Medical Mistrust Indicators in Southeast Asia: A Review and Perspective

| Posted in: Science

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Indicators for Medical Mistrust in Healthcare–A Review and Standpoint from Southeast Asia
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

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Author:

Hew Hei Choy, Aniza Ismail


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Indicators for Medical Mistrust in Healthcare–A Review and Standpoint from Southeast Asia

Year: 2017 | Doi: 10.21315/mjms2017.24.6.2

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Trust is a critical component in the healthcare sector, forming the foundation for the patient-physician relationship. A strong bond built on trust is essential for achieving positive health outcomes, empowering effective communication, and minimizing occurrences of medical negligence, lawsuits, and patient complaints. However, when this trust weakens—often due to perceived failures in interpersonal communication, increasing medical litigations, and patients' tendencies to explore complementary and alternative medicine without disclosure—healthcare quality and patient satisfaction are jeopardized. As such, understanding the underlying indicators of medical mistrust is necessary for maintaining healthcare integrity.

The Deterioration of Medical Trust

One significant concept highlighted in the review is the relationship between physicians' low mastery of interpersonal communication skills and the increasing number of medical complaints and litigations. Research indicates that ineffective communication contributes to over 70% of malpractice cases, impacting patients’ perceptions of their care providers. Poor listening, rushing consultations, and failure to value patients’ input can lead to feelings of neglect and ultimately result in mistrust. The need for physicians to develop stronger interpersonal communication skills is evident, as improved interactions can significantly enhance patient trust and satisfaction in their healthcare experiences.

Conclusion

In conclusion, the review underscores the concerning trend of diminishing trust in healthcare providers and the urgent need to address associated factors contributing to this erosion of trust. Enhancing physicians’ communication competencies, understanding patients' desires for holistic treatment options, and fostering a collaborative environment are essential steps toward restoring trust in healthcare. Continued research into the indicators of medical mistrust, especially in different cultural contexts, will aid healthcare professionals in identifying and implementing strategies to strengthen patient-provider relationships and ultimately improve health service delivery.

FAQ section (important questions/answers):

Why is trust important in healthcare relationships?

Trust is crucial in healthcare as it minimizes medical negligence, complaints, and lawsuits. A strong trust relationship helps enhance communication between patients and providers, ultimately leading to better clinical outcomes.

What are common indicators of medical mistrust?

Indicators of medical mistrust include rising medical litigations, low interpersonal communication skills among physicians, and patients' non-disclosure of alternative treatments. Understanding these factors is essential for improving trust and healthcare quality.

How can physicians improve trust with their patients?

Physicians can enhance trust by improving their interpersonal communication skills, actively listening to patients, and showing empathy. Sharing decision-making with patients and ensuring transparent conversations can also foster a stronger patient-physician relationship.

What role does communication play in patient trust?

Effective communication between patients and physicians is key to building trust. When physicians demonstrate clear understanding and respect for patient concerns, it strengthens the relationship and increases patient satisfaction with care received.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Medical Mistrust Indicators in Southeast Asia: A Review and Perspective”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Medicine:
Medicine is a vital field concerned with the diagnosis, treatment, and prevention of diseases and medical conditions. It encompasses various disciplines, including surgery, pharmacy, and public health. The trust patients place in their medical providers is crucial to ensure effective healthcare delivery and better health outcomes.

2) Study (Studying):
Study refers to the systematic investigation of a subject to uncover new insights or confirm existing knowledge. In healthcare, studies evaluate treatment efficacy, patient satisfaction, and medical trust, facilitating evidence-based practices. They contribute to developing protocols that enhance patient-provider relationships and inform continuous healthcare improvements.

3) Cancer:
Cancer is a group of diseases characterized by the uncontrolled growth of abnormal cells. It represents a significant public health concern requiring early detection and comprehensive treatment strategies. Understanding patients' perspectives on trust, treatment options, and their use of complementary and alternative medicine is integral to improving supportive care.

4) Quality:
Quality refers to the standard of care provided in medical settings, encompassing patient safety, treatment effectiveness, and overall satisfaction. High-quality healthcare fosters trust in patient-provider relationships, while lapses may elevate patient complaints or legal disputes. Continuous quality improvement initiatives are essential to sustain healthcare standards.

5) Table:
Table, in academic writing, presents data succinctly and effectively, conveying complex information visually. It can illustrate findings from studies, summarizing evidence on topics such as medical lawsuits, interpersonal communication, and patient experiences. Tables enhance the clarity of research reports, facilitating easier comprehension and comparisons.

6) Visit:
Visit refers to patients' encounters with healthcare providers for evaluation, diagnosis, or treatment. Regular visits are essential for monitoring health conditions and establishing continuity of care. Trust in these interactions significantly impacts the effectiveness of patient communication and satisfaction with the quality of healthcare services received.

7) Education:
Education in the healthcare context involves training healthcare professionals to enhance their skills, particularly in areas like communication. Proper education equips providers to address patients' emotional, informational, and relational needs, fostering trust, adherence to medical advice, and ultimately improving patient outcomes and satisfaction.

8) Reason:
Reason pertains to the underlying motivations influencing patients' behaviors and decisions regarding their healthcare. Understanding the reasons behind mistrust or non-disclosure of treatments, including alternative therapies, is crucial for healthcare providers to foster better relationships and address patients' concerns effectively.

9) Knowledge:
Knowledge represents the accumulation of information and understanding regarding medical practices, patient care, and treatment options. For patients, possessing adequate knowledge empowers them to engage actively in their healthcare decisions, while for providers, ongoing education ensures they stay informed about best practices and emerging treatments.

10) Discussion:
Discussion in a medical context refers to the dialogue between patients and providers, focusing on treatment plans, concerns, and patient experiences. Open discussions are essential for building trust, addressing fears, and providing a platform for shared decision-making, resulting in better healthcare relationships and patient outcomes.

11) Srivastava (Sri-vastava, Shrivastava, Shri-vastava):
Shrivastava appears to be a reference to an author or study in the context of the paper. Contextually, it suggests contributions to research on medical trust or other relevant healthcare topics. Understanding various authors' perspectives can deepen insights into improving patient-provider relationships.

12) Disease:
Disease refers to any condition that negatively impacts an individual's physical or mental health. In healthcare, understanding patients' perceptions of disease is essential to delivering appropriate care. Mistrust can complicate disease management, highlighting the importance of trust between patients and their healthcare providers.

13) Fear:
Fear in healthcare often relates to patients' apprehension about illness, treatments, or the healthcare system. It can significantly impact patients' willingness to communicate openly with providers or disclose alternative treatments, underlining the importance of trust-building practices in reducing fear and enhancing treatment adherence.

14) Science (Scientific):
Scientific refers to methods grounded in systematic research and evidence. In healthcare, a scientific approach is crucial for validating treatment efficacy and ensuring the quality of care. Trust in healthcare providers is often built on their adherence to scientific principles and evidence-based practices.

15) Family:
Family plays a crucial role in patients' healthcare experiences and decisions. Family members often influence patients' perceptions of trust and treatment choices. A supportive family can enhance adherence to medical advice, while conflicts can lead to increased stress or reluctance to communicate freely with providers.

16) Death:
Death remains a critical and sensitive subject in healthcare, particularly concerning terminal diseases like cancer. Discussions about end-of-life care, patient preferences, and plans often involve complex emotions. Trust in physicians becomes vital during these discussions, impacting patients' decisions regarding palliative care and overall healthcare experiences.

17) Party:
In healthcare, the term 'party' often refers to involved stakeholders, including patients, healthcare providers, and institutions. Each party has distinct roles, expectations, and responsibilities in the patient-provider relationship, making mutual trust essential for effective communication and satisfaction with care received.

18) Life:
Life refers to the essence of human existence, particularly in healthcare focusing on promoting well-being and managing illness. The quality of life is a key outcome measure for healthcare interventions, emphasizing the importance of trustworthy relationships in achieving positive health outcomes for patients.

19) Chemotherapy:
Chemotherapy is a common cancer treatment that uses drugs to kill cancer cells but often comes with significant side effects. Understanding patients' experiences with chemotherapy, including their fears and reliance on alternative treatments, is crucial in fostering supportive care and maintaining trust in providers.

20) Perception:
Perception reflects how individuals interpret information, experiences, and interactions, significantly influencing their trust in healthcare providers. Patients' perceptions of their providers' competence, empathy, and communication skills affect their willingness to adhere to treatment plans and disclose essential health information.

21) Listening:
Listening is a fundamental communication skill crucial for effective healthcare delivery. Healthcare providers' ability to listen actively to patients helps establish trust, address concerns, and improve the overall quality of the patient-provider relationship. Poor listening can lead to misunderstandings and distrust in medical care.

22) Meeting:
Meeting can refer to the scheduled visits between patients and healthcare providers where discussions, evaluations, and decisions occur. Effective meetings, marked by open communication, foster trust and enhance patients' satisfaction with their care, while unproductive meetings can lead to increased patient anxiety and dissatisfaction.

23) Nature:
Nature pertains to the inherent qualities or characteristics of individuals or phenomena. Understanding the natural aspects of health, illness, and patient experiences is vital for developing empathetic healthcare strategies. Discussions around natural therapies also highlight the importance of trust in decision-making about care.

24) Annal:
Annal typically refers to records or chronicles of events over time. In medical research, annals serve as a repository of findings and advancements in healthcare practices, illustrating the evolution of medical knowledge and the importance of building trust through documented evidence and successful patient outcomes.

25) Pooja:
Pooja may refer to an author or key contributor within the discussed research context, signifying their contributions to understanding trust mechanisms in healthcare. Recognizing various researchers' roles can enhance insights into developing effective patient-provider relationships and improving healthcare outcomes.

26) Ter:
Ther is likely an abbreviation or truncated reference within the specific context, possibly relating to therapy. Therapy encompasses various approaches aimed at improving health and well-being, where trust and communication between patients and providers are essential for effective treatment delivery and patient satisfaction.

27) Rheumatoid arthritis:
Rheumatoid arthritis is a chronic inflammatory disorder that primarily affects joints. Understanding patients' experiences, treatment preferences, and their use of alternative therapies is crucial for healthcare providers to deliver compassionate and comprehensive care, ensuring trust and better management of their health conditions.

28) Performance:
Performance in a healthcare context typically refers to how effectively and efficiently healthcare providers deliver care. High performance in patient interactions strengthens trust, while poor performance can lead to mistrust, highlighting the importance of provider training in communication and interpersonal skills to enhance patient experiences.

29) Observation:
Observation pertains to the act of monitoring patients' conditions, responses to treatment, and establishing trust. Skillful observation allows providers to discern non-verbal cues and effectively address patients' concerns, fostering a supportive environment that encourages open communication and improved healthcare outcomes.

30) Practising (Practicing):
Practicing refers to the ongoing process of applying medical knowledge and skills in real-world settings. For healthcare providers, effective practicing involves continuous improvement in clinical competencies, communication, and patient relationships, ultimately bolstering trust and satisfaction in care delivery for patients.

31) Developing:
Developing encompasses the process of growth and improvement in clinical practices, protocols, and relationships within healthcare. Developing greater levels of trust between patients and providers is essential for achieving positive health outcomes and improving overall satisfaction with healthcare experiences.

32) Suffering:
Suffering describes the emotional and physical distress experienced by patients facing medical challenges. Understanding patient suffering helps providers tailor compassionate care approaches, emphasizing the importance of trust and effective communication in managing care for individuals dealing with chronic conditions or serious illnesses.

33) Language:
Language serves as the primary medium of communication in healthcare. Effective use of language facilitates clarity, understanding, and trust between patients and providers. Language barriers may hinder patient access to healthcare services, justifying the need for tailored communication strategies to enhance understanding and treatment adherence.

34) Citizen:
Citizen refers to individuals within a community who interact with healthcare systems. Citizens' experiences shape their perceptions of healthcare quality and trust in providers. Engaging communities in dialogues about healthcare access and trust can improve overall health outcomes and foster collaborative relationships between citizens and healthcare providers.

35) Worry (Worried, Worrying):
Worried often characterizes patients' emotional responses to their health concerns or treatment processes. Addressing patients' worries through empathetic communication and support is essential for fostering trust and reducing anxiety during interactions, ultimately contributing to better healthcare experiences and adherence to treatment recommendations.

36) Company:
Company may refer to healthcare institutions or organizations providing services to patients. A reputable company enhances trust through demonstrated efficacy and quality care delivery. Patients' perceptions of a company's commitment to their well-being can influence their willingness to engage in health services.

37) Desire:
Desire signifies the strong feelings or wishes patients hold regarding their healthcare choices, treatment outcomes, and provider interactions. Understanding patients' desires is vital for healthcare providers to align treatment plans with patient preferences, fostering greater trust and satisfaction in healthcare experiences.

38) Psyche:
Psyche refers to the mind, encompassing emotional and psychological elements impacting patients' experiences of illness and treatment. Understanding the interplay between healthcare and the psyche helps providers address mental well-being alongside physical health, fostering trust and improving overall patient outcomes.

39) Rules:
Rules pertain to the established guidelines and protocols governing healthcare practices. Compliance with these rules ensures standardized care delivery and accountability among providers. Trust in healthcare systems is often influenced by the perceived adherence to rules, impacting patients' confidence in their care providers.

40) Doubt:
Doubt refers to uncertainty or lack of confidence in healthcare providers or treatment methods. Addressing patients' doubts through transparent communication and information is crucial for building trust, encouraging adherence to medical advice, and improving overall patient satisfaction with care received.

41) Money:
Money plays a significant role in healthcare access and decisions. Concerns about costs often influence patients' choices regarding treatments and providers, potentially impacting their trust in the healthcare system. Transparency in billing and cost discussions is vital to fostering trust and collaboration between patients and providers.

42) Anger (Angry):
Anger may arise in patients due to negative experiences in healthcare or perceived failures in communication. Addressing feelings of anger through empathetic conversations is essential for rebuilding trust and improving patient-provider relationships, as unresolved anger can hinder treatment adherence and patient satisfaction.

43) Line:
Line often refers to the boundaries set within patient-provider interactions or treatment protocols. Maintaining appropriate lines of communication, trust, and respect is essential to fostering effective relationships and ensuring patients feel comfortable discussing their health concerns and treatment options with providers.

44) Post:
Post refers to information shared or documented after events, including medical treatments or consultations. Clear post-visit communication reinforces the information discussed during visits, helping patients feel supported and informed, which is crucial for fostering trust in their ongoing healthcare journey.

45) Pur:
Poor describes substandard outcomes or experiences in healthcare. Poor communication, care quality, or adherence can result in decreased patient trust and satisfaction. Identifying factors contributing to poor experiences is crucial for providers to implement improvements and enhance patient care effectively.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Medical Mistrust Indicators in Southeast Asia: A Review and Perspective’. Further sources in the context of Science might help you critically compare this page with similair documents:

Physician, Personal experience, Rheumatoid arthritis, Mutual respect, Cultural factors, Medical practice, Holistic approach, Financial security, Medical practitioner, Medical institution, Patient care, Interpersonal skills, Traditional Chinese medicine, Medical knowledge, Healthcare, Alternative medicine, Treatment plan, Healthcare system, Complementary and alternative medicine, Treatment regimen, Conflict of interest, Consultation, Health care, Patient, Doctor-patient relationship, General population, Cross-sectional study, Conventional medicine, Alternative therapies, Patient education, Mortality Rate, Patient perspective, Patient complaints, Therapeutic relationship, Alternative therapy, Disease recurrence, Healthcare sector, Cancer patients, Radiation therapy, Alternative treatment, Potential side effects, Health service, Medical negligence, Medical malpractice, Modern medication, Breast cancer patients, Malpractice, Purposive Sampling, Emotional bonding, Clinical outcome, Quality care, Communication barrier, Quality of care, Hospital setting, Side effect, Clinical benefit, Qualitative study, Exploratory study, Job Performance, Primary care, Patient-centered, Health care provider, Healthcare provider, Electronic database, Professional satisfaction, Confidentiality, Healthcare professions, Quality healthcare, Rural inhabitants, Qualitative studies, Patient Activation, Clinical relationship, Medical litigation, Malpractice cases, Healthcare institutions, Quantitative studies, Shared decision-making, Semi-structured interview, Focus group discussion, Healthcare provision, Mixed methods approach, Busy schedule, Humanistic aspect, Non modifiable factors, Community health center, Interpersonal communication skill.

Concepts being referred in other categories, contexts and sources.

Trust, Listening, Legal case, Eastern culture, Mutual loyalty.

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