779 Developing Trust In The Patient-Doctor Relationship: Systematic Review Of Outcomes Of Planned Interventions

Author(s): 
J Car 1, G Freeman 1, A Sheikh 2, R Ashcroft 1
1 Centre for Primary Care and Social Medicine, Imperial College London
2 Department of Public Health Sciences, St George's Hospital Medical School, London, UK
Text: 
Background
The patient-doctor relationship has an important role in the delivery of medical care, providing a context in which caring and healing can occur. Trust is a fundamental component of this relationship with several potential benefits including increased satisfaction, adherence to treatment, and continuity of care.
Objectives
To systematically review the effectiveness of interventions that aim to promote patient trust in their doctors.
Search Strategy
We systematically searched: Medline (1966 - 2002 ); Health Star (1975 - 2002); PsycLit (1987- 2002 ); Cinahl (1982 - 2002); Embase (1985-2002). Selection Criteria In keeping with Cochrane Consumer and Communication Group criteria we stipulated that the following study designs were potentially eligible for inclusion: randomised controlled trials and rigorously conducted controlled clinical trials, controlled before and after and interrupted time series studies. We were interested in any intervention directed at doctors or patients that intended to promote patients' trust in their doctors; or any other intervention where trust was assessed as an outcome of the intervention. For the purposes of this review, we used a broad definition of patient trust namely, ‘the belief that doctors work in patient's best interests.’
Data analysis
Data searches, quality assessment and extraction are currently in progress. We will assess patient outcomes as described in the original reports, extracting data about the health care that patients received, their health outcomes and their assessments of their trust in the doctor. We anticipate that we will be in a position to present results by the time of the Conference.
Funding: JC is supported by a Ministry of Education, Science and Sport Research Award, Slovenia and the Overseas Research Students Award, UK. AS is supported by a NHS/PPP National Primary Care Post Doctoral Award.
Literature: 
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DEVELOPING TRUST IN THE PATIENT-DOCTOR RELATIONSHIP: SYSTEMATIC REVIEW OF OUTCOMES OF PLANNED INTERVENTIONS