J Agric Med Community Health.  2010 Dec;35(4):395-404.

The Relationship between Trust in Healthcare System and Health Examination Participation

Affiliations
  • 1Department of Preventive Medicine, School of Medicine, Gyeonsang National University and Institute of Health Science, Korea. jjbkkr@yahoo.co.kr
  • 2Department of Preventive Medicine & Occupational Medicine, School of Medicine, Pusan National University, Korea.
  • 3Department of Preventive Medicine, College of Medicine, Inje University, Korea.
  • 4Department of Preventive Medicine, College of Medicine, Kosin University, Korea.
  • 5School of Public Health, Seoul National University, Korea.

Abstract


OBJECTIVES
This study was conducted to investigate the relationship between vertical trust in the healthcare system and participation in routine health examinations.
METHODS
Data from the 2008 Pusan Health Survey were analyzed for this study. Multiple logistic regression analyses were performed to investigate the influence of possible confounders (sex, age, education, monthly mean household income, horizontal trust) on participation in routine health examinations according to trust in the healthcare system.
RESULTS
In a total sample of 7,683 participants, 3,756 (48.9%) were classified as health examination participants. Respondents with high trust in the healthcare system had significantly higher odds ratios of participation, 1.17 (95% CI 1.03-1.33), after multiple adjustments.
CONCLUSION
Vertical trust in the healthcare system was significantly associated with higher odds of participation in routine health examinations. Improvements to the healthcare system have potential for increasing participation in routine health examinations.

Keyword

Vertical trust; Health examination; Social capital

MeSH Terms

Delivery of Health Care
Family Characteristics
Health Surveys
Logistic Models
Odds Ratio
Surveys and Questionnaires
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