Trust and satisfaction with physicians, insurers, and the medical profession

UMMS Affiliation

Meyers Primary Care Institute; Department of Medicine, Division of Geriatric Medicine

Publication Date


Document Type



Adult; Aged; Aged, 80 and over; Dissent and Disputes; Female; Health Care Surveys; Health Services Research; Humans; *Insurance Carriers; Male; Middle Aged; *Patient Satisfaction; *Physician-Patient Relations; Random Allocation; Referral and Consultation; Telephone; *Trust; United States


Health Services Research | Primary Care


BACKGROUND: Conceptual or theoretical analysts of trust in medical settings distinguish among markedly different objects or types of trust. However, little is known about how similar or different these types of trust are in reality and the relationship of trust with satisfaction.

OBJECTIVES: This exploratory study conducted a comparison among trust in one's personal physician, health insurer, and in the medical profession, and examined whether the relationship between trust and satisfaction differs according to the type of trust in question.

RESEARCH DESIGN: Random national telephone survey using validated multi-item measures of trust and satisfaction.

SUBJECTS: A total of 1117 individuals aged 20 years and older with health insurance and reporting 2 healthcare professional visits in the past 2 years.

RESULTS: Rank-order correlation analyses find that both physician and insurer trust are sensitive to the amount of contact the patient has had and their adequacy of choice in selecting the physician or insurer. Trust in the medical profession stands out as being uniquely related to patients' desire to seek care and their preference for how much control physicians should have in making medical decisions. Adding satisfaction to the models reduced the number of significant predictors of insurance trust disproportionately.

CONCLUSIONS: Consistent with theory, we found both substantial similarities and notable differences in the sets of factors that predict 3 different types of trust. Trust and satisfaction are much less distinct with respect to health insurers than with respect to physicians or the medical profession.

DOI of Published Version



Med Care. 2003 Sep;41(9):1058-64. Link to article on publisher's site

Journal/Book/Conference Title

Medical care


At the time of publication, Elizabeth Dugan was not yet affiliated with the University of Massachusetts Medical School.

Related Resources

Link to Article in PubMed

PubMed ID