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General Practitioners' Trust in Their Patients: A Qualitative Study.

Kerry Uebel1, Faith R Yong2, Maria Agaliotis3

  • 1School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia k.uebel@unsw.edu.au.

Annals of Family Medicine
|November 24, 2025
PubMed
Summary
This summary is machine-generated.

General practitioners (GPs) initially trust patients, with this trust deepening as patients engage in their care. This therapeutic trust is challenged when patients seek secondary gain.

Keywords:
controlled substancesdoctor-patient relationsdoctor’s trust in the patientgeneral practitionersmistrustopioidsprimary careprofessional practicequalitative researchtherapeutic relationshiptrustwelfare benefitsworker’s compensation

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Area of Science:

  • Medical Sociology
  • General Practice
  • Qualitative Research

Background:

  • Mutual trust is vital in the physician-patient relationship.
  • Research primarily focuses on patient trust in physicians, neglecting physician trust in patients.
  • Understanding physician trust is crucial in general practice settings.

Purpose of the Study:

  • To explore general practitioners' (GPs) understanding of trust in their patients.
  • To investigate how GPs' trust in patients develops.
  • To examine the implications of physician trust for medical care.

Main Methods:

  • Qualitative study utilizing semistructured telephone interviews.
  • Convenience sample of Australian general practitioners (GPs).
  • Thematic analysis of transcribed and de-identified interviews.

Main Results:

  • Trust in patients is an assumed starting point for GPs.
  • Trust deepens and develops over time within the therapeutic relationship.
  • Trust is challenged by perceived patient manipulation for secondary gain.

Conclusions:

  • GPs' therapeutic relationships begin with trusting patient accounts.
  • Active patient involvement in management strengthens physician trust.
  • GPs require support in building mutual trust, particularly for complex care patients.