Developing and validating trust measures inter racial wives dating
This study was carried out to develop and validate a trust in physician scale relevant to the developing country context in India.
All parts of the study were carried out in Tamil Nadu, a state in south India.
Evaluating problems, providing appropriate and effective treatment, predisposing factors and structural/staffing factors, are components of the competence domain, and understanding the patient's individual experiences, expressing caring, communicating clearly and completely, building partnership, demonstrating honesty and keeping information confidential, are components of the benevolence domain.20The dimensions and determinants of trust in healthcare in developing countries are likely to be very different.
In many developing healthcare settings there is deprivation of resources, lack of universal health access, low public expenditure on healthcare, high out of pocket expenditure on health and poorly regulated private practice.21 Economic factors, uncertainties in access to health, emotional factors and implicit acceptance of paternalism in clinical care are all likely to impact the social interactions in the healthcare setting, thus leading to different dimensions.
A cross sectional community-based survey was carried out to validate the Trust in Physicians scale developed by Anderson and Diedrick1 in this local setting.
The questionnaire was translated to Tamil and back translated to English to ensure validity of translation.
Results Competence, assurance of treatment, respect for the physician and loyalty to the physician were important dimensions of trust. The item to total correlations were acceptable for all the 22 items.
A total of 31 items were developed using these dimensions. The item response analysis revealed good item characteristic curves and item information for all the items.
Patient trust in the physician has been defined as a collection of expectations that patients have from their doctor.1 Certain other researchers have defined patient trust as a feeling of reassurance or confidence in the doctor.2 Another interesting definition of trust, which is apt for the healthcare setting, is “an unwritten agreement between two or more parties for each party to perform a set of agreed upon activities without fear of change from any party.” 3Trust in physicians is of inherent value in healthcare.This study underscored the importance of a new scale for trust in physicians in this context.Therefore, there is a need to assess trust in healthcare in these settings, with a culturally and socially appropriate scale developed and validated in the context.To the best of our knowledge, scales that have been developed to measure trust have emerged from the developed world.Six tools to measure trust in the healthcare setting have been described in a review by Goudge and Gilson.