TRUST IN REMOTE HEALTH SERVICE DELIVERY: A SCALE DEVELOPMENT STUDY

Abstract

The incredible development of technology plays a major role in every field where people are involved, especially in the provision of healthcare services. In the study, an attempt was made to develop a scale that determines the level of trust in individuals towards remote health service delivery that has gained ground with technology. Exploratory, confirmatory factor analyses and reliability analyses were conducted with the data collected from 401 individuals. As a result of these analyses, a 9-item scale structure consisting of a single dimension was obtained. The research was confirmed with the scale's Cronbach Alpha value of 0.939, factor loadings above 0.70, acceptable fit index values, and excellent fit values. The average scale score of the individuals participating in the study's confidence level in remote health services was found to be 3.42±0.82. The Confidence Scale in Remote Health Service Delivery took its final form as a 5-point Likert type and 9-factor single dimension.

Keywords

• Healthcare
• remote healthcare service
• trust
• scale

UZAKTAN SAĞLIK HİZMETİ SUNUMUNA GÜVEN: ÖLÇEK GELİŞTİRME ÇALIŞMASI

Abstract

Teknolojinin akıl almaz gelişimi insanın içinde bulunduğu her alanda özellikle sağlık hizmeti sunumunda büyük rol oynamaktadır. Çalışmada teknoloji ile yer edinen uzaktan sağlık hizmeti sunumuna karşı bireylerdeki güven düzeyini belirleyen ölçek geliştirilmeye çalışılmıştır. 401 bireyden toplanan verilerin; açımlayıcı, doğrulayıcı faktör analizleri ve güvenilirlik analizleri yapılarak 9 maddeli tek boyuttan oluşan ölçek yapısı elde edilmiştir. Yapılan analizler sonucunda Cronbach’ın alfa değeri 0,939, faktör yükleri 0,70 in üzerinde, uyum indeks değerleri kabul edilebilir ve mükemmel uyum değerleri ile ölçek geçerlik kazanmış olup çalışmaya katılan bireylerin uzaktan sağlık hizmetine güven düzeyleri ölçek puan ortalaması 3,42±0,82 olarak bulunmuştur. Uzaktan Sağlık Hizmeti Sunumuna Güven Ölçeği 5’li Likert tipi ve 9 faktör tek boyut olarak son şeklini almıştır.

Keywords

• Sağlık hizmeti
• uzaktan sağlık hizmeti
• güven
• ölçek

Supporting Institution

Destekleyen kurum bulunmamaktadır

References

1. 1. WHO. A Health Telematics Policy: In support of WHO’s Health-for-All Strategy for Global Health Development: Report of the WHO Group Consultation on Health Telematics. Geneva: World Health Organization; 1998.
2. 2. Shen X, Zeng J, Liu T, Hu C. Remote healthcare monitor system. In 2010 3rd International Conference on Biomedical Engineering and Informatics 5. 2010:1901–5. doi: 10.1109/BMEI.2010.5639530.
3. 3. Malasinghe LP, Ramzan N, Dahal K. Remote patient monitoring: a comprehensive study. Journal of Ambient Intelligence and Humanized Computing. 2019;10(1):57–76. doi:10.1007/S12652-017-0598-X/TABLES/6.
4. 4. Puddu PE, D’Ambrosi A, Scarparo P, Centaro E, Torromeo C, Schiariti, et al. Clinician’s View of Next-Generation Remote Healthcare System. Systems Design for Remote Healthcare. 2014:1–30. doi:10.1007/978-1-4614-8842-2_1.
5. 5. Pramanik PKD, Pareek G, Nayyar A. Security and privacy in remote healthcare: Issues, solutions, and standards. In Telemedicine technologies, 2019:201-25. doi:10.1016/B978-0-12-816948-3.00014-3.
6. 6. Akgün Z. Uzaktan Sağlık Hizmetlerinin Sunumu Hakkında Yönetmelik’in Değerlendirilmesi Evaluation of the Regulation on Providing Remote Healthcare Services. Türkiye Biyoetik Dergisi. 2021;8(4):194–8.
7. 7. Cherif E, Bezaz N, Mzoughi M. Do personal health concerns and trust in healthcare providers mitigate privacy concerns? Effects on patients’ intention to share personal health data on electronic health records. Social Science and Medicine. 2021:283. doi:10.1016/j.socscimed.2021.114146.
8. 8. Boric-Lubecke O, Gao X, Yavari E, Baboli M Singh, A., Lubecke, V. M. E-healthcare: Remote monitoring, privacy, and security. In 2014 IEEE MTT-S international microwave symposium. 2014:1–3. doi:10.1109/MWSYM.2014.6848602.

9. 9. Rezaei M, Jafari-Sadeghi V, Cao D, Mahdiraji HA. Key indicators of ethical challenges in digital healthcare: A combined Delphi exploration and confirmative factor analysis approach with evidence from Khorasan province in Iran. Technological Forecasting and Social Change. 2021:167. doi:10.1016/j.techfore.2021.120724
10. 10. Ren Y, Werner R, Pazzi N, Boukerche A. Monitoring patients via a secure and mobile healthcare system. IEEE Wireless Communications. 2010;17(1):59–65. doi:10.1109/MWC.2010.5416351.
11. 11. Aileni RM, Suciu G, Valderrama Sukuyama CA, Pasca S. Internet of things and communication technology synergy for remote services in healthcare. EAI/Springer Innovations in Communication and Computing, 2020:59–82. doi:10.1007/978-3-030-42934-8_5/COVER.
12. 12. Luhmann N. Trust and Power: Two Works by Niklas Luhmann. New York: John Wiley&Sons.1979.
13. 13. Hall MA, Dugan E, Zheng B, Mishra AK. Trust in Physicians and Medical Institutions: What Is It, Can It Be Measured, and Does It Matter? The Milbank Quarterly. 2001;79(4):613–39. doi:0.1111/1468-0009.00223.
14. 14. Mechanic D. Public Trust and Initiatives for New Health Care Partnerships. The Milbank Quarterly, 1998;76(2): 281–302. doi:10.1111/1468-0009.00089.
15. 15. Egede LE, Ellis C. Development and testing of the multidimensional trust in health care systems scale. Journal of General Internal Medicine. 2008;23(6):808–15.
16. 16. Adjekum A, Ienca M, Vayena E. What Is Trust? Ethics and Risk Governance in Precision Medicine and Predictive Analytics. OMICS: A Journal of Integrative Biology. 2017;21(12):704–10. doi:10.1089/omi.2017.0156.
17. 17. Thom DH, Hall MA, Pawlson LG. Measuring Patients’ Trust In Physicians When Assessing Quality Of Care. Health Affairs. 2004;23(4):124–32. doi:10.1377/hlthaff.23.4.124.
18. 18. Ozawa S, Sripad P. How do you measure trust in the health system? A systematic review of the literature. Social Science and Medicine. 2013;91:10–14. doi:10.1016/J.SOCSCIMED.2013.05.005.
19. 19. Anderson LA, Dedrick RF. Development of the Trust in Physician Scale: A Measure to Assess Interpersonal Trust in Patient-Physician Relationships. Psychological Reports. 1990;67:1091–100. doi:10.2466/pr0.1990.67.3f.1091.
20. 20. Thom DH, Ribisl KM, Stewart AL, Luke DA. The Stanford Trust Study Physicians. Further validation and reliability testing of the Trust in Physician Scale. Medical Care. 1999;37(5):510-7. doi:10.1097/00005650-199905000-00010.
21. 21. Hall MA, Camacho F, Dugan E, Balkrishnan R. Trust in the Medical Profession: Conceptual and Measurement Issues. Health Services Research. 2002;37(5):1419–39. doi:10.1111/1475-6773.01070.
22. 22. Dugan E, Trachtenberg F, Hall MA. Development of abbreviated measures to assess patient trust in a physician, a health insurer, and the medical profession. BMC Health Services Research. 2005;5(1):1–7. doi:10.1186/1472-6963-5-64/TABLES/4.
23. 23. Bova C, Fennie KP, Watrous E, Dieckhaus K, Williams AB. The health care relationship (HCR) trust scale: Development and psychometric evaluation. Research in Nursing and Health. 2006;29(5):477–88. doi:10.1002/NUR.20158.
24. 24. Gürbüz S, Şahin F. Sosyal Bilimlerde Araştırma Yöntemleri. Ankara: Seçkin Yayıncılık. 2014.
25. 25. Özdamar K. Ölçek ve Test Geliştirme Yapısal Eşitlik Modellemesi IBM SPSS, IBM SPSS AMOS ve MINITAB uygulamalı. Eskişehir: Nisan Kitabevi;2017.
26. 26. Everitt BS. Multivariate Analysis: The Need for Data, and Other Problems. The British Journal of Psychiatry. 1975;126(3): 237-40.
27. 27. Yaşlıoğlu M. Sosyal bilimlerde faktör analizi ve geçerlilik: keşfedici ve doğrulayıcı faktör Analizlerinin kullanılması. Istanbul University Journal of the School of Business. 2017;46(Özel Sayı):74–85.
28. 28. Seçer İ. SPSS ve LİSREL ile Pratik Veri Analizi, (2. Baskı). Ankara: Anı Yayıncılık; 2015.
29. 29. Özdamar K. Modern Bilimsel Araştırma Yöntemleri. Eskişehir: Kaan Kitabevi; 2003.
30. 30. Konya İl Sağlık Müdürlüğü. 2022: Available from: https://konyaism.saglik.gov.tr/TR-239603/uzaktan-saglik-hizmeti-sunumunda-pilot-il-secilen-konyada---hazirliklar-devam-ediyor.html
31. 31. Straten GF, Friele R, Groenewegen P. Public trust in Dutch health care. Social Science and Medicine. 2002;55(2):227–34.
32. 32. Armstrong K, Rose A, Peters N, Long J, A, et al. Distrust of the health care system and self-reported health in the United States. Journal of General Internal Medicine. 2006;21(4):292–7. doi:10.1111/j.1525-1497.2006.00396.x.
33. 33. Calnan MW, Sanford E. Public trust in health care: the system or the doctor? Quality and Safety in Health Care. 2004;13(2):92–7. doi:10.1136/qshc.2003.009001.
34. 34. Taşliyan M. Sağlık Hizmetlerinde Hasta Memnuniyet Araştırması: Malatya Devlet Hastanesi’nde Bir Alan Çalışması. Ekonomik Araştirmalar Dergisi. 2010;1(1):61–6.
35. 35. Lu X, Zhang R. Impact of physician-patient communication in online health communities on patient compliance: cross-sectional questionnaire study. Journal of Medical Internet Research. 2019;1(5):1-18. doi:10.2196/12891.
36. 36. Orrange S, Patel A, Mack WJ, Cassetta J. Patient Satisfaction and Trust in Telemedicine During the COVID-19 Pandemic: Retrospective Observational Study. JMIR Human Factors. 2021;8(2):e28589. doi:10.2196/28589.
37. 37. Orrange S, Patel A, Mack WJ, Cassetta J. Patient Satisfaction and Trust in Telemedicine During the COVID-19 Pandemic: Retrospective Observational Study. JMIR Human Factors. 2021;8(2):e28589. doi:10.2196/28589.
38. 38. Öz H. Uzaktan Sağlık Hizmeti Sunumu-Samsun Örneği. Sağlık Okuryazarlığı Dergisi. 2022;3(2):115–8.
39. 39. Ekinci B. Uzaktan Sağlık Hizmeti Sunumu (Tele Tıp) Projesi. Türkiye Sağlık Okuryazarlığı Dergisi. 2022;3(2):122–4. doi:10.54247/soyd.2022.53.