institutional trust

机构信任
  • 文章类型: Journal Article
    基于创新技术的精神医疗保健解决方案有望显着改善护理质量和临床结果。然而,他们的成功实施受到患者对治疗提供者的信任水平的深刻影响,组织,以及技术本身。本文深入研究了在强化精神卫生保健背景下建立和评估患者信任的复杂性,专注于住院设置。我们探讨了信任的多面性,包括人际关系,机构,技术信任。我们强调治疗信任的关键作用,包括患者和提供者之间的人际信任,以及对治疗组织的机构信任。手稿确定了信任的潜在关键障碍,从社会文化背景到患者的精神病理学。此外,它研究了技术信任的概念,强调数字素养的影响,社会经济地位,和用户体验对患者接受数字健康创新的影响。通过强调评估和解决患者之间信任状态的重要性,首要目标是利用数字创新在密集的心理健康环境中增强心理健康成果。
    Innovative technology-based solutions in mental healthcare promise significant improvements in care quality and clinical outcomes. However, their successful implementation is profoundly influenced by the levels of trust patients hold toward their treatment providers, organizations, and the technology itself. This paper delves into the complexities of building and assessing patient trust within the intensive mental health care context, focusing on inpatient settings. We explore the multifaceted nature of trust, including interpersonal, institutional, and technological trust. We highlight the crucial role of therapeutic trust, which comprises both interpersonal trust between patients and providers, and institutional trust in treatment organizations. The manuscript identifies potential key barriers to trust, from sociocultural background to a patient\'s psychopathology. Furthermore, it examines the concept of technological trust, emphasizing the influence of digital literacy, socio-economic status, and user experience on patients\' acceptance of digital health innovations. By emphasizing the importance of assessing and addressing the state of trust among patients, the overarching goal is to leverage digital innovations to enhance mental healthcare outcomes within intensive mental health settings.
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  • 文章类型: Journal Article
    本数据集调查了影响马来西亚穆斯林伊斯兰捐赠意愿的因素。该研究模型是基于计划行为理论(TPB)和具有六个潜在变量的社会资本理论的整合而开发的。2024年2月,对400名具有各种人口统计学特征的穆斯林进行了自我管理调查,得出了该数据集。该数据集是确定影响穆斯林伊斯兰捐赠意图的因素的基础,从而帮助学者和伊斯兰非营利组织了解马来西亚穆斯林如何通过与宗教承诺互动参与捐赠活动,机构信任,态度,主观规范,和感知的行为控制。
    The present dataset investigates the factors that influence Malaysian Muslims\' Islamic donation intentions. The research model was developed based on the integration of the theory of planned behavior (TPB) and social capital theory with six latent variables. A self-administrated survey of 400 Muslims with various demographic characteristics yielded the dataset in February 2024. The dataset was the basis for identifying factors that influence Muslims\' Islamic donation intentions, thereby helping scholars and Islamic non-profit organisations understand how Malaysian Muslims participated in donation activities by interacting with religious commitment, institutional trust, attitude, subjective norms, and perceived behavioral control.
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  • 文章类型: Journal Article
    纳米技术在食品加工中的新应用具有巨大的潜力,可以彻底改变食品工业并应对食品安全和公共卫生方面的挑战。了解和解决消费者对在食品加工中使用纳米技术的不断发展的态度,对于促进该技术的采用并为制定符合社会价值观的监管框架提供信息非常重要。我们使用调查研究设计来探索美国消费者对纳米技术的这种使用的态度。通过文学,我们确定了各种认知和情感因素,或者有潜在的影响,消费者的态度,我们利用这些因素建立了一个综合回归模型。我们从美国消费者的全国样本中收集了数据(N=1071)。回归模型占对纳米技术态度差异的64.22%(调整后的R2=62.94%)。感知到的好处,主观规范,机构信任,和主观知识显著和积极影响参与者对纳米技术在食品加工中使用的态度,而感知风险和食品技术新恐惧症显著和消极地影响参与者的态度。这些结果表明,沟通策略应该强调以消费者为中心的纳米技术的好处,减轻感知风险,利用社会影响,并优先考虑机构机构提供的与食品安全相关的信息。
    Novel applications of nanotechnology in food processing hold tremendous potential to revolutionize the food industry and address challenges in food security and public health. Understanding and addressing consumers\' evolving attitudes toward the use of nanotechnology in food processing is important to promote the technology\'s adoption and inform the development of regulatory frameworks that align with societal values. We used a survey research design to explore U.S. consumers\' attitudes toward such uses of nanotechnology. Through the literature, we identified various cognitive and affective factors that have influenced, or have the potential to influence, consumers\' attitudes, and we used those factors to develop a comprehensive regression model. We collected data from a national sample of U.S. consumers (N = 1071). The regression model accounted for 64.22% of the variance in attitudes toward nanotechnology (adjusted R2 = 62.94%). Perceived benefits, subjective norms, institutional trust, and subjective knowledge significantly and positively influenced participants\' attitudes toward the use of nanotechnology in food processing while perceived risks and food technology neophobia significantly and negatively influenced participants\' attitudes. These results suggest that communication strategies should emphasize consumer-centric benefits of nanotechnology, mitigate perceived risks, leverage social influences, and prioritize food safety-related messaging from institutional bodies.
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  • 文章类型: Journal Article
    背景:COVID-19大流行是一场毁灭性的公共卫生事件,引发了错误信息的涌入。数字和社交媒体的速度和规模以及某些新闻机构和政客积极传播有关该病毒的错误信息,有助于可疑健康内容的增加。某些COVID-19神话的流行造成了人们对有效卫生协议的困惑,并影响了人们对为管理大流行而部署的医疗保健和政府部门的信任。
    目的:本研究探讨了人们的信息习惯,他们的机构信任水平,他们消费的新闻媒体和他们访问它的技术,他们的媒介素养技能影响了他们的COVID-19知识。
    方法:我们使用AmazonMechanicalTurk(MTurk)进行了一项基于网络的调查,以评估美国成年人(n=1498)COVID-19知识,媒体和新闻习惯,媒体素养技能,以及对政府和卫生相关机构的信任。使用分层线性回归分析数据,以检查信任之间的关联,媒介素养,新闻使用,和COVID-19知识。
    结果:人口统计学变量的回归模型,政治派别,对机构的信任,媒介素养,在预测COVID-19知识得分方面,对观看Fox或CNN的偏好有统计学意义(R2=0.464;F24,1434=51.653;P<.001;调整后的R2=0.455)。被认定为政治保守派的人,看了福克斯新闻,据报道,机构信任和媒体素养水平较低,在COVID-19知识问题上的得分低于那些被认定为政治自由派的人,没有看福克斯新闻,报道了更高水平的机构信任和媒体素养。
    结论:这项研究表明,人们转向的媒体,他们对机构的信任,他们感知到的识别可信信息的代理程度会影响人们对COVID-19的了解,这对管理其他公共卫生事件中的沟通有潜在的影响。
    BACKGROUND: The COVID-19 pandemic was a devastating public health event that spurred an influx of misinformation. The increase in questionable health content was aided by the speed and scale of digital and social media and certain news agencies\' and politicians\' active dissemination of misinformation about the virus. The popularity of certain COVID-19 myths created confusion about effective health protocols and impacted trust in the health care and government sectors deployed to manage the pandemic.
    OBJECTIVE: This study explored how people\'s information habits, their level of institutional trust, the news media outlets they consume and the technologies in which they access it, and their media literacy skills influenced their COVID-19 knowledge.
    METHODS: We administered a web-based survey using Amazon Mechanical Turk (MTurk) to assess US adults\' (n=1498) COVID-19 knowledge, media and news habits, media literacy skills, and trust in government and health-related institutions. The data were analyzed using a hierarchical linear regression to examine the association between trust, media literacy, news use, and COVID-19 knowledge.
    RESULTS: The regression model of demographic variables, political affiliation, trust in institutions, media literacy, and the preference for watching Fox or CNN was statistically significant (R2=0.464; F24,1434=51.653; P<.001; adjusted R2=0.455) in predicting COVID-19 knowledge scores. People who identified as politically conservative, watched Fox News, and reported lower levels of institutional trust and media literacy, scored lower on COVID-19 knowledge questions than those who identified as politically liberal, did not watch Fox News and reported higher levels of institutional trust and media literacy.
    CONCLUSIONS: This study suggests that the media outlets people turn to, their trust in institutions, and their perceived degree of agency to discern credible information can impact people\'s knowledge of COVID-19, which has potential implications for managing communication in other public health events.
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  • 文章类型: Journal Article
    这项研究调查了个人采取遏制措施(例如,戴口罩)从中国和美国这两个国家的文化价值观和信任的角度来看。区别于以前将文化价值观描述为僵化和固定概念的定义,这项研究将集体主义重新概念化为一种语境敏感的结构。利用来自集体主义流行文化的调查数据(中国,n=1578)和个人主义盛行的文化(美国,n=1510),它揭示了集体主义影响两国人民采取遏制措施的潜在机制。结果表明,机构信任在这种关系中起着重要的中介作用。在这两个国家,对大流行持有集体主义价值观的个人更有可能支持采取遏制措施。这种认可是由他们对公共机构的信任驱动的,这源于他们的集体主义价值观。此外,出现了轻微的区别,揭示了集体主义价值观直接预测了中国人的行为,而在美国没有观察到这种直接影响。将提供实际影响。
    This study investigates individuals\' adoption of containment measures (e.g., wearing masks) from the perspectives of cultural values and trust in two countries-China and the US. Distinguished from previous definitions that characterise cultural values as rigid and fixed concepts, this study reconceptualizes collectivism to be a context-sensitive construct. With survey data from a collectivism-prevalent culture (China, n = 1578) and an individualism-prevalent culture (the US, n = 1510), it unfolds the underlying mechanism by which collectivism influences people\'s adoption of containment measures in both countries. Results indicate that institutional trust serves as a significant mediator in this relationship. In both countries, individuals who hold a collectivistic value on the pandemic are more likely to endorse the adoption of containment measures. This endorsement is driven by their trust in public institutions, which stems from their collectivistic values. Additionally, slight distinctions emerge, revealing that collectivistic values directly predict the behaviours among Chinese individuals, whereas such a direct effect is not observed in the US. Practical implications will be offered.
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  • 文章类型: Journal Article
    本文对有害藻华(HAB)影响的经济价值进行了文献综述,确定方法上的挑战,政策影响,和差距。与以前的文献综述不同,我们特别感兴趣的是确定HAB的经济估值是否包括政策分析。我们的论文提供了一个概念框架,使我们能够评估HAB的经济研究应用是否与明确定义的经济福利分析一致。它将方法和技术与福利措施联系起来,数据类型,和计量经济学方法。在此文献综述的基础上,我们提出了一个经济估值的例子,缩小了政策分析和估值方法之间的差距。我们使用既定的偏好研究来估算“海鲜价格溢价”,以创建一个基金来支持监控系统,并在存在HAB的情况下对生产者进行损害赔偿。结果表明,大多数关于HAB估值的经济研究都没有考虑对定义的政策干预进行任何成本效益分析。主要的经济估值方法使用市场信息来估计HAB影响的福利衡量指标(损失收入,销售,出口)。此外,文献中忽略了非使用价值和间接使用价值,而陈述的偏好方法代表性不足。最后,1293调查的结果发现,人们愿意增加贻贝的价格,以支持一项告知HAB的政策。然而,缺乏机构信任会影响支付负面费用的可能性。
    This paper presents a literature review on the economic valuation of Harmful Algal Bloom (HAB) impacts, identifying methodological challenges, policy implications, and gaps. Unlike previous literature reviews, we are particularly interested in determining whether the economic valuations of HABs have included a policy analysis. Our paper provides a conceptual framework that allows us to evaluate whether applications of economic studies of HABs are consistent with a well-defined economic welfare analysis. It links methodologies and techniques with welfare measures, data types, and econometric methods. Based on this literature review, we present an example of economic valuation that closes the gap between policy analysis and valuation methodology. We use a stated preferences study to estimate a \"seafood price premium\" to create a fund to support monitoring systems and for damage compensation to producers in the presence of HABs. Results show that most economic studies on HAB valuation do not consider any cost-benefit analysis of a defined policy intervention. The predominant economic valuation methodology uses market information to estimate a proxy for welfare measure of the impact of HABs (loss revenue, sales, exports). Moreover, nonuse and indirect use values are ignored in the literature, while stated preference methodologies are underrepresented. Finally, results from 1293 surveys found that people are willing to pay an increase in the price of mussels to support a policy that informs on HAB. However, the lack of institutional trust affects the probability of paying negatively.
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  • 文章类型: Journal Article
    疫苗犹豫,对全球健康的重要威胁,自COVID-19大流行以来,这种情况有所增加。公众接种疫苗的高调人物,如国家元首,已被吹捧为提高普通人群对疫苗接受度的潜在工具。然而,缺乏关于这种角色建模的系统信息,现有研究侧重于少数高收入国家。我们利用COVID-19大流行来填补这一空白。
    通过对互联网资源的系统搜索,我们首先记录了大多数全球领导人支持疫苗接种运动,并积极向公众传达了他们的疫苗接种状况。然后,我们转向一个案例研究,为非洲一个国家提供疫苗作用模型的实验证据,该地区在实现全民免疫覆盖方面最落后。我们依靠对刚果民主共和国600名公民的随机调查实验,并利用刚果总统在调查期间公开接受COVID-19疫苗的事实。
    我们的研究结果表明,政治领袖角色建模的影响是由信任调节的,取决于媒体的宣传和访问。当缺乏对领导者的信任时,或者他们行动的消息是不可访问的,替代大使和有效的沟通方法对于激励和告知公众至关重要。这在脆弱国家和偏远地区可能尤其重要。
    UNASSIGNED: Vaccine hesitancy, an important threat to global health, has increased since the onset of the COVID-19 pandemic. The public vaccination of high-profile figures, such as heads of state, has been touted as a potential tool for increasing vaccine acceptance among the general population. However, systematic information on such role modelling is lacking and existing studies focus on a small number of high-income countries. We take advantage of the COVID-19 pandemic to fill this gap.
    UNASSIGNED: Through a systematic search of internet sources, we first document that most global leaders supported the vaccination campaign and actively communicated their vaccination status to the public. We then turn to a case study to provide experimental evidence on vaccine role modelling for a country in Africa - the region that is most lagging behind in achieving universal immunization coverage. We rely on a randomized survey experiment with 600 citizens in the Democratic Republic of Congo and take advantage of the fact that the Congolese President publicly received a COVID-19 vaccine during the survey period.
    UNASSIGNED: Our findings demonstrate that the impact of political leader\'s role modelling is moderated by trust and depends on media outreach and access. When trust in leaders is lacking, or news on their actions is inaccessible, alternative ambassadors and effective communication methods become crucial in motivating and informing the public. This may be especially relevant in fragile states and remote regions.
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  • 文章类型: Journal Article
    Coronavirus disease 2019 (COVID-19) has resulted in rapid, substantial, and at times contradictory policy changes as public health agencies and government officials react to new information. We examine the implications of such changes for public compliance by drawing on the case of revised guidance on mask usage by asymptomatic individuals. As official recommendations on the use of masks in Canada shift from discouraged to mandatory, we draw on findings from an ongoing public opinion study to explore contemporaneous changes in rates of mask adoption and levels of public trust in government institutions. We find that Canadians exhibit high levels of compliance with changing policies on mask usage and that trust in public health officials remains consistent despite policy change.
    La maladie du coronavirus 2019 (COVID‑19) a poussé les organismes de santé publique et autres responsables gouvernementaux à apporter des changements rapides, importants et parfois contradictoires aux politiques, en réaction à la nouvelle information. Les auteurs étudient les répercussions de ces changements sur l’adhésion du public à ces décisions en se penchant sur le cas de l’évolution des directives quant à l’usage du masque par les personnes asymptomatiques. Les recommandations officielles relatives à l’usage de masques au Canada étant passées de la dissuasion à la contrainte, les auteurs étudient les constats tirés d’un sondage d’opinion publique en cours visant à analyser les fluctuations actuelles des taux d’adoption du port du masque et des niveaux de confiance du public dans les institutions gouvernementales. Les auteurs constatent que les Canadiens affichent des niveaux élevés d’adhésion aux politiques changeantes sur l’usage du masque et que la confiance dans les autorités de la santé publique demeure constante, malgré ces changements.
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  • 文章类型: Journal Article
    在COVID-19大流行期间,经济偏好和机构信任在多大程度上预测对物理距离规则的遵守?我们通过引入公共和私人领域中个体健康行为之间的理论和经验区别来重新审视这个问题(例如,与陌生人保持距离放弃与朋友的私人聚会)。使用结构方程模型分析德国第二波流行病(N=3350)的调查数据,我们揭示了两个领域的合规性之间的以下主要差异:社会偏好,尤其是(积极的)互惠,在预测公共领域的合规性方面起着至关重要的作用,但在私人领域几乎没有关系。相反,个人对国家政府的信任程度主要是为了提高私人领域的合规性。在这一领域,明显最强的预测因素是与大流行相关的威胁。我们的发现鼓励根据特定领域的情况或跨领域常见的因素来调整沟通策略。量身定制的沟通也可能有助于促进对COVID-19以外其他健康相关监管政策的遵守。
    To what extent do economic preferences and institutional trust predict compliance with physical distancing rules during the COVID-19 pandemic? We reexamine this question by introducing the theoretical and empirical distinction between individual health behaviors in the public and in the private domain (e.g., keeping a distance from strangers vs. abstaining from private gatherings with friends). Using structural equation modeling to analyze survey data from Germany\'s second wave of the pandemic (N = 3350), we reveal the following major differences between compliance in both domains: Social preferences, especially (positive) reciprocity, play an essential role in predicting compliance in the public domain but are barely relevant in the private domain. Conversely, individuals\' degree of trust in the national government matters predominantly for increasing compliance in the private domain. The clearly strongest predictor in this domain is the perception pandemic-related threats. Our findings encourage tailoring communication strategies to either domain-specific circumstances or factors common across domains. Tailored communication may also help promote compliance with other health-related regulatory policies beyond COVID-19.
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  • 文章类型: Journal Article
    本文讨论了2006年生效的荷兰医疗保健市场改革的结果和前景。关注医保改革的成果,从被动购买向主动购买转变的经验,以及改革对医疗保健提供和成本控制的影响。讨论的其他主题是改革对行政成本的影响,对医疗保险的机构信任,以及改革后医疗保健中的权力平衡。核心信息是,市场改革的高期望尚未实现。荷兰的医疗保健具有高度的混合性,并且有迹象表明该系统正变得越来越混合:该系统的运作方式比市场框架所暗示的要少得多。目前,关于改革的政策叙述正在发生变化。政策制定者和政策文件强调了供应商网络合作和更多国家指导的必要性。荷兰的医疗改革经验说明了钟摆理论。经过一段时间的竞争信念和较少的国家指导,决策的钟摆又回到了对合作和国家积极作用的信念。
    This article discusses the results and prospects of the market reform in Dutch health care which came into force in 2006. Attention is paid to the results of the health insurance reform, the experience with the shift from passive to active purchasing and the impact of the reform on healthcare provision and cost control respectively. Other topics discussed are the consequences of the reform for administrative costs, institutional trust in health insurance, and the power balance in health care after reform. The central message is that the high expectations of the market reform have not come true. Dutch health care features a high degree of hybridity and there are indications that the system is becoming ever more hybrid: the system operates much less market-like than the market frame suggests. Currently, the policy narrative on the reform is changing. Policymakers and policy documents underscore the need for cooperation in provider networks and more state direction. The Dutch experience with health care reform illustrates the pendulum theory. After a period of a belief in competition and less state direction the pendulum in policymaking swings back to a belief in cooperation and a pro-active role of the state.
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