID/Acronym/Agency:
1R21HD057473-01A1/HD/NICHD NIH HHS; 5 P50 CA 106743/CA/NCI NIH HHS; R01 AG033172-01/AG/NIA NIH HHS; R25TCA57699-14//PHS HHS
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