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Healthcare professionals' trust in patients: A review of the empirical and theoretical literatures
Sociology Compass ( IF 2.538 ) Pub Date : 2020-09-03 , DOI: 10.1111/soc4.12828
Fernanda Sousa‐Duarte 1, 2 , Patrick Brown 2 , Ana Magnólia Mendes 1
Affiliation  

Trust is considered as an important process in establishing positive patient–professional relationships and healthcare outcomes. While many studies denote the mutual–reciprocal nature of trust, there is a strong tendency to consider professionals merely as trustees. This article presents a review of literature addressing healthcare professionals' trust in patients, aiming to identify and compare more theoretical and more empirical contributions on the topic as a basis for developing a research agenda. We examine 31 theoretical and empirical peer‐reviewed articles that address healthcare professionals' trust in patients, either as the primary or secondary focus. We found that healthcare professionals' trust in patients is still overlooked in empirical trust studies into healthcare, despite several theoretical and review articles emphasising the relevance of the topic. We propose that future empirical research considers professionals' uncertainties and vulnerabilities, and that theoretical studies reflect more on methodological approaches for researching their conceptualisations. Moreover, our findings suggest that while system‐based understandings have been seen as important for considering how patients trust in their healthcare, we argue that these same abstract systems—professional, ethical, organisational and legal—are vital to understanding how doctors become vulnerable, and therefore, how trust in their patients becomes pertinent, in their everyday work.

中文翻译:

医护人员对患者的信任:实证和理论文献综述

信任被认为是建立积极的医患关系和医疗成果的重要过程。尽管许多研究表明信任是相互的,但有一种强烈的趋势认为专业人员只是受托人。本文介绍了针对医疗保健专业人员对患者的信任的文献综述,旨在确定和比较对该主题的更多理论和经验贡献,作为制定研究议程的基础。我们研究了31篇理论和经验性的同行评审文章,这些文章针对医疗保健专业人员对患者的信任(无论是主要还是次要重点)。我们发现,在对医疗保健的经验信任研究中,医疗保健专业人员对患者的信任仍然被忽略,尽管有几篇理论和评论文章都强调了该主题的相关性。我们建议,未来的实证研究应考虑专业人员的不确定性和脆弱性,而理论研究应更多​​地反映有关研究其概念化的方法论方法。此外,我们的研究结果表明,尽管基于系统的理解对于考虑患者对医疗保健的信任至关重要,但我们认为,这些相同的抽象系统(专业,道德,组织和法律)对于理解医生如何变得脆弱至关重要,因此,在他们的日常工作中,如何对患者充满信任。理论研究更多地反映了研究其概念化的方法论方法。此外,我们的研究结果表明,尽管基于系统的理解对于考虑患者对医疗保健的信任至关重要,但我们认为,这些相同的抽象系统(专业,道德,组织和法律)对于理解医生如何变得脆弱至关重要,因此,在他们的日常工作中,如何对患者充满信任。理论研究更多地反映了研究其概念化的方法论方法。此外,我们的研究结果表明,尽管基于系统的理解对于考虑患者对医疗保健的信任至关重要,但我们认为,这些相同的抽象系统(专业,道德,组织和法律)对于理解医生如何变得脆弱至关重要,因此,在他们的日常工作中,如何对患者充满信任。
更新日期:2020-09-03
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