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Trust and Mistrust Between Patients and Doctors

  • John SaundersEmail author
Reference work entry

Abstract

Concerns about trust are long-standing, although mistrust may be increasing. Daily life could not flourish without trust. It can be defined in a variety of ways, but health-care programs have not demonstrated proven interventions by which it can be increased. It is intrinsically and instrumentally valuable. Good health care requires trust in systems as well as individuals. Trustworthiness is a virtue, whereas not all are trusted even if trustworthy. Trust functions at different levels of knowledge. An ethos of mistrust leads to a contractual relationship, with an infinite regress as to where one places trust. There is a paradox between trust and rationality: this depends on how rationality is construed, but in some situations we may trust against the evidence. The uncertain outcomes in medicine mean that sometimes trust may lead to disappointment, but trust should not automatically be abandoned.

Keywords

National Health Service Virtue Ethic Virtuous Person Infinite Regress Good Doctor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Alper PR (1988) Trust at risk. West J Med 149:489–490Google Scholar
  2. Anscombe GEM (1958) Modern moral philosophy. In: Crisp R, Slote M (eds) Virtue ethics. Oxford University Press, Oxford, pp 26–44, 1997Google Scholar
  3. Aristotle (1984) Nicomachean ethics. In: Barnes J (ed) Complete works. Princeton University Press, Princeton 1094a1Google Scholar
  4. Baker J (2008) Trust and rationality. In: Sosa E, Kim J, Fantl J, McGrath M (eds) Epistemology: an anthology. Blackwell, Oxford, p 808Google Scholar
  5. Brewin T (1985) Truth, trust and paternalism. Lancet 8453:490–492CrossRefGoogle Scholar
  6. Caplan AL (1996) Odds and ends; trust and the debate over medical futility. Ann Intern Med 125:668–669CrossRefGoogle Scholar
  7. Ford J (2007) Public trust in doctors undented. BMJ 335:465CrossRefGoogle Scholar
  8. Fukuyama F (1995) Trust: the social virtue. The Free Press, New York, ch 2Google Scholar
  9. General Medical Council (2013) Good medical practice. General Medical Council, London, p4, para 1Google Scholar
  10. Hall MA, Dugan E, Zheng B, Mishra AK (2001) Trust in physicians and medical institutions: what is it, can it be measured, and does it matter? Milbank Q 79:613–639CrossRefGoogle Scholar
  11. Hall MA, Camacho F, Dugan E, Balkrishnan R (2002) Trust in the medical profession: conceptual and measurement issues. Health Serv Res 37:1419–1439CrossRefGoogle Scholar
  12. Hardin R (2005) Trust. In: Honderich T (ed) Oxford companion to philosophy. Oxford University Press, Oxford, p 926Google Scholar
  13. Hillman AL (1996) Mediators of patient trust. JAMA 280:1703–1704CrossRefGoogle Scholar
  14. Dibben MR, Morris SE, Lean ME (2000) Situational trust and co-operative partnerships between physicians and their patients: a theoretical explanation transferable from business practice. QJM 93:55–61CrossRefGoogle Scholar
  15. Doctors in Society (2005) Medical professionalism in a changing world. Royal College of Physicians of London, p 2.8Google Scholar
  16. Ingelfinger FJ (1972) Why trust the professionals? N Engl J Med 286:263–264CrossRefGoogle Scholar
  17. Ingelfinger FJ (1980) Arrogance. N Engl J Med 304:1507–1511CrossRefGoogle Scholar
  18. Ipsos Mori (2014) Trust in professions. https://www.ipsos-mori.com/researchpublications/researcharchive/15/Trust-in-Professions.aspx. Accessed 01 Aug 2015
  19. Jones CN (2007) How much longer will patients trust us? BMJ 335:1226CrossRefGoogle Scholar
  20. Kirkpatrick E (ed) (1983) Chambers 20th century dictionary. Chambers, EdinburghGoogle Scholar
  21. Locke J (1663) Essays in the laws of nature. In: W van Lampen (ed) Clarendon Press, Oxford 1954. Quoted in: Hollis M. Trust within reason. Cambridge University Press 1998, CambridgeGoogle Scholar
  22. Mayer RD, Davis JH, Schoorman FD (1995) An integrative model of organisation trust. Acad Manag Rev 20:709–733Google Scholar
  23. Mechanic D (2004) In my chosen doctor I trust. BMJ 329:1418–1419CrossRefGoogle Scholar
  24. Mechanic D, Schlesinger M (1996) The impact of managed care on patients' trust in medical care and their physicians. JAMA 275:1693–1697CrossRefGoogle Scholar
  25. O’Neill O (2002a) A question of trust. Cambridge University Press, CambridgeGoogle Scholar
  26. O’Neill O (2002b) Autonomy and trust in bioethics. Cambridge University Press, Cambridge. This section follows O’Neill’s account, especially, pp 84–99Google Scholar
  27. Parekh AK (2011) Winning their trust. N Engl J Med 364:e51CrossRefGoogle Scholar
  28. Pellegrino E (1991) Trust and distrust in professional ethics. In: Pellegrino ED, Veatch RM, Langan JP (eds) Ethics, trust and the professions. Georgetown University Press, Washington DC, pp 69–92Google Scholar
  29. Pellegrino ED (2008a) Moral choice, the good of the patient, and the patient’s good. In: Pellegrino ED, Engelhardt HT, Jotterand F (eds) The philosophy of medicine reborn. University of Notre Dame Press, Notre Dame, pp 163–186Google Scholar
  30. Pellegrino ED (2008b) The internal morality of clinical medicine. In: Pellegrino ED, Engelhardt HT, Jotterand F (eds) The philosophy of medicine reborn. University of Notre Dame Press, Notre Dame, p 74Google Scholar
  31. Rolfe A, Cash-gibson I, Car J, Sheikh A, McKinstry B (2014) Interventions for improving patients' trust in doctors and groups of doctors. Cochrane Database Syst Rev (3). Art No.: CD004134. doi:1002/14651858. CD004134.pub3Google Scholar
  32. Shortell SM, Waters TM, Clarke KWB, Budetti PP (1998) Physicians as double agents. Maintaining trust in an era of multiple accountabilities. JAMA 280:1102–1108CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  1. 1.College of Human and Health SciencesSwansea UniversitySwanseaUK

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