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将信任建设融入卫生政策制定过程——评《将信任置于卫生政策与体系的核心》

Bringing Trust Building to Life Within Health Policy-Making Comment on "Placing Trust at the Heart of Health Policy and Systems".

作者信息

Gille Felix, Daniore Paola, Zavattaro Federica

机构信息

Digital Society Initiative, University of Zurich, Zürich, Switzerland.

Institute for Implementation Science in Health Care, University of Zurich, Zürich, Switzerland.

出版信息

Int J Health Policy Manag. 2024;13:8662. doi: 10.34172/ijhpm.8662. Epub 2024 Sep 15.

DOI:10.34172/ijhpm.8662
PMID:39620526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11496743/
Abstract

Public trust is crucial for health policy-making as it is closely linked to public participation and policy-makers' legitimacy. While we have witnessed increasing interest in issues of public trust, especially since COVID-19, we argue that efforts should be made to deeply integrate the concept of public trust into health policy-making from the design to the implementation, assessment, and evaluation processes across the public health and medical domains. We propose four key aspects to consider for building public trust in the healthcare system, which have emerged from our past and ongoing health policy research on public trust: to understand trust before aiming to build trust; to provide tailored guidance on trust building in health policy; to develop trust performance indicators to assess trust interventions; and to implement targeted communication strategies.

摘要

公众信任对于卫生政策制定至关重要,因为它与公众参与和政策制定者的合法性密切相关。虽然我们已经看到对公众信任问题的兴趣日益增加,尤其是自新冠疫情以来,但我们认为,应努力将公众信任概念从设计到实施、评估和评价过程,全面深入地融入公共卫生和医疗领域的卫生政策制定中。我们提出了在医疗保健系统中建立公众信任需考虑的四个关键方面,这些方面源自我们过去和正在进行的关于公众信任的卫生政策研究:在旨在建立信任之前先理解信任;在卫生政策中提供关于建立信任的量身定制的指导;制定信任绩效指标以评估信任干预措施;以及实施有针对性的沟通策略。

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本文引用的文献

1
Placing Trust at the Heart of Health Policy and Systems.将信任置于卫生政策和体系的核心。
Int J Health Policy Manag. 2024;13:8410. doi: 10.34172/ijhpm.2024.8410. Epub 2024 May 7.
2
What is public trust in national electronic health record systems? A scoping review of qualitative research studies from 1995 to 2021.公众对国家电子健康记录系统的信任度如何?对1995年至2021年定性研究的范围综述。
Digit Health. 2024 Jan 28;10:20552076241228024. doi: 10.1177/20552076241228024. eCollection 2024 Jan-Dec.
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Milbank Q. 2023 Mar;101(1):126-178. doi: 10.1111/1468-0009.12598. Epub 2023 Jan 23.
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Lancet. 2020 Sep 26;396(10255):898-908. doi: 10.1016/S0140-6736(20)31558-0. Epub 2020 Sep 10.
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Digit Health. 2019 Nov 21;5:2055207619886463. doi: 10.1177/2055207619886463. eCollection 2019 Jan-Dec.
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Health system frameworks and performance indicators in eight countries: A comparative international analysis.八个国家的卫生系统框架与绩效指标:一项国际比较分析
SAGE Open Med. 2017 Jan 4;5:2050312116686516. doi: 10.1177/2050312116686516. eCollection 2017.
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Public trust in health care: a performance indicator?公众对医疗保健的信任:一项绩效指标?
J Health Organ Manag. 2006;20(5):468-76. doi: 10.1108/14777260610701821.
8
Patients' trust in physicians: many theories, few measures, and little data.患者对医生的信任:理论众多,测量方法稀缺,数据匮乏。
J Gen Intern Med. 2000 Jul;15(7):509-13. doi: 10.1046/j.1525-1497.2000.11002.x.
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Milbank Q. 1996;74(2):171-89.