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. 2019 Sep 23;366:l5482. doi: 10.1136/bmj.l5482

Table 1.

Example questionnaire items that assess aspects of trust in health system24

Example questionnaire items Surveyed population Object
of trust
Confidence in service “Despite my unfamiliarity with doctors, nurses, and hospitals, I feel very confident about my treatment.” Elderly US population with chronic disease26 Treatment
“If you or your child is very sick tomorrow, can you get the health care you need?” General household sample, rural Liberia4 Healthcare system
Competence “Patients receive high quality medical care from the Health Care System” African American general sample, Philadelphia,USA27 Healthcare system
“I think my doctor may not refer me to a specialist when needed” General national population,USA28 Physicians
“How well is the government doing in providing health care?” General household sample, rural Liberia4 Government
Honesty and integrity “If a mistake were made in my health care, the health care system would try to hide it from me.” General population (jurors waiting at Municipal Court of Philadelphia)29 Healthcare system
“Patients have sometimes been deceived or misled at hospitals” Random sample of residents with heart conditions in Baltimore City, USA30 Hospitals
“Medical decisions are influenced by how much money [my provider] can make” General population: villagers with and without insurance, Cambodia31 Healthcare providers