<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2024000100046</article-id>
<article-id pub-id-type="doi">10.24875/ciru.23000102</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The mediating role of physician trust in the relationship between medical mistrust and health-care system distrust]]></article-title>
<article-title xml:lang="es"><![CDATA[El papel mediador de la confianza del médico en la relación entre la desconfianza médica y la desconfianza en el sistema de salud]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kizilkaya]]></surname>
<given-names><![CDATA[Selman]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Dicle University Faculty of Economics and Administrative Sciences Department of Health Management]]></institution>
<addr-line><![CDATA[Diyarbak&#305;r ]]></addr-line>
<country>Turkey</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<volume>92</volume>
<numero>1</numero>
<fpage>46</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2024000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2024000100046&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2024000100046&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: This study was carried out to determine the mediating role of physician trust in the relationship between medical mistrust and health-care system distrust.  Materials and methods: The &#8220;Health Care Systems Distrust Scale&#8221;, which consists of 10 questions, the &#8220;Medical Mistrust Scale&#8221;, which consists of 17 questions, the &#8220;Physician Trust Scale&#8221;, which consists of 11 questions. The statistical analysis was performed using the SPSS 26.0 program.  Results: Health-care system distrust was positively correlated with medical mistrust and negatively correlated with physician trust. There was a negative relationship between medical mistrust and physician trust. Physician trust mediates the effect of medical mistrust on health-care system distrust. In other words, it was determined that the mediating effect of physician trust was significant.  Conclusion: Addition of physician trust to medical mistrust decreases the negative effects of health-care system distrust. Medical mistrust must be addressed at multiple levels of society, including government, policy, and health-care systems.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Este estudio se llevó a cabo para determinar el papel mediador de la confianza del médico en la relación entre la desconfianza médica y la desconfianza en el sistema de salud.  Materiales y Métodos: La &#8220;Escala de desconfianza en los sistemas de atención médica&#8221;, que consta de 10 preguntas, la &#8220;Escala de desconfianza médica&#8221;, que consta de 17 preguntas, la &#8220;Escala de confianza del médico&#8221;, que consta de 11 preguntas. El análisis estadístico se realizó mediante el programa SPSS 26.0.  Resultados: La desconfianza en el sistema de salud se correlacionó positivamente con la desconfianza médica y negativamente con la confianza en los médicos. Hubo una relación negativa entre la desconfianza médica y la confianza en el médico. La confianza del médico media el efecto de la desconfianza médica en la desconfianza de los sistemas de atención médica. En otras palabras, se determinó que el efecto mediador de la confianza en el médico fue significativo.  Conclusión: La adición de la confianza del médico a la desconfianza médica disminuye los efectos negativos de la desconfianza en el sistema de atención médica. La desconfianza médica debe abordarse en múltiples niveles de la sociedad, incluido el gobierno, las políticas y los sistemas de atención médica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Trust]]></kwd>
<kwd lng="en"><![CDATA[Mistrust]]></kwd>
<kwd lng="en"><![CDATA[Distrust]]></kwd>
<kwd lng="en"><![CDATA[Physician]]></kwd>
<kwd lng="en"><![CDATA[Health-care system]]></kwd>
<kwd lng="es"><![CDATA[Confianza]]></kwd>
<kwd lng="es"><![CDATA[Desconfianza]]></kwd>
<kwd lng="es"><![CDATA[Médico]]></kwd>
<kwd lng="es"><![CDATA[Sistema de salud]]></kwd>
</kwd-group>
</article-meta>
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