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In this issue of The Milbank Quarterly, Andrew Anderson and Derek Griffith present a conceptual model of trustworthiness and trust in health care organizations that builds on several existing theories. In brief, Anderson and Griffith describe the combination of patients’ assessment of the trustworthiness of clinicians and their propensity to trust clinicians resulting in patients’ intention to trust their clinician and following through with “trusting behaviors” or clinician-recommended behaviors.
Over the the past several years, I have conducted qualitative research to explore what builds patients’ trust in clinicians and in health institutions. To compare how patients describe the process of gaining trust with the Anderson and Griffith model, I reviewed more than 50 interview transcripts and found that patients’ descriptions of their experiences are largely, though not entirely, consistent with their model.
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