Araştırma Makalesi

Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs

Cilt: 8 Sayı: 1 27 Nisan 2026
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Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs

Öz

Aim: The aim of this study was to examine the relationship between self-reported unmet healthcare need and the level of trust in the healthcare system among rural residents. Material and Method: This cross-sectional study was conducted between April and June 2022 with 472 participants living in towns and villages affiliated with Kırklareli province, excluding the provincial center. In this study, rural settlement was defined as small-town and village residential areas located outside the provincial center. Data were collected using the Personal Information Form and the Multidimensional Trust in Healthcare Systems Scale (MTHCSS). Results: A total of 58.3% of the participants, whose mean age was 59.28 ± 11.64, lived in towns. The mean MTHCSS overall score was found to be 62.43 ± 12.22. The prevalence of self-reported unmet healthcare needs in the last 12 months was 30.3%. Among the participants with self-reported unmet healthcare needs, 67.1% could not access healthcare professionals, 82.5% could not access healthcare/examination services, and 41.3% could not access information on disease-related equipment/medication/disease management. It was found that the median scores of the overall MTHCSS and all its subdimensions were significantly lower among participants who reported unmet healthcare needs and among those who were unable to access healthcare professionals or healthcare/examination services in the last 12 months (p < 0.001). Conclusion: Targeted interventions aimed at improving appointment system accessibility and reducing structural barriers in rural areas may contribute to strengthening trust in the healthcare system.

Anahtar Kelimeler

Trust, Healthcare systems, Medical Staff, Needs and Demand

Destekleyen Kurum

None

Proje Numarası

Yok

Etik Beyan

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Ethical approval was received from the Kirklareli University Rectorate Scientific Research and Publication Ethics Committee (08/06/2022- E-35523585-302.99-49286). Permission was obtained from the relevant author to use the scale. An Informed Voluntary Consent Form was received from the participants.

Teşekkür

None

Kaynakça

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  2. Chaupain-Guillot, S., & Guillot, O. (2015). Health system characteristics and unmet care needs in Europe: an analysis based on EU-SILC data. European Journal of Health Economics, 16(7), 781–796. doi:10.1007/S10198-014-0629-X/TABLES/6
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  5. Dinç, L., Korkmaz, F., & Karabulut, E. (2013). A Validity and Reliability Study of the Multidimensional Trust in Health-Care Systems Scale in a Turkish Patient Population. Soc Indic Res, 113, 107–120. doi:10.1007/s11205-012-0084-y
  6. Do, Y. K., Carpenter, W. R., Spain, P., Clark, J. A., Hamilton, R. J., Galanko, J. A., Jackman, A., Talcott, J. A., & Godley, P. A. (2010). Race, healthcare access and physician trust among prostate cancer patients. Cancer Causes & Control : CCC, 21(1), 31. doi:10.1007/S10552-009-9431-Y
  7. Douthit, N., Kiv, S., Dwolatzky, T., & Biswas, S. (2015). Exposing some important barriers to health care access in the rural USA. Public Health, 129(6), 611–620. doi:10.1016/J.PUHE.2015.04.001
  8. Egede, L. E., & Ellis, C. (2008). Development and Testing of the Multidimensional Trust in Health Care Systems Scale. Journal of General Internal Medicine, 23(6), 808. doi:10.1007/S11606-008-0613-1
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Kaynak Göster

APA
Pancar, N., & Mercan, Y. (2026). Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, 8(1), 184-198. https://doi.org/10.46413/boneyusbad.1812299
AMA
1.Pancar N, Mercan Y. Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2026;8(1):184-198. doi:10.46413/boneyusbad.1812299
Chicago
Pancar, Nüket, ve Yeliz Mercan. 2026. “Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 8 (1): 184-98. https://doi.org/10.46413/boneyusbad.1812299.
EndNote
Pancar N, Mercan Y (01 Nisan 2026) Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 8 1 184–198.
IEEE
[1]N. Pancar ve Y. Mercan, “Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs”, Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 8, sy 1, ss. 184–198, Nis. 2026, doi: 10.46413/boneyusbad.1812299.
ISNAD
Pancar, Nüket - Mercan, Yeliz. “Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi 8/1 (01 Nisan 2026): 184-198. https://doi.org/10.46413/boneyusbad.1812299.
JAMA
1.Pancar N, Mercan Y. Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 2026;8:184–198.
MLA
Pancar, Nüket, ve Yeliz Mercan. “Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs”. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi, c. 8, sy 1, Nisan 2026, ss. 184-98, doi:10.46413/boneyusbad.1812299.
Vancouver
1.Nüket Pancar, Yeliz Mercan. Trust in the Healthcare System Among Rural Residents and Self-Reported Unmet Healthcare Needs. Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi. 01 Nisan 2026;8(1):184-98. doi:10.46413/boneyusbad.1812299