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Increasing trust in health care.

Daniel B Wolfson, Timothy J Lynch1

  • 1ABIM Foundation, 510 Walnut St, Ste 1700, Philadelphia, PA 19106.

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Summary
This summary is machine-generated.

Declining trust in healthcare threatens the physician-patient relationship. The Building Trust initiative and its Trust Practices Network identify key dimensions of trust: competency, caring, communication, and comfort.

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Area of Science:

  • Healthcare Management
  • Medical Ethics
  • Patient-Physician Relationship

Background:

  • Trust in American healthcare institutions and professionals is declining.
  • This erosion of trust negatively impacts the crucial physician-patient relationship.
  • The American Board of Internal Medicine (ABIM) Foundation launched the Building Trust initiative to address this issue.

Purpose of the Study:

  • To introduce the Building Trust initiative and its components, including the Trust Practices Network.
  • To highlight four key dimensions of trust: competency, caring, communication, and comfort.
  • To discuss exemplary practices and the "positive deviance" strategy employed by the network.

Main Methods:

  • The Trust Practices Network convenes diverse stakeholders, including hospitals, specialty societies, health plans, and consumer organizations.
  • Participants share successful strategies for building and strengthening trust.
  • A "positive deviance" approach identifies and disseminates effective trust-building practices.

Main Results:

  • Four core dimensions of trust have been identified: competency, caring, communication, and comfort.
  • Exemplary practices for each dimension have been documented through the network's collaborative efforts.
  • The initiative supports research and promotes diversity, equity, and inclusion in medical education.

Conclusions:

  • Rebuilding trust in healthcare requires a multi-faceted approach involving various stakeholders.
  • Focusing on competency, caring, communication, and comfort can strengthen the physician-patient relationship.
  • The Building Trust initiative provides a framework and resources for advancing trust in American healthcare.