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Tytuł:
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Trust in the Israeli Healthcare System Among Arabs, Jewish Immigrants, and Non-immigrants.
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Autorzy:
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Pinchas-Mizrachi R; Ramat-Gan Academic College, Israel, Jacob Arnon 5/8, 9371705, Jerusalem, Israel. .
Zalcman BG; Jerusalem, Israel.
Daoud N; Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
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Źródło:
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International journal of behavioral medicine [Int J Behav Med] 2020 Dec; Vol. 27 (6), pp. 647-659.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: London : Informa Healthcare
Original Publication: Hillsdale, NJ : Lawrence Erlbaum Associates, c1994-
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MeSH Terms:
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Emigrants and Immigrants*
Jews*
Arabs ; Cross-Sectional Studies ; Humans ; Israel ; Trust
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Contributed Indexing:
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Keywords: Arab minority; Healthcare services (HCS); Healthcare system (HCSys); Israel; Jewish immigrant; Non-immigrant Jews; Trust in the healthcare system
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Entry Date(s):
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Date Created: 20200530 Date Completed: 20201120 Latest Revision: 20201120
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Update Code:
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20240105
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DOI:
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10.1007/s12529-020-09902-8
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PMID:
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32468510
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Background: Previous studies have shown that minorities and immigrants have low levels of trust in healthcare systems (HCSys), which might present a barrier in access to and utilization of healthcare services. We compared the levels of trust in Israel's HCSys among the Arab minority, immigrant Jews, and non-immigrant Jew sand draw on the integrative model of organizational trust to explore factors that can explain differences in the trust level within and between the study groups.
Method: We obtained cross-sectional census data from the 2017 Social Survey of the Israel Central Bureau of Statistics. We studied levels of trust based on a survey question: "Do you have trust in the HCSys?" We used logistic regression models to compare levels of trust in HCSys among the study groups, adjusting for components of the integrative model: characteristics (sex, age, education, religiosity, and healthcare service use), abilities (private health insurance ownership), integrity (discrimination, trusting the justice system and government), and perceived risk (self-reported health).
Results: Our findings revealed that Arabs (odds ratio (OR) = 4.20, 95% confidence intervals (CI) = 4.17, 4.23) and immigrant Jews (OR = 2.54, 95% CI = 2.51, 2.58) had more trust in the HCSys compared to non-immigrant Jews, even after adjusting for all the component variables. Different components of the integrative model explained trust in each population group.
Conclusion: Minority and immigrant groups had greater trust in the HCSys compared to the non-immigrant group. These findings may indicate different expectations with respect to patient-caregiver relations and HCSys utilization and raise questions regarding access to HCS and quality of care among minority and immigrant groups.
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