Ančić, Branko and Marelić, Marko and Popović, Stjepka (2026) The price of trust: determinants of trust in physicians across 30 countries. International Journal of Sociology. pp. 1-26. ISSN 1557-9336
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IN ENGLISH: This study examines the determinants of trust in physicians in 30 countries, focusing on general trust, perceived competence, and fidelity (defined as prioritizing patient welfare over profit). Using 2021 ISSP data combined with macro-level indicators such as the Human Development Index (HDI), health expenditures, and public–private funding preferences, the analysis explores how individual experiences and healthcare system characteristics shape trust. Results show that trust is strongly linked to confidence in the healthcare system and satisfaction with doctor visits, while socio-demographic factors and personal health experiences also play an important role. At the macro level, higher HDI is associated with greater trust, whereas higher out-of-pocket payments and healthcare commodification reduce it. Total health spending alone does not reliably increase trust, highlighting the importance of equity and efficiency. Overall, trust in physicians emerges as a multidimensional, context-dependent phenomenon shaped by both interpersonal and institutional factors. --------------- IN CROATIAN: Ova studija ispituje odrednice povjerenja u liječnike u 30 zemalja, s naglaskom na opće povjerenje, percipiranu kompetentnost i vjernost (definiranu kao davanje prednosti dobrobiti pacijenata u odnosu na profit). Koristeći podatke ISSP-a iz 2021. godine u kombinaciji s makrorazinskim pokazateljima poput Indeksa ljudskog razvoja (HDI), zdravstvenih izdataka te preferencija javnog i privatnog financiranja, analiza istražuje kako individualna iskustva i obilježja zdravstvenih sustava oblikuju povjerenje. Rezultati pokazuju da je povjerenje snažno povezano s povjerenjem u zdravstveni sustav i zadovoljstvom posjetima liječniku, dok sociodemografski čimbenici i osobna zdravstvena iskustva također imaju važnu ulogu. Na makrorazini, viši HDI povezan je s većim povjerenjem, dok viši izravni troškovi iz džepa (out-of-pocket) i komodifikacija zdravstvene skrbi smanjuju povjerenje. Samo povećanje ukupne zdravstvene potrošnje ne dovodi pouzdano do većeg povjerenja, što naglašava važnost pravednosti i učinkovitosti. Općenito, povjerenje u liječnike pokazuje se kao višedimenzionalan, kontekstualno uvjetovan fenomen, oblikovan i međuljudskim i institucionalnim čimbenicima.
| Item Type: | Article |
|---|---|
| Additional Information: | Language: English. - Title in Croatian: Cijena povjerenja: odrednice povjerenja u liječnike u 30 zemalja. |
| Uncontrolled Keywords: | Trust, physicians, competence, fidelity, healthcare system, structural determinants, ISSP (povjerenje, liječnici, kompetentnost, vjernost, zdravstveni sustav, strukturne odrednice, ISSP) |
| Subjects: | H Social Sciences > HM Sociology R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Depositing User: | Karolina |
| Date Deposited: | 19 Jan 2026 11:34 |
| Last Modified: | 19 Jan 2026 12:01 |
| URI: | http://idiprints.knjiznica.idi.hr/id/eprint/1287 |
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