• discrimination
• disparities
• inclusion
• medical mistrust

• Humans
• Quality of Life
• Male
• Female
• Aged
• Medication Adherence/psychology
• Cross-Sectional Studies
• India
• Aged, 80 and over
• Surveys and Questionnaires
• Middle Aged
• Hospitals
• Assessment of Medication Adherence

• Humans
• Racism/psychology
• Racism/statistics & numerical data
• Trust
• Female
• Male
• Neoplasms/therapy
• Neoplasms/psychology
• Neoplasms/ethnology
• Middle Aged
• Adult
• United States
• Aged
• Healthcare Disparities/ethnology
• Delivery of Health Care
• Young Adult

• R00CA277366 NCI NIH HHS
• U01 CA254832-03S1 NCI NIH HHS
• U01 CA254832 NCI NIH HHS
• R00 CA277366 NCI NIH HHS
• NIH HHS
• T32 CA116339 NCI NIH HHS
• American Association for Cancer Research
• North Carolina University Cancer Research Fun
• T32CA116339 Cancer Care Quality Training Program
• 22-20-73-ROBE Victoria's Secret and Pelotonia
• NCI
• National Institutes of Health
• Victoria’s Secret and Pelotonia

• Attitude
• Cardiovascular Disease
• Cross-sectional study
• Knowledge
• Obstructive sleep apnea
• Practice

• Humans
• Sleep Apnea, Obstructive/psychology
• Male
• Female
• Health Knowledge, Attitudes, Practice
• Cardiovascular Diseases
• Middle Aged
• Cross-Sectional Studies
• Surveys and Questionnaires
• Inpatients
• Aged
• Risk Factors
• Adult

• 82200548 National Natural Science Foundation Youth Fund Project

• Humanistic care
• negative emotions
• nursing quality
• outpatient gynecological surgery
• satisfaction

• distrust
• health equity
• mistrust
• trust
• trustworthiness

• Trust
• Humans
• Health Equity
• Racism

• P20 AG068082 NIA NIH HHS
• L60 CA264691 NCI NIH HHS
• K99 CA277366 NCI NIH HHS
• T32 HS026122 AHRQ HHS
• U2C OD023196 NIH HHS
• U19 AG065188 NIA NIH HHS
• R00 CA277366 NCI NIH HHS
• P30 CA068485 NCI NIH HHS
• UL1 TR002243 NCATS NIH HHS
• U24 TR001579 NCATS NIH HHS
• P50 MD017347 NIMHD NIH HHS

• Audio-recorded encounters
• Cardiology
• Race differences
• Trust

• Humans
• Black or African American
• Cardiology
• Race Factors
• Trust
• White

• U54 MD012530 NIMHD NIH HHS
• UL1 TR002553 NCATS NIH HHS

• health literacy
• health promotion
• public health
• quality of life
• social inequality in health

• Humans
• Databases, Factual
• Geography
• Health Literacy
• Public Health
• Quality of Life

• Acute coronary syndrome
• Health survey
• Myocardial infarction
• Quality of life
• Sudden death

• bariatric surgery
• diabetes remission
• glycemic control
• quality of life
• type 2 diabetes

• Humans
• Adult
• Middle Aged
• Diabetes Mellitus, Type 2/surgery
• Diabetes Mellitus, Type 2/complications
• Obesity, Morbid/surgery
• Cross-Sectional Studies
• Quality of Life
• Saudi Arabia
• Treatment Outcome
• Bariatric Surgery
• Gastric Bypass
• Gastrectomy
• Laparoscopy

The Hispanic community has a high demand for organ donation but a shortage of donors. Studies investigating factors that could promote or hinder organ donation have examined emotional video interventions. Factors acting as barriers to organ donation registration have been classified as: (1) Bodily integrity; (2) medical mistrust; (3) “ick”-feelings of disgust towards organ donation; and (4) “jinx”-fear that registration may result in one dying due to premeditated plans. We predict that by providing necessary information and education about the donation process via a short video, individuals will be more willing to register as organ donors.

To determine perceptions and attitudes regarding barriers and facilitators to organ donation intention among Hispanic residents in the New York metropolitan area.

This study was approved by the Institutional Review Board at Northwell Health. The approval reference number is No. 19-0009 (as presented in Supplementary material). Eligible participants included Hispanic New York City (NYC) residents, 18 years of age and above, who were recruited voluntarily through Cloud Research and participated in a larger randomized survey study of NYC residents. The survey an 85-item Redcap survey measured participant demographics, attitudes, and knowledge of organ donation as well as the intention to register as an organ donor. Attention checks were implemented throughout the survey, and responses were excluded for those who did fail. Participants were randomly assigned two-between subject conditions: To view a short video on organ donation and then proceed to complete the survey (i.e., video first) and view the same video at the end of the survey (video last). No intra-group activities were conducted. This study utilized an evidenced-based emotive educational intervention (video) which was previously utilized and was shown to increase organ donation registration rates at the Ohio Department of Motor Vehicles. Results were analyzed using Jamovi statistical software. Three hundred sixty-five Hispanic individuals were included in the analysis. Once consent was obtained and participants entered the survey (the survey sample is presented in Supplementary material), participants were asked to report on demographic variables and their general impression of organ donation after death. The video depicted stories regarding organ donation after death from various viewpoints, including from the loved ones of a deceased person who died waiting for a transplant; from the loved ones of a deceased person whose organs were donated upon death; and, from those who were currently waiting for a transplant.

Using a binomial logistic regression, the analysis provides information about the relationship between the effects of an emotive video and the intention to donate among Hispanic participants who were not already registered as donors. The willingness to go back and register was found to be significantly more probable for those who watched the emotive video before being asked about their organ donation opinions (odds ratio: 2.05, 95% confidence interval: 1.06-3.97). Motivations for participation in organ donation were also captured with many stating the importance of messages coming from “people like me” and a message that highlights “the welfare of those in need”. Overall, the findings suggest that using an emotive video that addresses organ donation barriers to prompt organ donation intentions can be effective among the Hispanic populous. Future studies should explore using targeted messaging that resonates with specific cultural groups, highlighting the welfare of others.

This study suggests that an emotive educational intervention is likely to be effective in improving organ donation registration intent among the Hispanic population residing in NYC.

• Community engagement and health
• Health equity
• Diversity and inclusion
• Health policy
• Kidney donation
• Minority health and disparities
• Organ transplant

• ad hoc interpreter
• health care relationship trust
• health communication
• language concordance
• language concordant physician
• limited english proficiency
• medical interpreter
• patient-physician relationship
• spanish language
• trust in physician

• autoimmune hepatitis
• cholestatic liver disease
• physician-patient relationship
• quality of life

• Humans
• Female
• Adult
• Middle Aged
• Male
• Quality of Life
• Cross-Sectional Studies
• Surveys and Questionnaires
• Regression Analysis
• Hepatitis, Autoimmune/drug therapy
• Health Status

• 869229 Consumers, Health, Agriculture and Food Executive Agency
• Consumers, Health, Agriculture and Food Executive Agency

• Anxiety
• Cross-sectional study
• Depression
• Maintenance hemodialysis
• Quality of life

• clinical competence
• delivery of health care
• physicians
• physicians’ effect
• physicians’ practice pattern
• practice effect
• professional practice gap
• quality of health care

• doctors’ effect
• meta-epidemiological review
• meta-epidemiology
• methodological study
• research methods

• funding agency

To investigate associations between trust in the healthcare system and all-cause, cardiovascular, cancer and other causes mortality.

Prospective cohort study.

A public health questionnaire was conducted in 2008 in Scania, the southernmost part of Sweden, with a 54.1% participation rate with a postal questionnaire and three reminders. In this study 24,833 respondents were included. The baseline questionnaire study was linked to prospective 8.3-year follow-up cause-specific mortality register data. Survival (Cox) regression analyses were conducted.

A 15.2% proportion of respondents reported very high, 59.1% rather high, and 21.7% not particularly high trust in the healthcare system, while 3.2% reported no trust at all and 0.9% did not know. The groups with rather high and not particularly high trust in the healthcare system had significantly lower all-cause mortality than the reference group with very high trust in the healthcare system. These statistically significant results remained throughout the multiple analyses, and were explained by lower cancer mortality in both the rather high and not particularly high trust respondent groups, and lower cardiovascular mortality in the not particularly high trust respondent group. No significant results were observed in the adjusted models for other causes mortality. No significant results were observed for the no trust and don't know categories in the multiple adjusted models, but these groups are small.

The results suggest a comparative advantage of moderate trust compared to very high trust in this setting of long waiting times for cancer and CVD treatment.

•

Trust in the healthcare system and mortality was investigated.

• Advance directives
• African Americans
• Discrimination
• Ethnicity/Race
• Mistrust

• Adult
• Advance Directives
• Black or African American
• Family
• Humans
• Perceived Discrimination
• Surveys and Questionnaires

• R25 MD007610 NIMHD NIH HHS

• ethnicity
• health communication
• mistrust
• perceived discrimination
• racial disparity
• serious illnesses

• Aged
• Caregivers
• Communication
• Home Care Services
• Humans
• Trust

• R24 HS022140 AHRQ HHS

Trust is an essential element in patient-physician relationships, yet trust is perceived differently among providers and customers exist. During January-February 2020 we examined the standpoints of medical managers and administrative directors from the private and public health hospitals on patient-physician trust, using a structured questionnaire. Thirty-six managers in public and private hospitals (24 from the public sector and 12 from the private sector) responded to the survey. Managers in the private sector rated trust higher in comparison to managers in the public sector, including trust related to patient satisfaction, professionalism and accountability. Managers from public hospitals gave higher scores to the need for patient education and shared responsibility prior to medical procedures. Administrative directors gave higher scores to various dimensions of trust and autonomy while medical managers gave higher scores to economic considerations. Trust is a fundamental component of the healthcare system and may be used to improve the provision and quality of care by analyzing standpoints and comparable continuous monitoring. Differences in position, education and training influence the perception of trust among managers in the health system. This survey may allow policy makers and opinion leaders to continue building and maintaining trust between patients and care providers.

• Adult
• Cross-Sectional Studies
• Female
• Health Personnel/psychology
• Hospitals, Private
• Humans
• Male
• Patient Satisfaction
• Physician-Patient Relations
• Quality of Health Care
• Surveys and Questionnaires

Coronary heart disease (CHD) is the leading cause of morbidity and mortality among elderly individuals. Patients with CHD are at high risk for mental health disorders, and psychological issues may affect the quality of life (QoL) of these patients. Nevertheless, there is little evidence regarding the psychological issues and QoL of patients with CHD among the elderly population. This study aimed to investigate the relationship between comorbidities and mental status as well as QoL among elderly patients with CHD.

Overall, 216 patients were included in this cross-sectional, observational, single-center study. The demographics and clinical manifestations of the patients were collected from electronic medical records. All patients were interviewed using the Chinese version of Symptom Checklist 90 (SCL-90) to assess the mental health status and the World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF) to assess the QoL.

In total, 96 men and 120 women, with a mean age of 71.69 ±  8.30 years, were included. When controlling for the patients’ sex, marital status and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid type 2 diabetes mellitus had the significant influence on average positive factors (Coef., 5.809; 95% CI [2.467–9.152] p = 0.001); when controlling for the patients’ sex, marital status and type 2 diabetes mellitus, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid stroke had the significant influence on average positive factors (Coef., 8.680; 95% CI [4.826–12.534]; p < 0.001); when controlling for the patients’ sex, marital status, type 2 diabetes mellitus and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid primary hypertension had the significant influence on phobic anxiety (Coef., 0.178; 95% CI [0.010–0.347]; p = 0.038).

For elderly CHD patients, comorbid type 2 diabetes mellitus and stroke were at risk for psychological problems and lower QoL. Our findings may guide patients and clinicians to make better decisions and achieve better outcomes.

• Coronary heart disease
• Elderly patients
• Quality of life
• Mental health status

• African Americans
• Blacks
• Hispanics
• discrimination
• disparities in health & health care
• ethnic groups
• ethnicity
• low-income population
• medically uninsured
• minority groups
• mistrust
• race
• structural competency
• vulnerable populations

• Adult
• Black or African American/psychology
• Aged
• Aged, 80 and over
• Attitude to Health/ethnology
• California
• Cross-Sectional Studies
• Family Practice
• Female
• Health Services Accessibility
• Hispanic or Latino/psychology
• Humans
• Insurance Coverage/statistics & numerical data
• Male
• Middle Aged
• Prejudice
• Primary Health Care
• Racism/psychology
• Socioeconomic Factors
• Trust

• R25 MD007610 NIMHD NIH HHS
• U54 MD007598 NIMHD NIH HHS
• U54 MD008149 NIMHD NIH HHS