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Re-thinking accountability: trust versus confidence in medical practice
K Checkland1, M Marshall, S Harrison
1National Primary Care Research and Development Centre, University of Manchester, Manchester, UK. katherine.checkland@man.ac.uk
Quality & Safety in Health Care
|April 8, 2004
Summary
Government regulation in healthcare, using rules and surveillance, may decrease trust and practitioner motivation. Openness and information sharing between doctors and patients can restore trust and improve healthcare quality.
Area of Science:
- Healthcare Regulation
- Medical Ethics
- Patient Trust
Background:
- UK government implemented regulatory models involving rules and surveillance to prevent healthcare scandals and enhance institutional confidence.
- This regulatory approach may inadvertently erode trust and reduce healthcare professionals' moral motivation.
Purpose of the Study:
- To discuss accountability in healthcare and propose an alternative approach to restoring trust.
- To explore how openness and information sharing can improve healthcare quality and professional motivation.
Main Methods:
- Conceptual analysis of healthcare accountability and trust.
- Discussion of the impact of regulatory models on practitioner motivation and patient confidence.
Main Results:
- Strict regulatory approaches may undermine trust and moral drive among healthcare practitioners.
- Open communication regarding ethical dilemmas and dual accountability can be a viable alternative.
Conclusions:
- Prioritizing trust through enhanced information sharing between healthcare professionals and patients is crucial.
- This approach can empower patients to hold clinicians accountable and foster a more motivated healthcare workforce, ultimately improving care quality.
Keywords:
Health Care and Public Health