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Related Experiment Video

Updated: Jan 22, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
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Too much medicine: not enough trust? A response.

Joshua Parker

    Journal of Medical Ethics
    |July 20, 2019
    PubMed
    Summary

    Physicians may overtreat or overinvestigate due to a lack of trust in patients or the healthcare system. This self-protective behavior, stemming from mistrust, warrants further ethical examination in medical practice.

    Area of Science:

    • Medical Ethics
    • Health Services Research

    Background:

    • Overtreatment and overinvestigation are significant concerns in healthcare.
    • Existing research explores the link between trust and these practices.

    Purpose of the Study:

    • To extend the analysis of trust in overtreatment and overinvestigation by focusing on physician mistrust.
    • To examine how physician mistrust, stemming from a lack of faith in patients or the system, drives these practices.

    Main Methods:

    • Conceptual analysis building upon existing theories of trust in the medical context.
    • Exploration of the ethical implications of physician self-protection through overtreatment/overinvestigation.

    Main Results:

    • Physician mistrust, rather than solely patient mistrust, can exacerbate overtreatment and overinvestigation.
    Keywords:
    clinical ethicsmedical errorphilosophy of medicinetruth disclosure

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  • Doctors may engage in these practices to safeguard themselves when they perceive a lack of trust from patients or the system.

    • Conclusions:

    • Physician mistrust is a critical, underexplored factor in overtreatment and overinvestigation.
    • The ethical tensions arising from physician mistrust require sustained scholarly attention and analysis.