From the Center for Health Policy, Leonard Davis Institute of Health Economics, School of Medicine, University of Pennsylvania, Philadelphia.
Trust—a firm belief or confidence in the honesty, integrity, reliability,
and justice of another person or thing1—is
the critical foundation of an effective patient-physician relationship. Not
long ago, trust was paramount; it certainly never was a problem for Marcus
Welby. However, some of the tools that managed care has introduced to influence
physician behavior toward efficient and high-quality medical care (although
some critics doubt its commitment to the latter) have made evaluation of patient
trust a legitimate scientific question. These managed care tools include rules
(eg, mandatory clinical protocols, retrospective and prospective utilization
review) and financial incentives (eg, various methods of payment).2
Hillman AL. Mediators of Patient Trust. JAMA. 1998;280(19):1703–1704. doi:10.1001/jama.280.19.1703
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: