Ireland: breakdown of trust between doctor and patient

Cusack, Denis A

doi:10.1016/s0140-6736(00)02855-5

Cited by 17 publications

(14 citation statements)

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“…Second, vaccination safety in general was now an even greater cause of public anxiety following the MMR crisis, which contributed to, and was symptomatic of, a general scepticism toward vaccinations, and a reduction in public confidence. 7 Last, at the same time, with decreasing prevalence of infectious diseases in the UK, we have witnessed general social changes about vaccination towards a focus on the risk attached to a vaccination rather than its benefits.…”

Section: Iraq Warmentioning

confidence: 99%

Health concerns in UK Armed Forces personnel

2009

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Section: Iraq Warmentioning

confidence: 99%

Health concerns in UK Armed Forces personnel

2009

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“…In Ireland and other Western countries there has been much concern over the effects that various medical scandals and issues surrounding the funding and organization of healthcare systems have had on public trust (Davies and Shields 1999, Cusack 2000, Calnan and Sanford 2003. This would suggest that public trust in healthcare systems is coming under regular scrutiny and cannot be assumed.…”

Section: Trust and Blood Transfusionmentioning

confidence: 99%

Blood transfusion in Ireland: Perceptions of risk, a question of trust

Barrett

Moore

Staines

2007

Health, Risk & Society

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In Ireland over 1,000 people were infected with Human Immunodeficiency Virus (HIV) and hepatitis C from blood transfusions and blood products they received between the late 1970s and early 1990s. This review discusses how these events have affected perceptions of blood transfusion with reference to theoretical perspectives on risk. This paper uses Douglas' cultural approach, Beck's 'Risk Society' approach and Social Amplification of Risk Theory to discuss the issues raised by blood transfusion. With regards to risk perceptions of blood transfusion, the issue of trust, in medicine and in technology, at a societal level emerged as a key concept. It is therefore argued that Social Amplification of Risk Theory offers the best understanding of events in Irish blood transfusion history and the most potential in modelling future events in blood transfusion.

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“…Patient-physician trust is viewed as important to effective medical care (Cusack 2000;Davies and Rundall 2000), and patient trust in their physician has been linked to numerous patient characteristics including vulnerability (Mechanic and Meyer 2000). Vulnerability is typically associated with inequities in knowledge and power (Cusack 2000) although it has recently been suggested that the inequities have been reduced as patients become more knowledgeable, and a consumerist approach to health services has developed (Zadoroznyj 2001).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Vulnerability is typically associated with inequities in knowledge and power (Cusack 2000) although it has recently been suggested that the inequities have been reduced as patients become more knowledgeable, and a consumerist approach to health services has developed (Zadoroznyj 2001). Physician advocacy (i.e., serving patient's interests), competence (technical and interpersonal), control over decision-making, confidentiality of patient information, honesty and respect for patient, disclosure of conflicts, and fiduciary ethics have all been related to patient trust (Mechanic and Meyer 2000;Thom and Campbell 1997;Thom et al 2002).…”

Section: Literature Reviewmentioning

confidence: 99%

What has trust got to do with it? Cardiac risk reduction and family physicians' discussions of evidence-based recommendations

Jackson

Putnam

Twohig

et al. 2004

Health, Risk & Society

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The management of patients through the use of evidence-based medicine has become the 'mantra' of medicine within many Western countries. Evidence-based medicine is aimed at providing the best objective, scientific care to all patients, and reducing as far as possible patients' risks of disease and complications from disease. Based on family physicians' discussions of the use of evidence-based recommendations for two cardiac diseases, this paper explores how subjectively-based trust enters into family physicians' decision to use evidence-based medicine. In addition, we show how trust influences physicians' work of recommending evidence-based medicine to patients, and physicians' perceptions of why patients follow recommendations aimed at risk reduction. We conclude that although much of the current discussion about evidence-based medicine assumes a 'rational' model of physician behaviour based on the application of the 'best objective scientific' results, subjectively-based perceptions of trust influence physician practices, and point to the need to understand the power of relational issues in influencing physician practices even when utilizing evidence-based knowledge.

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Ireland: breakdown of trust between doctor and patient

Cited by 17 publications

References 0 publications

Health concerns in UK Armed Forces personnel

Health concerns in UK Armed Forces personnel

Blood transfusion in Ireland: Perceptions of risk, a question of trust

What has trust got to do with it? Cardiac risk reduction and family physicians' discussions of evidence-based recommendations

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