Trust in US health care has declined precipitously in the past half century. In 1966, 73% of US residents had confidence in medical leaders, whereas in 2012, only 34% did.1 In a survey of 1009 participants in 2017, only 18% expressed high levels of confidence in the US health system, and in a 2014 survey of 1608 participants, only 31% indicated that they trusted public health officials to share complete and accurate information during disease outbreaks.2,3 Recent high-profile events—such as those involving health care companies like Purdue Pharmaceuticals, Johnson & Johnson, and Theranos; vaccine misinformation contributing to the largest US measles outbreak in decades; and well-publicized examples of failure to disclose important conflict of interest information—have also contributed to mistrust and reduced confidence in health care entities.
Khullar D. Building Trust in Health Care—Why, Where, and How. JAMA. 2019;322(6):507–509. doi:10.1001/jama.2019.4892
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