title: Trust and satisfaction with physicians, insurers, and the medical profession.
abstract: BACKGROUND
  Conceptual or theoretical analysts of trust in medical settings distinguish among markedly different objects or types of trust. However, little is known about how similar or different these types of trust are in reality and the relationship of trust with satisfaction.
  
  
  OBJECTIVE
  This exploratory study conducted a comparison among trust in one's personal physician, health insurer, and in the medical profession, and examined whether the relationship between trust and satisfaction differs according to the type of trust in question.
  
  
  METHODS
  Random national telephone survey using validated multi-item measures of trust and satisfaction.
  
  
  METHODS
  A total of 1117 individuals aged 20 years and older with health insurance and reporting 2 healthcare professional visits in the past 2 years.
  
  
  RESULTS
  Rank-order correlation analyses find that both physician and insurer trust are sensitive to the amount of contact the patient has had and their adequacy of choice in selecting the physician or insurer. Trust in the medical profession stands out as being uniquely related to patients' desire to seek care and their preference for how much control physicians should have in making medical decisions. Adding satisfaction to the models reduced the number of significant predictors of insurance trust disproportionately.
  
  
  CONCLUSIONS
  Consistent with theory, we found both substantial similarities and notable differences in the sets of factors that predict 3 different types of trust. Trust and satisfaction are much less distinct with respect to health insurers than with respect to physicians or the medical profession.
authors.affiliation: Department of Management and Policy Sciences, University of Texas, School of Public Health, Houston, Texas 77225, USA. rbalkris@wfubmc.edu
authors.forename: Rajesh
authors.initials: R
authors.lastname: Balkrishnan
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Dugan
authors.forename: Fabian T
authors.initials: FT
authors.lastname: Camacho
authors.forename: Mark A
authors.initials: MA
authors.lastname: Hall
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D034462:Dissent and Disputes; D005260:Female; D019538:Health Care Surveys; D006302:Health Services Research; D006801:Humans; D007343:Insurance Carriers; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011897:Random Allocation; D012017:Referral and Consultation / Q000706:statistics & numerical data; D013689:Telephone; D035502:Trust; D014481:United States