International Journal of Health Policy and Management

International Journal of Health Policy and Management

Placing Trust at the Heart of Health Policy and Systems

Document Type : Editorial

Authors
Martin McKee 1
May CI van Schalkwyk 1
Rachel Greenley 1
Govin Permanand 2
1 Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK
2 Division of Country Health Policies and Systems, World Health Regional Office for Europe, Copenhagen, Denmark
10.34172/ijhpm.2024.8410
Abstract
Trusted interactions are crucial in health systems. Trust facilitates effective healthcare by encouraging patients to seek and adhere to treatment, enabling teamwork among health professionals, reducing miscommunication and medical errors, and fostering innovation and resilience. The COVID-19 pandemic underscored the importance of trust, highlighting the challenges in establishing and maintaining it, especially during crises when trust in authorities and health systems is vital for compliance and safety. However, trust is complex, varying with context and experiences, and is dynamic, easily lost but hard to regain. Despite its importance, trust is often overlooked in health policy and difficult to measure. Health systems and policy-makers must recognize the importance of trust, measure it effectively, understand how it is built or eroded, and act to maintain and restore it. This involves acknowledging the past experiences of marginalized groups, involving communities in decision-making, and ensuring transparency and integrity in health practices and policies.

Highlights

 

Commentaries Published on this Paper

 

  • Bringing Trust Building to Life Within Health Policy-Making; Comment on “Placing Trust at the Heart of Health Policy and Systems”

        Abstract | PDF

 

  • Why Systems Thinking is Needed to Center Trust in Health Policy and Systems; Comment on “Placing Trust at the Heart of Health Policy and Systems”

        Abstract | PDF

 

  • Building Trust and Trustworthiness in Public Institutions: Essential Elements in Placing Trust at the Heart of Health Policy and Systems; Comment on “Placing Trust at the Heart of Health Policy and Systems”

        Abstract | PDF

 

  • Principles and Pragmatics for Building Trust in Authority; Comment on “Placing Trust at the Heart of Health Policy and Systems”

        Abstract | PDF

 

Authors' Response to the Commentaries

 

  •  From Transaction to Transformation: Building Trust in Health Systems; A Response to Recent Commentaries

        Abstract | PDF

 

Keywords
Trust
Health Systems
Resilience
Patient-Centredness 
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International Journal of Health Policy and Management
Volume 13, Issue 1
2024
Pages 1-4

  • Received Date 03 January 2024
  • Revised Date 07 April 2024
  • Accepted Date 08 April 2024
  • First Published Date 09 April 2024
  • Published Date 01 December 2024