Although it has become increasingly common for hospitals to engage in development projects aimed at improving the social determinants of health in surrounding communities, scholarly literature examining the establishment of trust between hospitals and communities is sparse. Because of an extensive and complex history of abuse suffered by marginalized populations at the hands of medical institutions, trust building is critical to the pursuit of equitable health outcomes in these communities. A scoping review was conducted to assess the current base of knowledge for building trust between hospital systems and community members. The review identified only 13 relevant articles addressing this topic, centered on six key themes: with whom to form partnerships; how to form partnerships; conceptualizing and defining trust; questions about investment and hiring; effective communication with communities; and, understanding communities.
American health policy scholars often use comparisons with Canada to illustrate the benefits and liabilities of certain policy developments, especially concerning single‐payer health care. Few scholars seem to have taken note, however, of the rhetorical work that comparisons with Canada do in American politics. Moving from policy to politics, this article seeks to understand the key rhetorical patterns that characterize evocations of Canada within American health‐care debates. Through an analysis of almost 10 years of American media, the authors argue that five rhetorical frames—waiting, misrepresentation, Canadians traveling to the United States, health outcomes, and the fact that the Canadian system “is not perfect”—comprise the key political dynamics in which rhetoric about Canada plays a role. Ultimately, the authors argue that the evocation of Canada in American health‐care politics creates a policy environment in which nuance and imperfection cannot be acknowledged, thereby forestalling problem solving.
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