Understanding Clinician Trust in Health Care Organizations Should Be a Research Priority

Baron, Richard J.; Simpson, Lisa

doi:10.1001/jamahealthforum.2023.1015

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Public health surveillance programs, for instance, rely on both health care organizations (such as hospitals and laboratories) and local, state, and federal health departments. In public health and health care, power differences due to knowledge, resources, and authority mean that individuals, communities, and clinicians are vulnerable to organizations’ actions 3 . Patients and clinicians trust that organizations collecting information about infectious disease, for instance, will safeguard patient privacy.…”

Section: Organizational Analysesmentioning

confidence: 99%

“…In public health and health care, power differences due to knowledge, resources, and authority mean that individuals, communities, and clinicians are vulnerable to organizations' actions. 3 Patients and clinicians trust that organizations collecting information about infectious disease, for instance, will safeguard patient privacy. Resources are entrusted to organizations, with expectations of a reasonably fair distribution; organizations must balance the needs and claims of individuals and collectives, including those with future needs.…”

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confidence: 99%

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Betraying, Earning, or Justifying Trust in Health Organizations

Platt,

Goold

2023

Hastings Center Report

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Health care and public health programs increasingly rely on, and often even require, organizational action, which is facilitated, if not dependent on, trust. Case examples in this essay highlight trust, trustworthiness, and distrust in public and private organizations, providing insights into how trust in health‐related organizations can be betrayed, earned, and justified and into the consequences of organizational trust and trustworthiness for the health of individuals and communities. These examples demonstrate the need for holistic assessments of trust in clinicians and trust in organizations and for organizations, public health, and the medical profession to address questions concerning their own trustworthiness. Normative and empirical assessments of trust and trustworthiness that capture the experiences of those treated within the walls of a health care organization, as well as the care of those outside, will contribute to more trustworthy systems of care.

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Section: Organizational Analysesmentioning

confidence: 99%

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confidence: 99%

Betraying, Earning, or Justifying Trust in Health Organizations

Platt,

Goold

2023

Hastings Center Report

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“…However, throughout the uncertainty of the COVID-19 pandemic, we saw that some clinicians express a lack of trust in organisations issuing recommendations due to rampant misinformation. 9,10 Similarly, patient trust in health systems and recommendations has similarly decreased in recent years due to misinformation and inconsistencies in recommendations throughout the pandemic. 11,12 In teaching guideline-based care, it is thus critical to teach students about where guidelines come from, how guidelines are developed and guidelines' quality of evidence so that students themselves can critically appraise the recommendations and make judgements about their clinical use and trustworthiness.…”

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confidence: 99%

From concept to clinical application: The importance of including trust in low‐value care curricula

Mulligan,

Kurkurina,

Anand

2024

The Clinical Teacher

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Low-value care-medical services that provide little or no benefit to patients compared with their harms, alternatives and costs-is a common and costly global problem. 1-3 Unnecessary medical services not only yield billions of dollars in wasteful spending each year but also cause physical, psychological and financial harm to patients. 4,5 While campaigns, such as Choosing Wisely, Choosing Wisely Canada and Choosing Wisely UK target practicing clinicians internationally, 6 many medical schools have begun to pre-empt this problem in future generations by teaching students about wasteful care.

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“Not what we signed up for”: Nurse shortages, physician scarcity, and time for collective bargaining?

Mayes

Muir

Pingali

2023

World Med & Health Policy

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The amount of distress and disengagement among many nurses and physicians has reached concerning levels in recent years. The result has been acute nurse shortages, significant increases in travel nursing, more physicians working fewer hours and retiring early, and urgent calls for change and reform. This analysis surveys many of the leading systemic contributors to nurse and physician demoralization. As the healthcare sector continues to experience more consolidation and increased investment by private equity and other corporate interests, physicians are increasingly becoming employees with similar forms of employment arrangements and pressures that nurses have had for decades. They are also becoming employees of the same larger health systems, hospitals, and corporate employers. These trends are leading to a convergence in the kind and intensity of pressures and problems that nurses and physicians face. As more medical residents and fellows increasingly turn to unionization and as growing numbers of nurses have gone on strike, both professions should consider the potential benefits of joining forces for the purposes of maintaining the autonomy they have left and to push for better conditions both for themselves and the patients for whom they care.

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Understanding Clinician Trust in Health Care Organizations Should Be a Research Priority

Abstract: This Viewpoint discusses the urgent need to build trust between physicians and the organizations in which they work.

Cited by 4 publications

References 5 publications

Betraying, Earning, or Justifying Trust in Health Organizations

Betraying, Earning, or Justifying Trust in Health Organizations

From concept to clinical application: The importance of including trust in low‐value care curricula

“Not what we signed up for”: Nurse shortages, physician scarcity, and time for collective bargaining?

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