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The Importance of Trust in the Physician-Patient Relationship and in Medical Care

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Abstract

In order for the treatment prescribed by the physician to be effective or even to be utilized by the patient, a tacit bond of trust must be established between the two. A contract of trust between physician and patient and articulation of ethical principles of medical treatment were enunciated over 2300 years ago in the Hippocratic Oath and were reiterated centuries later in the Oath of Maimonides. (African American physicians who join the National Medical Association swear to the Oath of Imhotep, the ancient Egyptian physician who was the first person recognized as a doctor in history. The oath was written by Anthony C. Pickett, MD, and published in the Journal of the National Medical Association in 1962). This issue of trust is of paramount significance as one of the determinants of the efficacy and ethics of healthcare delivery in the United States and throughout the industrialized world. In addition, the American Medical Association Code of Ethics states that building relationships of trust with patients is fundamental to ethical practice in medicine. In this chapter, trust will be examined as a principle regarding how it is perceived by the general public, and then it will be analyzed according to how it is perceived by the African American population.

Keywords

Trust Truth Hippocratic Oath Honesty Confidence Ethics Mistrust White man’s medicine Syphilis Vesicovaginal fistula Human experimentation Disclosure Betrayal of trust FBI US Public Health Service HeLa cells Miscarriages of justice Mayflower Genomic science Healthcare disparities All of Us Slavery 

References

  1. 1.
    Pickett AC. The oath of Imhotep: in recognition of African contributions to Western medicine. J Natl Med Assoc. 1992;84(7):636–7.PubMedPubMedCentralGoogle Scholar
  2. 2.
    American Medical Association. AMA code of medical ethics. https://www.ama-assn.org/topics/ama-code-medical-ethics.
  3. 3.
    Hardin R. Conceptions and explanations of trust. In: Cook K, editor. Trust in society, vol. 2. New York: Russell Sage Foundation; 2001. p. 3–40.Google Scholar
  4. 4.
    Blendon RJ, Benson JM, Hero JO. Public trust in physicians—U. S. medicine in international perspective. N Engl J Med. 2014;371(17):1570–2.CrossRefGoogle Scholar
  5. 5.
    Buhr T, Blendon RJ. Trust in government and health care institutions. In: Blendon RJ, Brodie M, Benson JM, Altman DE, editors. American public opinion and health care. Washington, DC: CQ Press; 2011. p. 15–38.CrossRefGoogle Scholar
  6. 6.
    Hetherington MJ. Why trust matters: declining political trust and the demise of American liberalism. Princeton: Princeton University Press; 2005.Google Scholar
  7. 7.
    Cobb WM. The White House conference “to fulfill these rights”. The ninth Imhotep conference. J Natl Med Assoc. 1966;58(4):292–passim.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Sampson CC. William Montague Cobb MD, PhD 1904-1990. J Natl Med Assoc. 1991;83(1):13–4.PubMedCentralGoogle Scholar
  9. 9.
    Bennett L Jr. Before the Mayflower: a history of black America: the classic account of the struggles and triumphs of black Americans. New York: Penguin Books; 1961.Google Scholar
  10. 10.
    Spettel S, White MD. The portrayal of J. Marion Sims’ controversial surgical legacy. J Urol. 2011;185(6):2424–7.CrossRefGoogle Scholar
  11. 11.
    Zimmer C. A family consents to a medical gift, 62 years later. The New York Times, 8 Aug 2013, Section A, Page 1. https://www.nytimes.com/2013/08/08/science/after-decades-of-research-henrietta-lacks-family-is-asked-for-consent.htmln. 8 Aug 2013.
  12. 12.
    Skloot R. The immortal life of Henrietta Lacks. New York: Crown; 2009.Google Scholar
  13. 13.
    Katz RV, Kegeles SS, Kressin NR, Green BL, Wang MQ, James SA, et al. The Tuskegee legacy project: willingness of minorities to participate in biomedical research. J Health Care Poor Underserved. 2006;17(4):698–715.CrossRefGoogle Scholar
  14. 14.
    Brandt AM. Racism and research: the case of the Tuskegee Syphilis Study. Hastings Cent Rep. 1978;8(6):21–9.CrossRefGoogle Scholar
  15. 15.
    Jones J, Tuskegee Institute. Bad blood: the Tuskegee syphilis experiment. New York/London: Free Press/Collier Macmillan Publishers; 1981.Google Scholar
  16. 16.
    Thomas SB, Quinn SC. The Tuskegee Syphilis Study, 1932 to 1972: implications for HIV education and AIDS risk education programs in the black community. Am J Public Health. 1991;81(11):1498–505.CrossRefGoogle Scholar
  17. 17.
    Katz RV, Green BL, Kressin NR, Kegeles SS, Wang MQ, James SA, et al. The legacy of the Tuskegee Syphilis Study: assessing its impact on willingness to participate in biomedical studies. J Health Care Poor Underserved. 2008;19(4):1168–80.CrossRefGoogle Scholar
  18. 18.
    Molina N. Fit to be citizens? Public health and race in Los Angeles, 1879-1939. Berkeley/Los Angeles: University of California Press; 2006.Google Scholar
  19. 19.
    Stern AM. Eugenic nation. Faults & frontiers of better breeding in modern America. Oakland: University of California Press; 2016.Google Scholar
  20. 20.
    Chang S, Lee TH. Beyond evidence-based medicine. N Engl J Med. 2018;379(21):1983–5.CrossRefGoogle Scholar
  21. 21.
    Kayyali D. The history of surveillance and the black community. Electronic Frontier Foundation. 13 Feb 2014. https://www.eff.org/deeplinks/2014/02/history-surveillance-and-black-community. Accessed 5 Nov 2019.
  22. 22.
    Baron RJ, Berinsky AJ. Mistrust in science—a threat to the patient-physician relationship. N Engl J Med. 2019;381(2):182–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.EncinoUSA

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