Trust in one's physician: the role of ethnic match, autonomy, acculturation, and religiosity among Japanese and Japanese Americans. Export

@article{citeulike:572240, abstract = {PURPOSE: Trust is a cornerstone of the physician-patient relationship. We investigated the relation of patient characteristics, religiosity, acculturation, physician ethnicity, and insurance-mandated physician change to levels of trust in Japanese American and Japanese patients. METHODS: A self-administered, cross-sectional questionnaire in English and Japanese (completed in the language of their choice) was given to community-based samples of 539 English-speaking Japanese Americans, 340 Japanese-speaking Japanese Americans, and 304 Japanese living in Japan. RESULTS: Eighty-seven percent of English-speaking Japanese Americans, 93\% of Japanese-speaking Japanese Americans, and 58\% of Japanese living in Japan responded to trust items and reported mean trust scores of 83, 80, and 68, respectively, on a scale ranging from 0 to 100. In multivariate analyses, English-speaking and Japanese-speaking Japanese American respondents reported more trust than Japanese respondents living in Japan (P values <.001). Greater religiosity (P <.001), less desire for autonomy (P <.001), and physician-patient relationships of longer duration (P <.001) were related to increased trust. Among Japanese Americans, more acculturated respondents reported more trust (P <.001), and Japanese physicians were trusted more than physicians of another ethnicity. Among respondents prompted to change physicians because of insurance coverage, the 48\% who did not want to switch reported less trust in their current physician than in their former physician (mean score of 82 vs 89, P <.001). CONCLUSIONS: Religiosity, autonomy preference, and acculturation were strongly related to trust in one's physician among the Japanese American and Japanese samples studied and may provide avenues to enhance the physician-patient relationship. The strong relationship of trust with patient-physician ethnic match and the loss of trust when patients, in retrospect, report leaving a preferred physician suggest unintended consequences to patients not able to continue with their preferred physicians.}, address = {Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA 90024, USA. dtarn@mednet.ucla.edu}, author = {Tarn, D. M. and Meredith, L. S. and Kagawa-Singer, M. and Matsumura, S. and Bito, S. and Oye, R. K. and Liu, H. and Kahn, K. L. and Fukuhara, S. and Wenger, N. S.}, citeulike-article-id = {572240}, citeulike-linkout-0 = {http://dx.doi.org/10.1370/afm.289}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/16046567}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=16046567}, doi = {10.1370/afm.289}, issn = {1544-1717}, journal = {Ann Fam Med}, keywords = {culturalcompetence, doctorpatientrelationship, japan}, number = {4}, pages = {339--347}, posted-at = {2006-04-01 00:20:29}, priority = {2}, title = {Trust in one's physician: the role of ethnic match, autonomy, acculturation, and religiosity among Japanese and Japanese Americans.}, url = {http://dx.doi.org/10.1370/afm.289}, volume = {3}, year = {2005} }

TY - JOUR ID - citeulike:572240 L3 - citeulike-article-id:572240 N2 - PURPOSE: Trust is a cornerstone of the physician-patient relationship. We investigated the relation of patient characteristics, religiosity, acculturation, physician ethnicity, and insurance-mandated physician change to levels of trust in Japanese American and Japanese patients. METHODS: A self-administered, cross-sectional questionnaire in English and Japanese (completed in the language of their choice) was given to community-based samples of 539 English-speaking Japanese Americans, 340 Japanese-speaking Japanese Americans, and 304 Japanese living in Japan. RESULTS: Eighty-seven percent of English-speaking Japanese Americans, 93% of Japanese-speaking Japanese Americans, and 58% of Japanese living in Japan responded to trust items and reported mean trust scores of 83, 80, and 68, respectively, on a scale ranging from 0 to 100. In multivariate analyses, English-speaking and Japanese-speaking Japanese American respondents reported more trust than Japanese respondents living in Japan (P values <.001). Greater religiosity (P <.001), less desire for autonomy (P <.001), and physician-patient relationships of longer duration (P <.001) were related to increased trust. Among Japanese Americans, more acculturated respondents reported more trust (P <.001), and Japanese physicians were trusted more than physicians of another ethnicity. Among respondents prompted to change physicians because of insurance coverage, the 48% who did not want to switch reported less trust in their current physician than in their former physician (mean score of 82 vs 89, P <.001). CONCLUSIONS: Religiosity, autonomy preference, and acculturation were strongly related to trust in one's physician among the Japanese American and Japanese samples studied and may provide avenues to enhance the physician-patient relationship. The strong relationship of trust with patient-physician ethnic match and the loss of trust when patients, in retrospect, report leaving a preferred physician suggest unintended consequences to patients not able to continue with their preferred physicians. IS - 4 JF - Ann Fam Med SN - 1544-1717 AD - Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA 90024, USA. dtarn@mednet.ucla.edu EP - 347 TI - Trust in one's physician: the role of ethnic match, autonomy, acculturation, and religiosity among Japanese and Japanese Americans. VL - 3 SP - 339 KW - culturalcompetence KW - doctorpatientrelationship KW - japan AU - Tarn, DM AU - Meredith, LS AU - Kagawa-Singer, M AU - Matsumura, S AU - Bito, S AU - Oye, RK AU - Liu, H AU - Kahn, KL AU - Fukuhara, S AU - Wenger, NS PY - 2005///g UR - http://dx.doi.org/10.1370/afm.289 ER -