Lack of trust by the patient in the physicians or the
healthcare system has been associated with poorer health outcomes.
The present
study was designed to determine if trust in physicians and the healthcare
system among persons newly diagnosed with HIV infection was predictive of
patients' subsequent linkage, retention, and adherence to HIV care. 178 newly
diagnosed HIV infected patients were administered the trust-in-physicians and
trust-in-healthcare system scales. Median trust-in-physicians and
trust-in-healthcare system scores were compared for all the mentioned
subsequent linkage, retention, and adherence to HIV care.
Univariate logistic
regression using the trust-in-physician scale confirmed significant association
with retention in care (p = 0.04),
which persisted in multivariate analyses (p = 0.04). No significant
association was found between trust-in-physicians and linkage to care or
adherence to antiretroviral therapy. Trust in the healthcare system was not
associated with any of the outcomes. Patients with higher trust in physicians
were more likely to be retained in HIV care.
Trust at diagnosis may not be a
barrier to better clinical outcomes, either because trust changes based on
subsequent interactions, or because trust is not a determining feature.
Interventions to improve retention in care could include improving trust in
physicians or target persons with low trust in physicians.
Purchase full article at: http://goo.gl/9E7cMY
By:
1Legacy Community Health Services, Houston, Texas.
2The Department of Medicine, Baylor College of Medicine, Houston, Texas.
3The Center for Innovations in Quality, Effectiveness and Safety at the Michael E. DeBakey VA Medical Center, Houston, Texas.
4The University of Texas Health Science Center at Houston Medical School, Houston, Texas.
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