Tzu-I Tsai1, Wen-Ry Yu2, Shoou-Yih D Lee3. 1. School of Nursing, National Yang-Ming University, Taiwan, No. 155, Sec 2, Linong Street, Beitou District, Taipei, Taiwan. 2. Division of Family Medicine, Taipei City Hospital, Yangming Branch, No. 105, Yusheng St., Shilin District, Taipei City, Taiwan. 3. Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Abstract
OBJECTIVE: To examine the relationship between health literacy and trust in physicians and in the healthcare system. DESIGN: A cross-sectional survey of a nationally representative sample of adults. SETTING: Taiwan. PARTICIPANTS: Non-institutionalized adults (N = 2199). MAIN MEASURES: Trust in physicians was a composite measure assessing respondents' general trust in physicians and their perceptions of their physician's communication, medical skills, beneficence, honesty, confidentiality, respect and fairness. Trust in the healthcare system was a single-item measure. Health literacy was measured by four items. RESULTS: Respondents with higher health literacy had, overall, higher levels of trust in physicians (P<0.001) and in the healthcare system (P = 0.04). Health literacy remained significantly and positively associated with trust in physicians (P<0.001) and in the healthcare system (P = 0.001) after adjusting for respondents' sociodemographic characteristics. CONCLUSIONS: Our findings demonstrate that health literacy is positively associated with trust. Actionable plans targeting health literacy at the national and local levels to establish a health literate care environment may contribute to enhancing trust in physicians and the healthcare system.
OBJECTIVE: To examine the relationship between health literacy and trust in physicians and in the healthcare system. DESIGN: A cross-sectional survey of a nationally representative sample of adults. SETTING: Taiwan. PARTICIPANTS: Non-institutionalized adults (N = 2199). MAIN MEASURES: Trust in physicians was a composite measure assessing respondents' general trust in physicians and their perceptions of their physician's communication, medical skills, beneficence, honesty, confidentiality, respect and fairness. Trust in the healthcare system was a single-item measure. Health literacy was measured by four items. RESULTS: Respondents with higher health literacy had, overall, higher levels of trust in physicians (P<0.001) and in the healthcare system (P = 0.04). Health literacy remained significantly and positively associated with trust in physicians (P<0.001) and in the healthcare system (P = 0.001) after adjusting for respondents' sociodemographic characteristics. CONCLUSIONS: Our findings demonstrate that health literacy is positively associated with trust. Actionable plans targeting health literacy at the national and local levels to establish a health literate care environment may contribute to enhancing trust in physicians and the healthcare system.
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