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Trust in Health Care in the Time of COVID-19

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Trust is foundational for the relationship between patients and clinicians. Patients often disclose profound personal information and trust this will remain confidential. Clinicians work to gain trust so patients are willing to accept their diagnoses and recommended treatments, including undergoing invasive procedures and taking medications indefinitely for chronic conditions. To achieve this level of trust, clinicians and health care systems must, above all, convince people that they put patients’ best interests above any financial or nonfinancial self-interest of their own.

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Article Information

Corresponding Author: David W. Baker, MD, MPH, The Joint Commission, 1 Renaissance Blvd, Oakbrook Terrace, IL 60181 (dbaker@jointcommission.org).

Conflict of Interest Disclosures: None reported.

References
1.
Blendon  RJ , Benson  JM , Hero  JO .  Public trust in physicians: US medicine in international perspective.   N Engl J Med. 2014;371(17):1570-1572. doi:10.1056/NEJMp1407373 PubMedGoogle ScholarCrossref
2.
Mechanic  D , Schlesinger  M .  The impact of managed care on patients’ trust in medical care and their physicians.   JAMA. 1996;275(21):1693-1697. doi:10.1001/jama.1996.03530450083048 PubMedGoogle ScholarCrossref
3.
Khullar  D .  Building trust in health care: why, where, and how.   JAMA. 2019;322(6):507-509. doi:10.1001/jama.2019.4892 PubMedGoogle ScholarCrossref
4.
Halbert  CH , Armstrong  K , Gandy  OH  Jr , Shaker  L .  Racial differences in trust in health care providers.   Arch Intern Med. 2006;166(8):896-901. doi:10.1001/archinte.166.8.896 PubMedGoogle ScholarCrossref
5.
Artiga  S , Corallo  B , Pham  O . Racial disparities in COVID-19: key findings from available data and analysis. Kaiser Family Foundation. Published August 17, 2020. Accessed November 3, 2020. https://www.kff.org/report-section/racial-disparities-in-covid-19-key-findings-from-available-data-and-analysis-issue-brief/
6.
Arora  VM , Madison  S , Simpson  L .  Addressing medical misinformation in the patient-clinician relationship.   JAMA. Published December 15, 2020. doi:10.1001/jama.2020.4263Google Scholar
7.
Khullar  D , Darien  G , Ness  DL .  Patient consumerism, healing relationships, and rebuilding trust in health care.   JAMA. Published December 15, 2020. doi:10.1001/jama.2020.12938Google Scholar
8.
Jain  SH , Lucey  C , Crosson  FJ .  The enduring importance of trust in the leadership of health care organizations.   JAMA. Published December 15, 2020. doi:10.1001/jama.2020.18555Google Scholar
9.
Montgomery  T , Berns  JS , Braddock  CH  III .  Transparency as a trust-building practice in physician relationships with patients.   JAMA. Published December 15, 2020. doi:10.1001/jama.2020.18368Google Scholar
10.
Gupta  R , Binder  L , Moriates  C .  Rebuilding trust and relationships in medical centers: a focus on health care affordability.   JAMA. Published December 15, 2020. doi:10.1001/jama.2020.14933Google Scholar
11.
Wheelock  A , Bechtel  C , Leff  B .  Human-centered design and trust in medicine.   JAMA. Published December 15, 2020. doi:10.1001/jama.2020.21080Google Scholar
12.
Cox  SR .  COVID-19 era of misinformation: When your family does not trust you, will your patients?   J Am Pharm Assoc (2003). 2020;S1544-3191(20)30413-1. doi:10.1016/j.japh.2020.08.020PubMedGoogle Scholar
13.
Kanter  GP , Carpenter  D , Lehmann  LS , Mello  MM .  US nationwide disclosure of industry payments and public trust in physicians.   JAMA Netw Open. 2019;2(4):e191947. doi:10.1001/jamanetworkopen.2019.1947 PubMedGoogle Scholar
14.
Choi  I . Over 1000 current and former CDC officers signed a letter of concern for “politicization and silencing” of the agency. Published October 17, 2020. Accessed November 2, 2020. https://www.businessinsider.com/current-and-former-cdc-officers-open-letter-criticize-politicization-2020-10
15.
Silverman  E . STAT-Harris poll: the share of Americans interested in getting Covid-19 vaccine as soon as possible is dropping. Published October 19, 2020. Accessed November 2, 2020. https://www.statnews.com/pharmalot/2020/10/19/covid19-coronavirus-pandemic-vaccine-racial-disparities/
16.
Cooper  LA , Crews  DC .  COVID-19, racism, and the pursuit of health care and research worthy of trust.   J Clin Invest. 2020;130(10):5033-5035. doi:10.1172/JCI141562 PubMedGoogle ScholarCrossref
17.
Brenan  M . Amid pandemic, confidence in key US institutions surges. Published August 12, 2020. Accessed November 2, 2020. https://news.gallup.com/poll/317135/amid-pandemic-confidence-key-institutions-surges.aspx
AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

  • 1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
  • 1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
  • 1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
  • 1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
  • 1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.

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