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Explicating the Cognitive Process of a Physician’s Trust in Patients: A Moderated Mediation Model

Author

Listed:
  • Qijun He

    (School of Journalism and Communication, Shanghai University, Shanghai 200072, China)

  • Yungeng Li

    (School of Media and Communication, Shanghai Jiao Tong University, Shanghai 200240, China)

  • Zhiyao Wu

    (School of Journalism and Communication, Shanghai University, Shanghai 200072, China)

  • Jingjing Su

    (School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong)

Abstract

Trust is considered a critical factor in the physician–patient relationship. However, little is known about the development and impact of physicians trusting their patients. A model that is premised on the integrated model of organizational trust was proposed in this article to reveal the cognitive processes involved in physicians’ trust, with perceived integrity and the ability of the patient as antecedents and the physicians’ communication efficacy as the outcome. A cross-sectional survey of 348 physicians in Zhejiang province, China, revealed that a physician’s trust in a patient mediated the relationship between the physicians’ perception of the integrity and ability of the patient, and the physician’s communication efficacy. The physicians’ educational backgrounds and work experience were also found to moderate an indirect effect: a lower level of education and longer work experience intensified the impact of the perceived integrity and ability of the patient on the physician’s trust, while shorter work experience made the association between the physician’s trust and communication efficacy more salient. This paper provided implications for both physician and patient sides.

Suggested Citation

  • Qijun He & Yungeng Li & Zhiyao Wu & Jingjing Su, 2022. "Explicating the Cognitive Process of a Physician’s Trust in Patients: A Moderated Mediation Model," IJERPH, MDPI, vol. 19(21), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14446-:d:963074
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    References listed on IDEAS

    as
    1. Petrocchi, S. & Iannello, P. & Lecciso, F. & Levante, A. & Antonietti, A. & Schulz, P.J., 2019. "Interpersonal trust in doctor-patient relation: Evidence from dyadic analysis and association with quality of dyadic communication," Social Science & Medicine, Elsevier, vol. 235(C), pages 1-1.
    2. Jiang Jie Sun & Zhi Bo Zheng & Xue Li Jiang & Wei Wei Hu & Jun Liu & Nan Zhen Ma & Meng Ying Li & Xiao-Zhe Yan & Cheng sen He & Li Ping Zhang, 2020. "Research on Management of Doctor-Patient Risk and Status of the Perceived Behaviors of Physician Trust in the Patient in China: New Perspective of Management of Doctor-Patient Risk," Mathematical Problems in Engineering, Hindawi, vol. 2020, pages 1-8, October.
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