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Rethinking Trust and Public Health Compliance: Introducing a Trust Continuum for Policy and Practice.

Ashley Fox1, Victoria Y Fan2,3, Heeun Kim1,4

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This summary is machine-generated.

Government trust is key for public health compliance during pandemics. This research proposes a trust continuum framework, emphasizing informed trust and long-term strategies for governments to earn public confidence.

Keywords:
Trustcomplianceglobal healthvaccine hesitancy

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Area of Science:

  • Public Health Policy
  • Government Trust and Compliance
  • Behavioral Science

Background:

  • Trust in government significantly predicts national performance in managing the COVID-19 pandemic.
  • A substantial body of literature on trust and compliance with public health measures has emerged during the pandemic.

Purpose of the Study:

  • To synthesize policy-relevant recommendations on conceptualizing trust in government.
  • To examine whether government trust is always warranted.
  • To provide actionable strategies for governments to earn appropriate levels of public trust.

Main Methods:

  • Critical review and synthesis of existing literature on trust and public health compliance.
  • Development of a conceptual framework illustrating trust as a continuum.
  • Analysis of policy implications for nuanced disease response strategies.

Main Results:

  • A framework is proposed where trust exists on a continuum from extreme distrust to blind trust.
  • The ideal level of trust is identified as 'informed' or 'basic' trust, situated at the midpoint.
  • Recommendations are provided for governments to tailor responses to different levels of public trust.

Conclusions:

  • Building and maintaining public trust is a continuous, long-term endeavor, essential even outside of crisis periods.
  • Governments must adopt nuanced approaches to disease response that acknowledge and address varying levels of public trust.
  • Sustained efforts are required to foster informed trust for effective public health outcomes.