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Too much medicine: not enough trust?

Zoë Fritz1,2, Richard Holton3

  • 1The Healthcare Improvement Studies Institute (THIS Institute), University of Cambridge, Cambridge, UK.

Journal of Medical Ethics
|October 28, 2018
PubMed
Summary
This summary is machine-generated.

Trust in the patient-doctor relationship is key to reducing "too much medicine." Building trust involves open communication, acknowledging uncertainty, and shared responsibility, not just offering more tests or treatments.

Keywords:
allocation of healthcare resourcesautonomyclinical ethicsphilosophy of medicinetruth disclosure

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Area of Science:

  • Medical Ethics
  • Health Services Research
  • Sociology of Medicine

Background:

  • Increasing frequency of medical investigations and lowered treatment thresholds contribute to the
  • too much medicine
  • phenomenon.

Purpose of the Study:

  • To explore the role of trust in the patient-doctor relationship concerning medical investigations and treatments.
  • To identify strategies for building trust to mitigate
  • too much medicine
  • .

Main Methods:

  • Philosophical analysis of trust in the patient-doctor relationship.
  • Review of empirical evidence linking trust to healthcare utilization.

Main Results:

  • Trust fundamentally involves a transfer of discretion from patient to doctor.
  • Higher levels of patient trust correlate with reduced rates of unnecessary investigations and treatments.
  • Strategies for building trust include active questioning, acknowledging uncertainty, and assuming responsibility.

Conclusions:

  • Trust is a critical factor in addressing
  • too much medicine
  • .
  • Healthcare systems should foster continuity, encourage questioning, and support the entrusting of uncertainty to build patient trust ethically.