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Updated: Aug 20, 2025

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
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Trust Takes Two….

Lillie D Williamson1, Kim M Thompson1, Christy J W Ledford1

  • 1From Department of Communication Arts, University of Wisconsin-Madison, Madison (LDW); Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA (KMT); Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA (CJWL).

Journal of the American Board of Family Medicine : JABFM
|November 17, 2022
PubMed
Summary
This summary is machine-generated.

Physician trust in patients is crucial for open communication and positive health outcomes. Acknowledging this bidirectional trust is essential for effective shared decision-making in healthcare.

Keywords:
Continuity of Patient CareFamily PracticeHealth CommunicationPatient-Centered CarePhysician-Patient RelationsPhysiciansTrust

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Area of Science:

  • Medical Ethics
  • Health Communication
  • Family Medicine

Background:

  • The COVID-19 pandemic underscored the importance of physician-patient trust.
  • Research has primarily focused on patient trust in physicians, neglecting physician trust in patients.
  • Physician trust in patients is an underappreciated yet vital component of the healthcare relationship.

Purpose of the Study:

  • To highlight the significance of physician trust in patients within the physician-patient dyad.
  • To advocate for a bidirectional approach to trust in healthcare settings.
  • To emphasize shared trust as a foundation for positive patient outcomes and shared decision-making.

Main Methods:

  • This commentary synthesizes existing research and theoretical perspectives on trust in the physician-patient relationship.
  • It analyzes the implications of physician trust in patients for communication, validation, and reciprocal trust.
  • The discussion specifically addresses the relevance within family medicine practice.

Main Results:

  • Physician trust in patients fosters open communication and validates patient experiences.
  • Reciprocal trust can be engendered when physicians trust their patients.
  • Shared trust, encompassing both patient and physician trust, is proposed as a key dyadic factor influencing patient outcomes.

Conclusions:

  • A bidirectional model of trust, including physician trust in patients, is necessary for optimal healthcare.
  • Recognizing shared trust is critical for evaluating and improving medical practice, research, and education.
  • Prioritizing shared trust can help mitigate distrust and enhance the physician-patient relationship, particularly in family medicine.