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Public trust in health care: a performance indicator?
Evelien Van der Schee1, Peter P Groenewegen, Roland D Friele
1Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Journal of Health Organization and Management
|November 8, 2006
Summary
Public trust in Dutch healthcare did not consistently decrease as hypothesized. While some areas declined, overall trust showed an upward trend after 1999, questioning its use as a sensitive performance indicator.
Area of Science:
- Health Services Research
- Public Health Policy
- Sociology of Health
Background:
- Public trust is increasingly considered a key performance indicator for healthcare systems.
- Measuring public trust requires sensitivity to systemic changes.
- This study examines public trust in healthcare in the Netherlands from 1997 to 2004.
Purpose of the Study:
- To assess the sensitivity of public trust in healthcare as a performance indicator.
- To monitor trends in public trust in the Dutch healthcare system over an eight-year period.
- To determine if public trust measurement can reflect changes within the healthcare system.
Main Methods:
- Utilized postal questionnaires administered to a representative "health care consumer panel" of approximately 1500 households.
- Data collection spanned eight years, from 1997 to 2004.
- The panel ensured a representative sample of the Dutch population for accurate trend analysis.
Main Results:
- Trust in healthcare and hospitals showed no significant trend.
- Trust in medical specialists exhibited an upward trend.
- Trust in general practitioners, future healthcare, and several dimensions decreased initially but later showed an upward trend post-1999/2000, except for macro-level policies and professional expertise.
Conclusions:
- The study did not find support for the hypothesis that public trust would consistently decrease.
- The observed increase in trust after 1999/2000 challenges its utility as a sensitive performance indicator.
- Further research is needed to determine if public trust measures adequately reflect healthcare system performance.
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