Association of Patients' Past Misdiagnosis Experiences with Trust in Their Current Physician Among Japanese Adults.
J Gen Intern Med
; 37(5): 1115-1121, 2022 04.
Article
em En
| MEDLINE
| ID: mdl-34159541
ABSTRACT
BACKGROUND:
Previous qualitative research has described that previous misdiagnoses may reduce patient and their families' trust in healthcare.OBJECTIVE:
To quantify the associations between patients or family members' misdiagnosis experiences and trust in their physician.DESIGN:
Cross-sectional study.PARTICIPANTS:
Adult Japanese people with non-communicable diseases (cancer, diabetes, depression, heart disease, and connective tissue disease), recruited using a web-based panel survey. MAINMEASURES:
Surveys assessed the patient and the patient's family's experience with misdiagnosis. Trust in the respondent's current physician was measured using the Japanese version of the 11-item Trust in Physician Scale. KEYRESULTS:
Among 661 patients (response rate 30.1%), 23.2% had a personal history of misdiagnosis and 20.4% had a family history of misdiagnosis. In a multivariable-adjusted general linear model, patients or a family members' misdiagnosis experiences were associated with lower confidence in their current physician (mean difference -4.3, 95%CI -8.1 to -0.49 and -3.2, 95%CI -6.3 to -0.05, respectively). The impact of having a personal and a family member's experience of misdiagnosis on trust was additive, with no evidence of interaction (P for interaction = 0.494).CONCLUSIONS:
The patient's or family members' misdiagnosis experiences reduced trust in the patient's current physicians. Interventions specifically targeting misdiagnosed patients are needed to restore trust.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Médicos
/
Confiança
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
/
Humans
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article