Trust and the development of health care as a social institution.

Full Abstract

Health systems are inherently relational and so many of the most critical challenges for health systems are relationship and behaviour problems. Yet the disciplinary perspectives that underlie traditional health policy analysis offer only limited and partial insights into human behaviour and relationships. The health sector, therefore, has much to learn from the wider literature on behaviour and the factors that influence it. A central feature of recent debates, particularly, but not only, in relation to social capital, is trust and its role in facilitating collective action, that is co-operation among people to achieve common goals. The particular significance of trust is that it offers an alternative approach to the economic individualism that has driven public policy analysis in recent decades. This paper considers what the debates on trust have to offer health policy analysis by exploring the meaning, bases and outcomes of trust, and its relevance to health systems. It, first, presents a synthesis of theoretical perspectives on the notion of trust. Second, it argues both that trust underpins the co-operation within health systems that is necessary to health production, and that a trust-based health system can make an important contribution to building value in society. Finally, five conclusions are drawn for an approach to health policy analysis that takes trust seriously.

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Author information

Author/s: Gilson, Lucy (L);

Affiliation: Centre for Health Policy, University of Witwaters and and Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, Johannesburg, South Africa

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Social science & medicine (1982) (Soc Sci Med), published in England. (Language: eng)

Reference: 2003-Apr; vol 56 (issue 7) : pp 1453-68

Dates: Created 2003/03/04; Completed 2003/05/12; Revised 2006/11/15;

PMID: 12614697, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Attitude to Health
Community-Institutional Relations
Cooperative Behavior
Decision Making, Organizational
Delivery of Health Care - organization & administration
Health Care Reform
Humans

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