Public Trust in Healthcare System in Iran: A Rapid Assessment During the COVID-۱۹ Epidemic in Iran

Background and aims: Public health policies and programs should be adapted to the level of public trust in the healthcare system, as an indicator of the public support level. Accordingly, the data about public trust level in the healthcare system is considered as a critical requirement for managing public health crises. This study aimed to rapidly assess the public trust in the healthcare system during the COVID-۱۹ epidemic in Iran, as well as to evaluate the effect of socioeconomic status (SES) on this trust.Methods: This cross-sectional and web-based study which was conducted in Iran during the COVID-۱۹ epidemic included adults aged ۱۸-۶۰ years. A probability proportional to size multistage random sampling was applied and performed in ۱۵ provinces of the country. Data on the main sources of information about COVID-۱۹, trust in healthcare system, fear level of COVID-۱۹, and demographics were collected via an electronic questionnaire. Multiple linear regression was applied, and adjusted regression coefficients and ۹۵% confidence intervals (CIs) were estimated.Results: A total of ۵۲۵۰ adults (response rate: ۷۶%) were included in the study. The mean of reported trust scores was ۵۰.۳ ± ۲۲.۸, and that of fear scores was ۷۲.۰ ± ۱۷.۸. The highest (۶۵%) and lowest (۲۸%) levels of trust were observed among participants from the lowest and highest SES, respectively. Gender (male) (P = ۰.۰۰۶), higher levels of education (P < ۰.۰۰۱), higher socio-economic status (P < ۰.۰۰۱), and higher fear scores (P < ۰.۰۰۱) were independently correlated with the lower level of ⦰ trust in healthcare system.Conclusion: It was found that the public trust in Iran’s healthcare system was not high enough at the time of the COVID-۱۹ epidemic in the country, especially among higher social class population.

Keywords:

public , Trust , Healthcare system , COVID-۱۹ , Epidemic , Iran