Trust and Health Care

Abstract

Trust is believed to be particularly salient to the provision of health care, and since the establishment of the National Health Service (NHS) in the UK, trust has played an important role in the relationships between its three key actors: the state, healthcare practitioners, and patients and the public. Service users trusted the judgement, knowledge and expertise of health professionals to provide a competent service that met their needs, and they trusted the state to ensure equity in the allocation of public goods and services. These implicit or taken‐for‐granted trust relationships have, it is claimed, been challenged as a result of the introduction of changes in the organisation and funding for the health service, in the regulation and performance assessment of health professionals, and in public attitudes to health care and scientific medicine. This paper considers the influences of social changes and recent policy and professional initiatives in health care on the structure of trust relations in health care in the UK. It presents a theoretical framework for examining trust relations using the NHS as a case study and concludes with an agenda for future research.

Oris dejavnikov, povezanih z zaupanjem bolnikov v izbranega osebnega zdravnika v Splošni ambulanti Pernica

“…Zaupanje pripomore k oblikovanju kakovostnega odnosa med zdravnikom in bolnikom, povezano je z boljšim izidom, kontinuiteto zdravljenja, sodelovanjem in zadovoljstvom bolnika (1)(2)(3)(4) ter naj bi bilo povezano tudi s placebo efektom (5). Gre za ključno komponento odnosa, kjer osebi druga drugi verjameta, da sta dobronamerni, kompetentni in pripravljeni ravnati na zaželeni in/ali dogovorjeni način (1,6).…”

Trust and trust relations from the providers’ perspective: the case of the healthcare system in India

“…In contrast to the sizable amount of literature worldwide that assesses trust from the patient's perspective (23), studies examining either the value or impact of trust from the practitioner's perspective or from an organisational perspective are in short supply (19). From an organisational perspective, trust is believed to be important in its own right, ie it is intrinsically important for the provision of effective healthcare and has even been described as a collective good, like social trust or social capital (24).…”

“…Such attitudes can quickly get entrenched through the formalisation of practices such as defensively prescribing often unnecessary investigations and medicines, and routinely involving other experts. In addition, with the increasing use of shared care for patient management, both in primary and secondary care, trust between clinicians is even more important (26), with reliability as well as honesty and competence having been shown to be important components of trust (19). This proposed link between organisational trust and interpersonal trust implies both a linear pathway and a top-down approach, not least because of the hierarchy and asymmetry in the power relations between health service managers, clinicians and patients.…”

“…Another major level of trust in this context is institutional trust, which relates primarily to trust in the institution of medicine or the healthcare system at the macro level (19). Some authors (29) refer to it as systems trust, which signifies "accountability and the checks and balances and systems that maintain fairness, preventing competence or malign intent" (p. 9).…”

The impact of leader self-efficacy on the characteristics of work teams

“…Secondly, relying on previous research (Parker, 1998;Scott & Bruce, 1995;Jerez-Gómez et al, 2005; among others), the results of this study suggest that the extended set of psychological resources can be Fourthly, the demonstrated positive relationship between the quality of TMX and the level of IWB corresponds to a specific aspect of social exchange theory, through mechanisms of perceived organizational support (Bishop Kuratko, Hornsby & Bishop, 2005), cohesion and the generation of trust (Calnan & Rowe, 2007). In this context, the present research contributes to validating these mechanisms by contributing empirical evidence on the relationship between the two previously mentioned variables.…”