The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.
Changing Medical Organization and the Erosion of Trust
Abstract
Trust in medicine contributes to effective communication, cooperation in treatment, and the ability to cope with uncertainties. Social trust in medicine reflects public attitudes and is shaped by media and current events. Interpersonal trust depends on the degree to which patients see their doctors as competent, responsible, and caring. The commercialization of medical care, conflicts of interest, media attention to medical uncertainty and error, and the growth of managed care all challenge trust. Trust is encouraged by patient choice, continuity of care, and encounter time that allows, opportunities for feedback, patient instruction, and patient participation in decisions. An informal inquiry of medical leaders indicates that most believe trust is eroding. Institutions are taking measures to help restore trust: eliciting patient feedback; providing more information for patients are the public; improving staff education and sensitivity training; paying attention to clinicians' interpersonal skills; sponsoring support groups; instituting patient empowerment projects; and focusing on ethics issues.
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Citations
Cites
The Social Psychology of Groups
Kenkel, W. F., Thibaut, J. W., & Kelley, H. H. (1959) · The American Catholic Sociological Review · doi:10.2307/3709294 · Cited by 5,898
UNCERTAINTY AND THE WELFARE ECONOMICS OF MEDICAL CARE
Arrow, K. J. (2003) · Uncertain Times · doi:10.2307/j.ctv11sn34h.6 · Cited by 4,078
Ross, C. E., Cohen, S., & Syme, S. L. (1986) · Contemporary Sociology · doi:10.2307/2071725 · Cited by 3,927
Stress, Coping, and Social Support Processes: Where Are We? What Next?
Thoits, P. A. (1995) · Journal of Health and Social Behavior · doi:10.2307/2626957 · Cited by 3,496 · cited 1×
“The idea of support groups seems wellestablished and institutionalized among health institutions, and a large descriptive and analytic literature is available (Cohen and Syme 1985; Changing Organization and the Erosion of Trust 185 Thoits 1995).”
BackgroundThe Social Transformation of American Medicine
Leavitt, J. W., & Starr, P. (1984) · The American Historical Review · doi:10.2307/1862729 · Cited by 3,247
(1979) · Medical Entomology and Zoology · Cited by 3,065
Profession of Medicine: A Study of the Sociology of Applied Knowledge.
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Perceived Risk, Trust, and Democracy
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Barber, B. (1983) · DigitalGeorgetown (Georgetown University Library) · Cited by 1,797
Medicine as an Institution of Social Control
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Cited by
Measuring Patients’ Trust in their Primary Care Providers
Hall, M. A., Zheng, B., Dugan, E., Camacho, F., Kidd, K. E., Mishra, A., & Balkrishnan, R. (2002) · Medical Care Research and Review · doi:10.1177/1077558702059003004 · Cited by 661
Concepts of trust among patients with serious illness
Mechanic, D., & Meyer, S. (2000) · Social Science & Medicine · doi:10.1016/s0277-9536(00)00014-9 · Cited by 617
Self-citationPhysician Gender and Patient-Centered Communication: A Critical Review of Empirical Research
Roter, D. L., & Hall, J. A. (2004) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.25.101802.123134 · Cited by 616
Racial/Ethnic Differences in Physician Distrust in the United States
Armstrong, K., Ravenell, K. L., McMurphy, S., & Putt, M. (2007) · American Journal of Public Health · doi:10.2105/ajph.2005.080762 · Cited by 517
The doctor-patient relationship: Challenges, opportunities, and strategies
Goold, S. D., & Lipkin, M. (1999) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1999.00267.x · Cited by 422
Metadata
- Authors
- Mechanic, D.
- Venue
- The Milbank Quarterly
- Publisher
- JSTOR
- Published
- 1996
- Volume
- 74
- Issue
- 2
- Pages
- 171
- ISSN
- 0887-378X (ISSN-L)
- OpenAlex
- W2018345355
- Cited by
- 503
- References
- 30
- FWCI
- 49.26
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.