International Journal of Health Policy and Management

International Journal of Health Policy and Management

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

Document Type : Commentary

Authors
Felix Gille 1, 2
Paola Daniore 1, 2
Federica Zavattaro 1, 2
1 Digital Society Initiative, University of Zurich, Zürich, Switzerland
2 Institute for Implementation Science in Health Care, University of Zurich, Zürich, Switzerland
10.34172/ijhpm.8662
Abstract
Public trust is crucial for health policy-making as it is closely linked to public participation and policy-makers’ legitimacy. While we have witnessed increasing interest in issues of public trust, especially since COVID-19, we argue that efforts should be made to deeply integrate the concept of public trust into health policy-making from the design to the implementation, assessment, and evaluation processes across the public health and medical domains. We propose four key aspects to consider for building public trust in the healthcare system, which have emerged from our past and ongoing health policy research on public trust: to understand trust before aiming to build trust; to provide tailored guidance on trust building in health policy; to develop trust performance indicators to assess trust interventions; and to implement targeted communication strategies.
Keywords
Trust
Policy
Performance
Governance
Trustworthiness
  1. Sztompka P. Trust: A Sociological Theory. Cambridge: Cambridge University Press; 1999.
  2. Gille F. What is Public Trust in the Health System? Insights into Health Data Use. Bristol: Policy Press; 2023.
  3. McKee M, van Schalkwyk MC, Greenley R, Permanand G. Placing trust at the heart of health policy and systems. Int J Health Policy Manag. 2024;13:8410. doi:34172/ijhpm.2024.8410
  4. van Haasteren A, Gille F, Fadda M, Vayena E. Development of the mHealth app trustworthiness checklist. Digit Health. 2019;5:2055207619886463. doi:1177/2055207619886463
  5. de Figueiredo A, Simas C, Karafillakis E, Paterson P, Larson HJ. Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study. Lancet. 2020;396(10255):898-908. doi:1016/s0140-6736(20)31558-0
  6. Pearson SD, Raeke LH. Patients' trust in physicians: many theories, few measures, and little data. J Gen Intern Med. 2000;15(7):509-513. doi:1046/j.1525-1497.2000.11002.x
  7. Betts LR, Rotenberg KJ, Trueman M. The early childhood generalized trust belief scale. Early Child Res Q. 2009;24(2):175-185. doi:1016/j.ecresq.2008.10.002
  8. Fukuyama F. Trust: The Social Virtues and the Creation of Prosperity. 1st ed. Free Press; 1996.
  9. Hartmann M. Die Praxis des Vertrauens. 1st ed. Berlin: Suhrkamp Verlag; 1994.
  10. Taylor LA, Nong P, Platt J. Fifty years of trust research in health care: a synthetic review. Milbank Q. 2023;101(1):126-178. doi:1111/1468-0009.12598
  11. Braithwaite J, Hibbert P, Blakely B, et al. Health system frameworks and performance indicators in eight countries: a comparative international analysis. SAGE Open Med. 2017;5:2050312116686516. doi:1177/2050312116686516
  12. van der Schee E, Groenewegen PP, Friele RD. Public trust in health care: a performance indicator? J Health Organ Manag. 2006;20(5):468-476. doi:1108/14777260610701821
  13. Chakravorti B, Chaturvedi RS, Filipovic C, Brewer G. Digital in the Time of COVID. Trust in the Digital Economy and its Evolution Across 90 Economies as the Planet Paused for a Pandemic. Medford, MA: The Fletcher School at Tufts University; 2020. https://digitalplanet.tufts.edu/wp-content/uploads/2022/09/digital-intelligence-index.pdf. Accessed January 12, 2024.
  14. Mechanic D. Changing medical organization and the erosion of trust. Milbank Q. 1996;74(2):171-189. doi:2307/3350245
  15. Papadopoulos K, von Wyl V, Gille F. What is public trust in national electronic health record systems? A scoping review of qualitative research studies from 1995 to 2021. Digit Health. 2024;10:20552076241228024. doi:1177/20552076241228024
International Journal of Health Policy and Management
Volume 13, Issue 1
2024
Pages 1-4

  • Received Date 18 June 2024
  • Revised Date 21 August 2024
  • Accepted Date 24 August 2024
  • First Published Date 27 August 2024
  • Published Date 01 December 2024