Trust by design: the effects of personal interest vs. social responsibility frame on policy acceptance and patient trust in China’s DRG reform
Zichun Leng e outros, 2026 · BMC Health Services Research
Presenting health payment reform using a social responsibility frame rather than a personal interest frame reduced general patient trust by 0.144 standard deviations.
Estimativa · General patient trust index (1–5 scale), standardized path coefficient
-0,144 [-0,353; -0,0220]
standardized regression coefficient (beta)
p = 0.026
- Desenho
- Experimento aleatório. Survey experiment with randomized message framing
- População
- Obstetric patients without prior DRG knowledge at a maternal and child health hospital in Wuxi, China (January–February 2025)
- Amostra
- 229 · patients
Onde está o número
Table 4, row 'Framing → General Patient Trust'
Framing → General Patient Trust | -0.144 | 0.026* | [-0.353, -0.022]
Contexto
What changed: Policy communications framed DRG payment reform in terms of broader social responsibility and systemic cost containment rather than personal out-of-pocket savings and convenience. Comparison: Patients randomly assigned to a personal interest frame. Limits: Single-site survey experiment among obstetric inpatients (N = 229); assessed immediate attitudinal responses to brief texts without measuring long-term trust or actual clinical interactions.
Caminho no grafo
- FamíliaInformação e persuasão
- TipoNudge comportamental
- ResultadoConfiança nas instituições
- EixoRedes
MAGI só cita evidência deste instrumento
Lugares do estudo
- Wuxi · Município · CN
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23