5138.2: Wednesday, November 15, 2000 - Board 8

Abstract #1313

Patients' trust in health insurers: Development and assessment of an insurer trust scale

Beiyao Zheng, PhD, Mark A Hall, JD, and Elizabeth Dugan, PhD. Department of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, 336.716.6947, bzheng@rc.phs.wfubmc.edu

Background. Concerns raised by the rapid growth of managed care and institutional constraints on medical decisions have led to efforts to measure the performance of managed care organizations. Objective. To develop a scale to assess patients' trust in health insurance providers. Research Design. Telephone survey of a random national sample of English-speaking households in the United States. Subjects 564 adults (aged >21). Measures. Trust, satisfaction with care, insurance characteristics, patient and provider demographics. Results. A 12-item scale was developed with one factor with an eigenvalue of 5.9 which explained 98% of the variability in the data. Cronbach's alpha of reliability for the scale was 0.92, and item-to-scale correlations were adequate (.60-.80). Conclusions. The scale may be used in research or clinical situations. The findings indicate that trust is a predictor of member satisfaction and continuity with an insurer.

Learning Objectives: At the conclusion of this presentation, learner's will: 1. Recognize domains related to trust in insurance providers. 2. Be able to use the WFU scale to measure trust in insurance providers

Keywords: Insurance, Research

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA