Johannes Beller, Jürgen Schäfers, Jörg Haier, Siegfried Geyer, Jelena Epping
{"title":"欧洲 COVID-19 期间对医疗保健的信任度:弱势群体信任度最低。","authors":"Johannes Beller, Jürgen Schäfers, Jörg Haier, Siegfried Geyer, Jelena Epping","doi":"10.1007/s10389-022-01705-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>We examined predictors of trust in the healthcare system during the COVID-19 pandemic in 27 European countries.</p><p><strong>Subjects and methods: </strong>We used population-based data drawn from the Living, working and COVID-19 survey (<i>N</i> = 21,884, 52% female, ages 18 to 92 years) covering 27 European countries dated June and July 2020. Multilevel linear regression, linear regression, and regression-tree analyses were conducted.</p><p><strong>Results: </strong>We found that most participants tended to trust the healthcare system, although a substantial part could still be classified as distrusting (approx. 21%). Multiple variables, including being middle-aged or of older age, being female, lower levels of education, unemployment, worse general health status, having income difficulties, having unmet needs for healthcare, no healthcare contact during the COVID-19 pandemic, higher mental distress, and loneliness, were significantly associated with lower levels of trust. Among these variables mental distress, income difficulties, and unmet needs for healthcare emerged as especially important and, across European regions and countries, consistent predictors for lower trust in the healthcare system during the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>Medically vulnerable subgroups, such as individuals with unmet healthcare needs, higher levels of mental distress, and older age, as well as people living in socially and economically vulnerable situations, such as higher levels of loneliness and financial difficulties, were the least trusting of the healthcare system during the COVID-19 pandemic. As these vulnerable subgroups are also at highest risk for contracting COVID-19 and experiencing negative COVID-19-related outcomes, more targeted prevention and intervention efforts should be implemented in these groups.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s10389-022-01705-3.</p>","PeriodicalId":23839,"journal":{"name":"Zeitschrift Fur Gesundheitswissenschaften","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944407/pdf/","citationCount":"0","resultStr":"{\"title\":\"Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least.\",\"authors\":\"Johannes Beller, Jürgen Schäfers, Jörg Haier, Siegfried Geyer, Jelena Epping\",\"doi\":\"10.1007/s10389-022-01705-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>We examined predictors of trust in the healthcare system during the COVID-19 pandemic in 27 European countries.</p><p><strong>Subjects and methods: </strong>We used population-based data drawn from the Living, working and COVID-19 survey (<i>N</i> = 21,884, 52% female, ages 18 to 92 years) covering 27 European countries dated June and July 2020. Multilevel linear regression, linear regression, and regression-tree analyses were conducted.</p><p><strong>Results: </strong>We found that most participants tended to trust the healthcare system, although a substantial part could still be classified as distrusting (approx. 21%). Multiple variables, including being middle-aged or of older age, being female, lower levels of education, unemployment, worse general health status, having income difficulties, having unmet needs for healthcare, no healthcare contact during the COVID-19 pandemic, higher mental distress, and loneliness, were significantly associated with lower levels of trust. Among these variables mental distress, income difficulties, and unmet needs for healthcare emerged as especially important and, across European regions and countries, consistent predictors for lower trust in the healthcare system during the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>Medically vulnerable subgroups, such as individuals with unmet healthcare needs, higher levels of mental distress, and older age, as well as people living in socially and economically vulnerable situations, such as higher levels of loneliness and financial difficulties, were the least trusting of the healthcare system during the COVID-19 pandemic. As these vulnerable subgroups are also at highest risk for contracting COVID-19 and experiencing negative COVID-19-related outcomes, more targeted prevention and intervention efforts should be implemented in these groups.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s10389-022-01705-3.</p>\",\"PeriodicalId\":23839,\"journal\":{\"name\":\"Zeitschrift Fur Gesundheitswissenschaften\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-03-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944407/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zeitschrift Fur Gesundheitswissenschaften\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s10389-022-01705-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zeitschrift Fur Gesundheitswissenschaften","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s10389-022-01705-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Trust in Healthcare during COVID-19 in Europe: vulnerable groups trust the least.
Aim: We examined predictors of trust in the healthcare system during the COVID-19 pandemic in 27 European countries.
Subjects and methods: We used population-based data drawn from the Living, working and COVID-19 survey (N = 21,884, 52% female, ages 18 to 92 years) covering 27 European countries dated June and July 2020. Multilevel linear regression, linear regression, and regression-tree analyses were conducted.
Results: We found that most participants tended to trust the healthcare system, although a substantial part could still be classified as distrusting (approx. 21%). Multiple variables, including being middle-aged or of older age, being female, lower levels of education, unemployment, worse general health status, having income difficulties, having unmet needs for healthcare, no healthcare contact during the COVID-19 pandemic, higher mental distress, and loneliness, were significantly associated with lower levels of trust. Among these variables mental distress, income difficulties, and unmet needs for healthcare emerged as especially important and, across European regions and countries, consistent predictors for lower trust in the healthcare system during the COVID-19 pandemic.
Conclusions: Medically vulnerable subgroups, such as individuals with unmet healthcare needs, higher levels of mental distress, and older age, as well as people living in socially and economically vulnerable situations, such as higher levels of loneliness and financial difficulties, were the least trusting of the healthcare system during the COVID-19 pandemic. As these vulnerable subgroups are also at highest risk for contracting COVID-19 and experiencing negative COVID-19-related outcomes, more targeted prevention and intervention efforts should be implemented in these groups.
Supplementary information: The online version contains supplementary material available at 10.1007/s10389-022-01705-3.
期刊介绍:
Previous Title Zeitschrift für Gesundheitswissenschaften, Previous Print ISSN 0943-1853, Previous Online ISSN 1613-2238. The Journal of Public Health: From Theory to Practice is an interdisciplinary publication for the discussion and debate of international public health issues, with a focus on European affairs. It describes the social and individual factors determining the basic conditions of public health, analyzing causal interrelations, and offering a scientifically sound rationale for personal, social and political measures of intervention. Coverage includes contributions from epidemiology, health economics, environmental health, management, social sciences, ethics, and law. ISSN: 2198-1833 (Print) 1613-2238 (Online)