Managing Patient Trust in Managed Care

Patient trust has been identified as an important element in the patient-physician relationship. However, common features of managed care, such as risk-sharing, utilization review, and limitations on benefits, may erode the traditionally high trust that patients have in their physicians. High trust...

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Bibliographic Details
Published in:The Milbank quarterly 2000-01, Vol.78 (4), p.609-624
Main Authors: Davies, Huw T.O., Rundall, Thomas G.
Format: Article
Language:English
Subjects:
Bioethics
Confidentiality
Diseases
Doctor-patient relationship
Doctor-Patient relationships
Doctors
Health care
Health care costs
Health care organizations
Health maintenance organizations
Health outcomes
Health services
Humans
Managed care
Managed Care Programs
Managed health care
Medical care
Medical personnel
Original
Patient care
Patients
Physician patient relationships
Physician-Patient Relations
Physicians
Property trusts
Sociology
Sociology of health and medicine
Trust
U.S.A
United States
USA
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Summary:Patient trust has been identified as an important element in the patient-physician relationship. However, common features of managed care, such as risk-sharing, utilization review, and limitations on benefits, may erode the traditionally high trust that patients have in their physicians. High trust is not always justified; rather, an optimal level of trust arises from the level of interdependence between patients and physicians. This analysis of the interrelationship between patient-physician trust and some of the key facets of managed care has important implications for managed care. A return to high levels of trust may be impracticable, and new strategies for balancing trust-building efforts by caregivers with checking mechanisms accessible to patients are recommended.
ISSN:0887-378X
1468-0009
DOI:10.1111/1468-0009.00187