Why public trust in health care systems matters and deserves greater research attention

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

doi:10.1177/1355819614543161

Cited by 112 publications

(115 citation statements)

References 21 publications

Supporting

Mentioning

112

Contrasting

Unclassified

Order By: Relevance

“…More broadly, it has been long recognized that trust often plays a central role in medical decision making, with an individual or patients' degree of trust affecting willingness to seek care, adherence to treatment recommendations, and acceptance of recommended treatment. [29][30] In the cases of vaccines and vaccination, McCauley et al 24 found that among parents who indicated they followed vaccine recommendations, 63.1% reported being "very confident" and 35.5% reported being "somewhat" confident in the safety of childhood vaccines, while among parents not following vaccine recommendations, 25.8% reported being "very confident," 51.0% reported being "somewhat" confident, and 14.2% were "not very confident." More recently, Weiner et al's 23 survey of 200 first-time expectant mothers who were in their second or third trimester of pregnancy found those planning to comply with the recommended immunization schedule for their infants had the highest levels of confidence in vaccine effectiveness, value and safety compared to mothers who were planning to delay or decline some recommended vaccines or who were unsure of their immunization plans.…”

Section: Introductionmentioning

confidence: 99%

Parents' confidence in recommended childhood vaccinations: Extending the assessment, expanding the context

Nowak

Cacciatore

2016

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

There has been significant and growing interest in vaccine hesitancy and confidence in the United States as well as across the globe. While studies have used confidence measures, few studies have provided indepth assessments and no studies have assessed parents' confidence in vaccines in relationship to other frequently recommended health-related products for young children. This study used a nationally representative sample of 1000 US parents to identify confidence levels for recommended vaccinations, antibiotics, over-the-counter (OTC) medicines, and vitamins for children. The analyses examined associations between confidence ratings, vaccination behaviors and intentions, and trust in healthcare provider, along with associations between confidence ratings and use of the other health-related products. Parents' confidence in vaccines was relatively high and high relative to antibiotics, OTC medicines and vitamins. For all 4 health-related products examined, past product experience and knowledge of bad or adverse outcomes negatively impacted parents' confidence levels. Confidence levels were associated with both trust in advice from their child's healthcare provider and acceptance of healthcare provider recommendations. Parents in some groups, such as those with lower income and education levels, were more likely to have less confidence not just in vaccines, but also in antibiotics and OTC medicines for children. Overall, the findings extend understanding of vaccine confidence, including by placing it into a broader context.

show abstract

Section: Introductionmentioning

confidence: 99%

Parents' confidence in recommended childhood vaccinations: Extending the assessment, expanding the context

Nowak

Cacciatore

2016

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…Within the health context, it has increasingly been associated with discussions about the quality of care, since it potentially captures something of the non-technical, inherently interpersonal nature of healthcare delivery1 [1, 2]. In the UK, recent shocking, high-profile examples of neglect in hospital wards and care homes have been drawn on by many to illustrate some of the unintended consequences of setting institutional targets and adopting financial incentives designed to increase the efficiency of the health service.…”

Section: Introductionmentioning

confidence: 99%

“…As a result, both media reporting and official investigations have employed a bundle of terms, including compassion, empathy, care and trust, to contrast with organisational values associated with financial and bureaucratic rationalism (see for example, [3]). Trust has thereby come to represent one of the crucial dimensions of health service delivery said to potentially escape the domination of bureaucratic, administrative and market values [2]. …”

Section: Introductionmentioning

confidence: 99%

‘Trust my doctor, trust my pancreas’: trust as an emergent quality of social practice

Cohn

2015

Philos Ethics Humanit Med

View full text Add to dashboard Cite

BackgroundGrowing attention is being paid to the importance of trust, and its corollaries such as mistrust and distrust, in health service and the central place they have in assessments of quality of care. Although initially focussing on doctor-patient relationships, more recent literature has broadened its remit to include trust held in more abstract entities, such as organisations and institutions. There has consequently been growing interest to develop rigorous and universal measures of trust.MethodsDrawing on illustrative ethnographic material from observational research in a UK diabetes clinic, this paper supports an approach that foregrounds social practice and resists conceiving trust as solely a psychological state that can be divorced from its context. Beyond exploring the less-than-conscious nature of trust, the interpretations attend to the extent to which trust practices are distributed across a range of actors.ResultsData from clinical encounters reveal the extent to which matters of trust can emerge from the relationships between people, and sometimes people and things, as a result of a wide range of pragmatic concerns, and hence can usefully be conceived of as an extended property of a situation rather than a person. Trust is rarely explicitly articulated, but remains a subtle feature of experience that is frequently ineffable.ConclusionsA practice approach highlights some of the problems with adopting a general psychological or intellectualist conception of trust. In particular, assuming it is a sufficiently stable internal state that can be stored or measured not only transforms a diffuse and often ephemeral quality into a durable thing, but ultimately presents it as a generic state that has meaning independent of the specific relationships and context that achieve it. Emphasising the context-specific nature of trust practices does not dismiss the potential of matters of trust, when they emerge, to be transposed to other contexts. But it does highlight how, on each occasion, trust as a relational quality is ways ‘done’ or ‘achieved’ anew.

show abstract

“…Prominent examples in the UK National Health'Care.data' aims to collect and share information about individuals' care to improve the 48 quality of care for all. Yet the initiative, which would link hospital and general practice 49 patient data anonymously at the individual level, has struggled to win public acceptance in the 50 face of concerns about the trustworthiness of the programme to keep sensitive information 51 secure and the potential for commercial gain to be made from patients' personal data ( research, a number of terms are used interchangeably to describe trust other than at the inter-59 personal level (Gille et al, 2015). We will use the term most widely used in the mass media 60 and scholarly writing in this context, namely, public trust.…”

mentioning

confidence: 99%

“…Examples of health care system activities where public trust matters most obviously 27 are vaccination coverage, health care provider choice, the use of the internet to identify health 28 related information, or participation in biomedical research (Gille et al, 2015;Green, 2004; 29…”

mentioning

confidence: 99%

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

2016

Self Cite

View full text Add to dashboard Cite

Why public trust in health care systems matters and deserves greater research attention

Cited by 112 publications

References 21 publications

Parents' confidence in recommended childhood vaccinations: Extending the assessment, expanding the context

Parents' confidence in recommended childhood vaccinations: Extending the assessment, expanding the context

‘Trust my doctor, trust my pancreas’: trust as an emergent quality of social practice

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

Contact Info

Product

Resources

About