Classical medical sociological theory argues patients trust doctors in part because they are professionals. Yet in the past half-century, medicine has seen a crisis of trust as well as fundamental changes to the nature of professionalism. To probe the relationship between professionalism and trust today, we analyzed interviews with 50 psychiatric patients receiving care in diverse clinical settings. We found patients experience trust when they perceive clinicians transcending the formal bounds of professionalism. Patients find clinicians to be trustworthy when clinicians pursue connections to their patients beyond organizational strictures, cross boundaries of professional jurisdiction to provide holistic care, and embrace the limits of their professional knowledge. This dynamic of trust in professionals who transcend the profession highlights novel dimensions of contemporary professionalism, and it makes sense of a seeming contradiction in which patients have high trust in individual clinicians but low trust in institutions.

中文翻译：

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超越专业：精神病患者对临床医生的信任经历。


经典医学社会学理论认为，患者信任医生的部分原因是他们是专业人士。然而在过去的半个世纪里，医学界经历了信任危机，专业精神的本质也发生了根本性的变化。为了探讨当今专业精神和信任之间的关系，我们分析了对 50 名在不同临床环境中接受护理的精神病患者的采访。我们发现，当患者认为临床医生超越了正式的专业界限时，他们会感到信任。当临床医生超越组织限制与患者建立联系、跨越专业管辖范围提供整体护理并接受其专业知识的限制时，患者会发现临床医生是值得信赖的。这种对超越专业的专业人士的信任动态凸显了当代专业精神的新维度，并且它解释了患者对个体临床医生高度信任但对机构信任度低的看似矛盾。