Calnan Michael, Rowe Rosemary
MRC HSRC, Department of Social Medicine, University of Bristol, Bristol, UK.
J Health Organ Manag. 2006;20(5):349-58. doi: 10.1108/14777260610701759.
The aim of this paper is to provide a rationale for examining trust in health care.
DESIGN/METHODOLOGY/APPROACH: Conducts a review of the literature of trust relations in health care that highlighted that most empirical research has addressed threats to patient-provider relationships and trust in health care systems from the patient's perspective, but studies in the organisational literature suggests that trust relations in the workforce, between providers and between providers and managers, may also influence patient-provider relationships and levels of trust.
Suggests that trust is not primarily dispositional or an individual attribute or psychological state, but is constructed from a set of inter-personal behaviors or from a shared identity. These behaviors are underpinned by sets of institutional rules, laws and customs.
RESEARCH LIMITATIONS/IMPLICATIONS: This introductory paper has presented some evidence from an international, comparative study but there is the need for further, more detailed investigation into why trust relations may vary in different health care systems.
ORIGINALITY/VALUE: This introductory paper provides a rationale for examining trust in health care and a context for the different elements of trust.
本文旨在为审视医疗保健中的信任提供理论依据。
设计/方法/途径：对医疗保健中信任关系的文献进行综述，强调大多数实证研究从患者角度探讨了对医患关系及医疗保健系统信任的威胁，但组织文献研究表明，员工之间、提供者之间以及提供者与管理者之间的信任关系也可能影响医患关系和信任水平。
表明信任并非主要是性格、个体属性或心理状态，而是由一系列人际行为或共同身份构建而成。这些行为以一系列制度规则、法律和习俗为支撑。
研究局限/启示：这篇介绍性论文展示了一项国际比较研究的一些证据，但仍需进一步更详细地调查不同医疗保健系统中信任关系为何存在差异。
原创性/价值：这篇介绍性论文为审视医疗保健中的信任提供了理论依据以及信任不同要素的背景。
