Charu Gupta|Susan P. Bell|Jonathan S. Schildcrout|Sarah Fletcher|Kathryn Goggins|Sunil Kripalani|for the Vanderbilt Inpatient Cohort
Predictors of Health Care System and Physician Distrust in Hospitalized Cardiac Patients
Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University|Vanderbilt University Medical Center
trusting relationships among patients physicians health care system important encouraging selfcare behaviors cardiovascular patients study aimed assess prevalence health care system physician distrust population compare 2 forms distrust describe demographic socioeconomic psychosocial predictors high distrust total 1232 hospitalized adults acute coronary syndrome heart failure enrolled prospective observational study assessing health care system distrust physician distrust high health care system distrust 35 observed across population lower levels interpersonal physician distrust 16 multivariate analysis poor social support coping skills strong predictors health care system p026 p003 physician distrust p001 p006 individuals low marginal health literacy higher likelihood physician distrust p001 relation found health literacy health care system distrust conclusion distrust common among acutely ill cardiac patients low social support low coping skills distrusting physicians health care system