Meyer, Samantha B., Brown, Patrick, Calnan, Michael .W., Ward, Paul R., Little, Jerrica, Betini, Gustavo S., Perlman, Christopher M., Burns, Kathleen E., Filice, Eric (2024) Development and validation of the trust in multidimensional healthcare systems scale (TIMHSS). International Journal for Equity in Health, 23 (1). Article Number 94. E-ISSN 1475-9276. (doi:10.1186/s12939-024-02162-y) (KAR id:105901)
PDF
Publisher pdf
Language: English
This work is licensed under a Creative Commons Attribution 4.0 International License.
|
|
Download this file (PDF/1MB) |
Preview |
Request a format suitable for use with assistive technology e.g. a screenreader | |
Official URL: https://doi.org/10.1186/s12939-024-02162-y |
Abstract
Context: The COVID-19 pandemic has reignited a commitment from the health policy and health services research communities to rebuilding trust in healthcare and created a renewed appetite for measures of trust for system monitoring and evaluation. The aim of the present paper was to develop a multidimensional measure of trust in healthcare that: (1) Is responsive to the conceptual and methodological limitations of existing measures; (2) Can be used to identify systemic explanations for lower levels of trust in equity-deserving populations; (3) Can be used to design and evaluate interventions aiming to (re)build trust.
Methods: We conducted a 2021 review of existing measures of trust in healthcare, 72 qualitative interviews (Aug-Dec 2021; oversampling for equity-deserving populations), an expert review consensus process (Oct 2021), and factor analyses and validation testing based on two waves of survey data (Nov 2021, n = 694; Jan-Feb 2022, n = 740 respectively).
Findings: We present the Trust in Multidimensional Healthcare Systems Scale (TIMHSS); a 38-item correlated three-factor measure of trust in doctors, policies, and the system. Measurement of invariance tests suggest that the TIMHSS can also be reliably administered to diverse populations.
Conclusions: This global measure of trust in healthcare can be used to measure trust over time at a population level, or used within specific subpopulations, to inform interventions to (re)build trust. It can also be used within a clinical setting to provide a stronger evidence base for associations between trust and therapeutic outcomes.
Item Type: | Article |
---|---|
DOI/Identification number: | 10.1186/s12939-024-02162-y |
Uncontrolled keywords: | trust; physicians; quality indicators; health care; health policy; validation study |
Subjects: | H Social Sciences |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research |
Funders: | Social Sciences and Humanities Research Council (https://ror.org/04j5jqy92) |
Depositing User: | Michael Calnan |
Date Deposited: | 09 May 2024 05:37 UTC |
Last Modified: | 22 May 2024 13:28 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/105901 (The current URI for this page, for reference purposes) |
- Link to SensusAccess
- Export to:
- RefWorks
- EPrints3 XML
- BibTeX
- CSV
- Depositors only (login required):