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The European Journal of Public Health 2006 16(1):4-6; doi:10.1093/eurpub/ckl004
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© The Author 2006. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Viewpoint

Trust relations in health care—the new agenda

Rosemary Rowe* and Michael Calnan*

* MRC HSRC, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK

Correspondence: Rosemary Rowe. e-mail: Rosemary.Rowe@bristol.ac.uk, tel: +44 117 9287223

The first 150 words of the full text of this article appear below.


   Introduction
 
Trust has traditionally been considered a cornerstone of effective doctor–patient relationships. The need for interpersonal trust relates to the vulnerability associated with being ill, the information asymmetries arising from the specialist nature of medical knowledge, and the uncertainty and element of risk regarding the competence and intentions of the practitioner on whom the patient is dependent. Without trust patients may well not access services at all, let alone disclose all medically relevant information. Trust is also important at an institutional level, as trust in particular hospitals, insurers and health care systems may affect patient support for and use of services and thus their economic and political viability. However, in our so-called post-traditional order1 is trust still necessary? The days of ‘doctor knows best’ when patients blindly trusted in and deferred to medical expertize are fast becoming a distant memory in industrialized societies where the consumer is dubbed ‘king’ and where . . . [Full Text of this Article]


   How have trust relations changed?
 

   Is trust still necessary?
 

   New forms of trust
 

   How can trust be nurtured?
 

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