“…Furthermore, this empirical and theoretical evidence not only supports the concept of trust as multidimensional, but is increasingly converging on a model of 2 primary dimensions-one related to perceptions of value congruence and the second to perceptions of competence. This model, initially proposed by Hovland, Janis, and Kelley 16 has been supported by multiple studies in health care [17][18][19][20][21][22] and in other areas [23][24][25][26][27][28][29][30] -and also has the benefit of making conceptual sense. If trust is defined as the belief that some entity will act in one's interest in the future, trust then requires the perception that the entity is capable of doing what is needed (technical competence) and the perception that that the entity wants to do what is needed (value congruence).…”