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Training physicians to increase patient trust.

D H Thom1

  • 1Family and Community Medicine, Stanford University School of Medicine, Palo Alto, CA 94304-1760, USA.

Journal of Evaluation in Clinical Practice
|November 18, 2000
PubMed
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A physician training program aimed to improve patient trust by modifying physician behaviors. However, the short intervention did not significantly increase patient trust or improve related outcomes, suggesting a need for stronger training approaches.

Area of Science:

  • Healthcare Management
  • Medical Education
  • Patient-Physician Relationship

Background:

  • Patient trust is crucial in the patient-physician relationship, especially with the rise of managed care.
  • Previous research identified key physician behaviors that foster patient trust.
  • This study evaluated a training program designed to enhance these specific behaviors.

Purpose of the Study:

  • To modify physician behaviors identified as important for building patient trust.
  • To assess the impact of a short physician training program on patient trust.
  • To evaluate the effect of the intervention on patient satisfaction, adherence, and healthcare utilization.

Main Methods:

  • A randomized controlled trial with 20 physicians (10 intervention, 10 control).

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  • Physicians received a short training program focused on patient-reported trust-building behaviors.
  • Baseline and follow-up measurements of patient trust, satisfaction, adherence, and healthcare utilization were collected.
  • Main Results:

    • Intervention physicians showed improvements in 16 of 19 patient-reported behaviors compared to controls, but differences were not statistically significant.
    • No significant differences were observed in patient trust, satisfaction, self-reported adherence, or healthcare utilization between groups.
    • The training intervention was not sufficiently potent to produce statistically significant changes.

    Conclusions:

    • A short physician training program focusing on specific behaviors did not significantly enhance patient trust or related outcomes.
    • The current intervention design may require strengthening to achieve measurable improvements in the patient-physician relationship.
    • Future research should explore more robust training methodologies to effectively improve physician behaviors and patient trust.