The Trust Crisis In Healthcare

Hardcover | September 14, 2006

EditorDavid A. Shore

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The lack of trust in our healthcare system brings ominous results, from decreasing health outcomes to increasing costs, from organization inefficiencies to a pervasive pattern of litigation. This will only worsen as healthcare becomes subject to greater market mechanisms, and as patients,providers, and payers view each other with increasing suspicion. Healthcare professionals are just now coming to realize what other professionals have known for years: trust is earned, not assumed. The Trust Crisis represents the first comprehensive survey of the causes and consequences of decliningtrust in healthcare, and more importantly, it provides suggestions for restoring that trust. Editor David A. Shore, founder of the Harvard School of Public Health's Trust Initiative, brings together an unparalleled collection of healthcare leaders for this volume. Chapter authors include Donald Berwick, Robert Blendon, Lucian Leape, and George Lundberg. The book also features anintroduction by Cokie and Steve Roberts. Causes, consequences, and cures for the crisis in trust are specifically addressed. Critical areas treated by the authors include: - systemic conditions that lead to medical errors, and remedies for promoting quality of care. - outdated modes of doctor-patient communication that hinder compliance. - novel modes of interaction to improve satisfaction. - patient-centered care and metrics to evaluate its presence or absence. - media communication and miscommunication, and new standards for medical reporting. - clinical insights applied to the use of human subjects in biomedical research. - recommendations for revising medical school curricula and strengthening the peer-review process in medical journals. - practical strategies for decreasing the lingering discord between patients, providers, and health plans. While presenting a diversity of topics and opinions, the authors of this volume agree upon a few principles. The trust famine will have dire consequences if it continues unchecked. Healthcare leaders can take measures to improve trust. Regaining trust requires that entire organizations paycloser attention to the "human factors" of healthcare. And perhaps most critical for change, trust-building is not only good medicine, but good business as well.

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The lack of trust in our healthcare system brings ominous results, from decreasing health outcomes to increasing costs, from organization inefficiencies to a pervasive pattern of litigation. This will only worsen as healthcare becomes subject to greater market mechanisms, and as patients,providers, and payers view each other with incre...

David A. Shore is Associate Dean at the Harvard School of Public Health.

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Format:HardcoverDimensions:240 pages, 6.3 × 9.29 × 0.79 inPublished:September 14, 2006Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195176367

ISBN - 13:9780195176360

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Table of Contents

Introduction: Reflections on Trust. Cokie Roberts and Steven V. Roberts: 1. David A. Shore: The (Sorry) State of Trust in the American HealthCare Enterprise2. Robert J. Blendon: Why Americans Don't Trust the Government and Don't Trust Healthcare3. Pippa Norris: Skeptical Patients: Performance, Social Capital, and CulturePart II. 4. Donald M. Berwick: Building Quality in the Healthcare Environment5. Lucian L. Leape: Medical Errors and Patient Safety6. Christine G. Williams: Assessing Quality: Today's Data and a Research AgendaPart III. 7. Dana Gelb Safran: Patients' Trust in Their Doctors: Are We Losing Ground?8. Greg Koski: Health Care Research: Can Patients Trust Physician Scientists?9. Jordan J. Cohen: Medical Education: Teaching Doctors to be Trustworthy10. George Lundberg: Trustworthy Information: Medical Journals and the Internet11. Trudy Lieberman: Trustworthy Information: The Role of the Media12. Walter C. Willett: Confusion at the Table: Can We Trust That Our Food is Healthy?13. Marie C. McCormick: Trust in Vaccines14. Susan P. Pauker: Trust in the Trenches: Developing the Patient-Physician Diad in Medical GeneticsPart IV. 15. David A. Shore: Gaining Competitive Advantage in the Health Care Marketplace by Building Trust16. Charles Cutler: The Changing Relationship Between Health Plans and Their Members17. Michael J. Dowling: Building Trust in a Healthcare System18. Howard King and Richard Toran: Building Trust in the Clinician's Office and at the Bedside19. Marc Roberts: Conclusion: Trust in Health Care, Trust in Society

Editorial Reviews

"An excellent starting point for a national discussion of quality assurance and the need for trust in our health-care system."--PsycCRITIQUES