[Skip to Navigation]
Trust in Health Care
April 11, 2019

From Distrust to Building Trust in Clinician-Organization Relationships

Author Affiliations
  • 1Amicus Inc, Cambridge, Massachusetts
  • 2New York City Health + Hospitals, New York, New York
JAMA. 2019;321(18):1761-1762. doi:10.1001/jama.2018.22133

Trust is essential to ensure functional and sustainable relationships. While theorists and researchers have explored trust in organizational life,1 and books on the subject are found in business literature,2,3 relatively little has been published on how trust, or lack of it, affects clinicians’ engagement with the health care organization in which they practice.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    1 Comment for this article
    The disappearance of Hospital Meetings is responsible for physians' disengagement
    Edward Volpintesta, MD | Bethel Medical Group
    Hospital meetings that once were good venues for physicians and administrators to engage in issues of mutual importance are becoming rare.

    Departmental meetings and staff meetings that once gave physicians opportunities to raise issues with their colleagues and with administrators are now almost non-existent, partly because of physicians’ pressures to remain in their offices to see patients and make a living; but also because physicians have given up hope that they can do anything about the many challenges that confronting them.

    The lack of engagement as a result of the disappearance of hospital meetings is so great
    that many meetings now being ‘remotely accessed’ by physicians from their homes.

    There is no dialogue. There is no face-to-face communication. There is no engagement—there is no ground for the seeds of trust to take root.

    For a profession that demands intellectual ability and aptitude for clear expression, it is deplorable that our hospital settings have paid so little attention to the need for providing opportunities for communication, for engagement between administrators and physicians.