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The Trust Crisis in Healthcare: Causes, Consequences, and Cures

David A. Shore


The lack of trust in the U.S. healthcare system brings ominous results, from decreasing health outcomes to increasing costs, from organizational inefficiencies to a pattern of litigation. The trust famine carries dire consequences if allowed to continue, but measures to regain trust are possible. This book provides a comprehensive survey of the causes and consequences of declining trust in healthcare, and provides suggestions for restoring trust. Part I describes the state of trust in society and in healthcare. Part II examines the impact of quality and safety on trust. Part III considers the ... More

Keywords: patient-centered care, healthcare business, building trust, trust in healthcare, trust crisis, healthcare system, healthcare quality, media and healthcare, patient-physician relationship, medical communications

Bibliographic Information

Print publication date: 2006 Print ISBN-13: 9780195176360
Published to Oxford Scholarship Online: September 2009 DOI:10.1093/acprof:oso/9780195176360.001.0001


Affiliations are at time of print publication.

David A. Shore, editor
Trust Initiative, Harvard School of Public Health
Author Webpage

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I Trust and Mistrust: The Big Picture

II Quality and Safety: The Basics of Trust

III Who Can Be Trusted?

13 Trust in Vaccines

Marie C. McCormick

IV Building Trust in the Business of Healthcare

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