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

•  

  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.
• html

• 图表

• wuzhentao, wutailai. An Research on the Influencing factors for patients’ distrust of doctors in online health community. 2021. doi: 10.12201/bmr.202105.00007

  huzhijian. Research on Hierarchical Diagnosis and Treatment System Based on Blockchain. 2021. doi: 10.12201/bmr.202111.00004

  ZhaiYunkai, ZhangRan, LuWei, ZhaoJie. Research on the influence of interactive perception on the willingness of the inviting doctor to continue to participate in telemedicine. 2020. doi: 10.12201/bmr.202007.00022

  Rui Chen, Huang Lei. A study on turnover intention and influencing factors of staff in primary medical and health institutions. 2021. doi: 10.12201/bmr.202012.00017

  SU Min, Zhou Zhong-liang. The Impact of Health Alliance and its Models on the Quality of Primary Care in Urban China: Based on Standardized Patient Approach. 2021. doi: 10.12201/bmr.202108.00021

  Research Status and Hotspots of Hierarchical Diagnosis System on CiteSpace. 2020. doi: 10.12201/bmr.202004.00013

  Yang Fan. Research on the Influence of the Outpatient Security Level’s improvement on Medical Service Utilization and Medical Insurance Fund Expenditure -Based on the case analysis of Sanming City. 2021. doi: 10.12201/bmr.202107.00028

  gaozhan, gaoyan, hanjiuyang, zhaoliang. Mining of Diagnosis and Treatment Data for the Study of Developmental Strategy of Departments of Grade III Level A Hospitals. 2021. doi: 10.12201/bmr.202105.00006

  zhangbaiping. Constructing patient diagnosis and treatment knowledge graph from relational database of EMR systemZHANG. 2021. doi: 10.12201/bmr.202110.00031

  Lei Meng, Luo Yinbo, Wang Zan, Guo Qianqian, Liu Junan. The association between sense of acquisition and turnover intention of rural primary medical staff: based on mediating effect of job satisfaction. 2021. doi: 10.12201/bmr.202010.00843

• ID	Submit time	Number	Download
  1	2021-07-04	bmr.202107.00024V1	Download

• Public  Anonymous  To author only Submit Comments