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Cited by 503

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

Mechanic, David·1996·The Milbank Quarterly

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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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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CoChat. (2026). Citation check: Changing Medical Organization and the Erosion of Trust. https://app.cochat.ai/papers/10.2307/3350245
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Mechanic, D. (1996). Changing Medical Organization and the Erosion of Trust. The Milbank Quarterly. https://doi.org/10.2307/3350245

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

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.