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Measuring Patients’ Trust in their Primary Care Providers
Mark A. Hall
Wake Forest University
Beiyao Zheng
Genentech, Inc.
Elizabeth Dugan
New England Research Institutes
Fabian Camacho
Wake Forest University
Kristin E. Kidd
Wake Forest University
Aneil Mishra
Wake Forest University
Rajesh Balkrishnan
Wake Forest University
Existing scales to measure trust in physicians have differing content and limited testing. To improve on these measures, a large item pool (n = 78) was generated following a detailed conceptual model and expert review. After pilot testing, the best-performing items were validated with a random national sample (n = 9) and a regional sample of HMO members (n = 99). Various psychometric tests produced a 10-item unidimensional scale consistent with most aspects of the conceptual model.Compared with previous scales, the Wake Forest physician trust scale has a somewhat improved combination of internal consistency, variability, and discriminability. The scale is more strongly correlated with satisfaction, desire to remain with a physician, willingness to recommend to friends, and not seeking second opinions; it is less correlated with insurer trust, membership in managed care, and choice of physician; and correlations are equivalent with lack of disputes, length of relationship, and number of visits.
Medical Care Research and Review, Vol. 59, No. 3,
293-318 (2002)
DOI: 10.1177/1077558702059003004
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