Towards a broader conceptualisation of ‘public trust’ in the health care system

Gille, Felix; Smith, Sarah C.; Mays, Nicholas

doi:10.1057/s41285-016-0017-y

Cited by 40 publications

(58 citation statements)

References 37 publications

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“…Smooth functioning of complex systems, such as health care systems, requires mutual trust between parties involved. As Gille et al [1] state: '… many different aspects of the effective functioning of the health care system depend on the existence of a reasonable level of public trust in the system.' Trust between different actors in the healthcare system facilitate the cooperation, necessary to reach the goals of healthcare systems [2].…”

Section: Introductionmentioning

confidence: 99%

Trust in times of health reform

2019

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Trust is seen as an important condition for the smooth functioning of institutions, such as the health care system. In this article we describe the trust relationships between the three main actors in the Dutch health care system: patients/insured, healthcare providers and insurers. We used data from different surveys between 2006 and 2016. 2006 was the year of the introduction of an insurance reform in the Netherlands towards regulated competition. In the triangle of trust relationships between the three actors we found strong and mutual trust relationships between patients and healthcare providers and weak trust relationships between healthcare providers and insurers as well as between insured and insurance organisations. This hampers the intended role of insurers as selective purchasers of health care on the basis of quality and price.

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Section: Introductionmentioning

confidence: 99%

Trust in times of health reform

2019

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“…Public trust is indispensable for the well-functioning of health system activities (Gille et al 2017). We understand public trust to be a concept that grows in the public sphere from open public discourse and as a result legitimises the actions of health systems.…”

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confidence: 99%

Public trust: caught between hype and need

Gille

Brall

2020

Int J Public Health

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“…Despite this reform, the health system was able to preserve public trust. The latter is influenced by individuals' experiences and media discourse about individuals' experiences (Gille, Smith, & Mays, ). Despite a recent string of health scandals (e.g., the mediator scandal, the PIP breast implant scandal), public trust has remained high.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Performance health administration and the return of the French second empire

Simonet

2017

Journal of Public Affairs

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In the French health care system, cost‐containment strategies have become the new priority. Novel instrumental values (e.g., benchmarking, incentivization or premiums, and Diagnostic‐Related Groups) and reforms of the hospital governance via the 2009 HPST Act served an austerity agenda at the expense of more patient‐centered approaches (e.g., patient choice and case management). Effecting actual changes proved more difficult than collecting data on the health system. Decision‐making powers are increasingly concentrated within the welfare elite at the expense of the medical profession. Hence, a return to the earlier French tradition of Jacobinism. Transparency has yet to be achieved.

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Towards a broader conceptualisation of ‘public trust’ in the health care system

Cited by 40 publications

References 37 publications

Trust in times of health reform

Trust in times of health reform

Public trust: caught between hype and need

Performance health administration and the return of the French second empire

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