What is public trust in the healthcare system? A new conceptual framework developed from qualitative data in England
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Date
2021-03
Publication Type
Journal Article
ETH Bibliography
yes
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Abstract
The conceptual ambiguity of public trust in the healthcare system poses problems
for governance and public trust measurement. Therefore, we aimed to answer: what
is public trust in the healthcare system? We conducted in the context of the English
NHS an analysis of online news with readership comments concerning the care.data
initiative; a secondary analysis of interviews about participants’ experiences and
perceptions of biobanks; and an analysis of public focus groups about perceptions
of the 100,000 Genomes Project. Further, we engaged with existing conceptual work
and trust theory. This resulted in a full conceptual framework of public trust in the
healthcare system. Public trust is established in anticipation of net benefits. Public
trust legitimises the actions of the healthcare system as well as encourages the public
to participate in healthcare-related activities. Further, levels of public trust are
affected by spill-over effects from high or low levels of public trust in other parts of
the government system. Last, many actors inside and outside the healthcare system
influence public trust. Future research needs to translate this conceptual framework
into policy guidelines and a measurement scale, as well as to validate the conceptual
framework for healthcare systems other than the British NHS.
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published
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Journal / series
Social Theory & Health
Volume
19
Pages / Article No.
1 - 20
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Organisational unit
09614 - Vayena, Eftychia / Vayena, Eftychia
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