Department of Education, Faculty of Humanities and Education, Volda University College, Volda, Norway.
Department of Health Science and Technology, The Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Health Care Anal. 2024 Jun;32(2):73-87. doi: 10.1007/s10728-023-00467-7. Epub 2023 Oct 9.
In this paper we aim to discuss a theoretical explanation for the positive relationship between patients' knowledge and their trust in healthcare personnel. Our approach is based on John Dewey's notion of continuity. This notion entails that the individual's experiences are interpreted as interrelated to each other, and that knowledge is related to future experience, not merely a record of the past. Furthermore, we apply Niklas Luhmann's theory on trust as a way of reducing complexity and enabling action. Anthony Giddens' description and analysis of the high modern society provides a frame for discussing the preconditions for patient-healthcare personnel interaction. High modernity is dominated by expert systems and demands trust in these. We conclude that patient knowledge and trust in healthcare personnel is related because both knowledge and trust are future- and action-oriented concepts. The traits of high modernity provides opportunities and challenges as the personnel can and must perform discretion. This discretion must be made in a context where knowledge is considered uncertain and preliminary.
在本文中，我们旨在讨论一个理论解释，即患者的知识与其对医疗保健人员的信任之间的正相关关系。我们的方法基于约翰·杜威（John Dewey）的连续性概念。这一概念意味着个人的经验被解释为相互关联的，知识与未来的经验有关，而不仅仅是过去的记录。此外，我们应用尼克拉斯·卢曼（Niklas Luhmann）的信任理论，将其作为一种减少复杂性和促进行动的方式。安东尼·吉登斯（Anthony Giddens）对高度现代社会的描述和分析为讨论医患互动的前提条件提供了一个框架。高度现代性以专家系统为主导，并要求对这些系统的信任。我们的结论是，患者的知识和对医疗保健人员的信任是相关的，因为知识和信任都是面向未来和行动的概念。高度现代性的特点为人员提供了机会和挑战，因为他们可以而且必须行使自由裁量权。这种自由裁量权必须在知识被认为不确定和初步的背景下做出。
