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International Journal of Public Health

, Volume 56, Issue 3, pp 319–327 | Cite as

The relationship between social support, shared decision-making and patient’s trust in doctors: a cross-sectional survey of 2,197 inpatients using the Cologne Patient Questionnaire

  • Oliver Ommen
  • Sonja Thuem
  • Holger Pfaff
  • Christian Janssen
Original Article

Abstract

Objectives

Empirical studies have confirmed that a trusting physician–patient interaction promotes patient satisfaction, adherence to treatment and improved health outcomes. The objective of this analysis was to investigate the relationship between social support, shared decision-making and inpatient’s trust in physicians in a hospital setting.

Methods

A written questionnaire was completed by 2,197 patients who were treated in the year 2000 in six hospitals in Germany. Logistic regression was performed with a dichotomized index for patient’s trust in physicians.

Results

The logistic regression model identified significant relationships (p < 0.05) in terms of emotional support (standardized effect coefficient [sc], 3.65), informational support (sc, 1.70), shared decision-making (sc, 1.40), age (sc, 1.14), socioeconomic status (sc, 1.15) and gender (sc, 1.15). We found no significant relationship between ‘tendency to excuse’ and trust. The last regression model accounted for 49.1% of Nagelkerke’s R-square.

Conclusions

Insufficient physician communication skills can lead to extensive negative effects on the trust of patients in their physicians. Thus, it becomes clear that medical support requires not only biomedical, but also psychosocial skills.

Keywords

Physician–patient interaction Trust Social support Shared decision-making Medical education 

Notes

Conflict of interest

The authors declare that they have no competing interest.

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Copyright information

© Swiss School of Public Health 2010

Authors and Affiliations

  • Oliver Ommen
    • 1
  • Sonja Thuem
    • 1
  • Holger Pfaff
    • 1
  • Christian Janssen
    • 2
  1. 1.Institute for Medical Sociology, Health Services Research and Rehabilitation Science (IMVR)University of CologneCologneGermany
  2. 2.Department of Applied Social SciencesUniversity of Applied Sciences MunichMunichGermany

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