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Related Experiment Videos

Managing patient trust in managed care.

H T Davies1, T G Rundall

  • 1Department of Management, University of St Andrews, St Katharine's West, The Scores, St Andrews Fife KY16 9AL, United Kingdom. hd@st-and.ac.uk

The Milbank Quarterly
|February 24, 2001
PubMed
Summary

Managed care features may decrease patient trust in physicians. Optimal trust balances caregiver efforts with patient oversight, suggesting new strategies for healthcare relationships.

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Area of Science:

  • Healthcare Management
  • Medical Ethics
  • Health Services Research

Background:

  • Patient trust is crucial for effective patient-physician relationships.
  • Managed care models may negatively impact patient trust due to inherent structures.
  • Traditional high trust levels may not always be optimal or achievable.

Purpose of the Study:

  • To analyze the relationship between patient-physician trust and managed care.
  • To explore the implications of managed care on trust dynamics.
  • To recommend strategies for managing trust in managed care settings.

Main Methods:

  • Literature review and conceptual analysis of managed care principles.
  • Examination of trust interdependence in patient-physician dynamics.
Keywords:
Health Care and Public HealthProfessional Patient Relationship

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  • Implication analysis for healthcare policy and practice.

    • Main Results:

    • Managed care features like risk-sharing and benefit limitations can erode patient trust.
    • An optimal level of trust is interdependent, not necessarily absolute.
    • Reinstating high trust may be unrealistic in current managed care environments.

    Conclusions:

    • New strategies are needed to balance trust-building with patient-accessible checks.
    • Managed care requires a nuanced approach to foster appropriate patient-physician trust.
    • Healthcare systems should adapt to maintain trust within evolving care models.