Study on the influence of patients trust mode and level on the willingness of primary first visit

Corresponding author: Wang Ying, yingwang_2016@163.com

DOI: 10.12201/bmr.202107.00024

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  Abstract: Objective To analyze and investigate the mode and level of patients trust in primary health institutions, and explore its effect on the willingness of primary first visit. Methods Multistage sampling and convenience sampling were used and 38 primary health institutions in 12 districts and counties of Qingdao, Dongying and Zaozhuang in Shandong province were selected to conduct a questionnaire survey on the patients who went to hospital on that day and nearby residents. A total of 676 people were investigated. Results 64.4% of the patients trusted primary health institutions, and interpersonal trust (80.3%) was higher than system trust (48.6%). The proportion of patients with clear willingness of primary first visit was 60.4%, and the willingness of young and well-educated people was relatively lower. The results of multiple linear regression showed that system trust and interpersonal trust could mediate the willingness of primary first visit through the overall trust, while the coefficient of system trust was larger than that of interpersonal trust. Conclusion The level of interpersonal trust in primary health institutions is higher than that of system trust, but the primary factor affecting overall trust and the willingness of primary first visit is system trust. At present, it is urgent to improve the level of primary medical service to enhance the system trust in primary health institutions, and consolidate as well as highlight the comparative advantages of interpersonal trust of primary health institutions by taking advantage of the reform of the contract of family doctor services which is improving the quality and efficiency, so as to promote the realization of the goal of hierarchical diagnosis and treatment.

  Key words: Patient’s Trust Level; Interpersonal Trust; System Trust; Willingness of Primary First Visit; Hierarchical Diagnosis and Treatment

  Submit time: 8 October 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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