China
Africa
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Consumer Access and Control of Data, Data Sharing, Consumer Participation
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 4, 2022
The project takes place within the context of healthcare so certain requirements must be met to establish trust with a patient who is the primary project beneficiary. Trust is important because healthcare generally involves uncertainty and risk. To improve trust the project team establishes a consumer advisory group to obtain feedback on the project outcomes. The project team finds that information privacy and consent to share data are foundational components of the project demonstration. This is because protected health information collected on social welfare needs is considered confidential. Keeping information private and data secure is foundational to building trust. The project team also finds that they must address data sharing legal agreements between their clinic and community-based organization, and they must identify a validated SDoH assessment tool that is consumer focused.
Industry Payments to Physicians
Published in Charles E. Dean, The Skeptical Professional's Guide to Rational Prescribing, 2022
Public disclosure of industry payments was associated with a 2.7% decline in the level of trust in one’s own physician; this was statistically significant.43 However, there were geographical differences, with results from the Northeastern sample failing to reach statistical significance. Note too that only 3% reported knowing whether their physicians had received payments, but public disclosure apparently spilled over to those physicians who had not received any payments. The authors noted that trust in physicians has been associated with treatment adherence, improved disease self-management, satisfaction with care, and the use of preventative services, so even a modest decline in trust could have adverse consequences. They recommended wider acknowledgment of physicians who do not receive payments, and, like other authors in the JAMA issue, emphasized the median annual payment of $201 in 2015. Once again, we must note the neglect of research indicating that even simple meals or other gifts are associated with increased medical costs and prescriptions for more expensive medications.23
Measuring and addressing healthcare employee well-being in an Alabama health system during COVID-19
Published in Edward M. Rafalski, Ross M. Mullner, Healthcare Analytics, 2022
Katherine A. Meese, Alejandra Colon-Lopez, Ashleigh M. Allgood, Davis A. Rogers
As the healthcare workforce begins to recover, leaders must acknowledge the lasting effects of these decisions and work to build, restore, and repair trust. Failure to do so will leave us more vulnerable for the next pandemic.
Cannabis-Impaired driving: ethical considerations for the primary care practitioner
Published in Annals of Medicine, 2023
Katherine Huerne, Carolyn Ells, Roland Grad, Kristian B. Filion, Mark J. Eisenberg
Lastly, confidentiality is a key ethical principle to maintain trust in the patient-practitioner relationship. However, the duty to report can sometimes supersede this principle in certain situations. For example, if the youth is being provided cannabis by adults as a means of treating pain or psychological symptoms but cannabis or cannabinoids are not indicated medically [25]. This would fall under the domain of child abuse and neglect, and the role of a practitioner should be treated as such [25]. Another instance when confidentiality may be broken to the parents, but not necessarily reported to law enforcement, is when the youth shows disregard for safe driving protocols or misuse of cannabis while driving, despite the practitioner’s attempts at educating the patient of the risks [25].
Racial Disparities Affecting Black Patients In Glaucoma Diagnosis And Management
Published in Seminars in Ophthalmology, 2023
Initiatives aimed at reducing disparities in the care of glaucoma patients should address barriers affecting lower participation in healthcare and lower rates of medical and surgical treatment of glaucoma among black patients. Trust in the healthcare system and in the provider are important in maintaining adherence to glaucoma treatment regimens.87 While trust in the provider was found to be generally high among patients seeking eye care at an academic medical center, trust among non-white patients was lower in comparison to white patients.88 In a separate study, lower levels of trust in the provider and presence of glaucoma-related blindness were significantly associated for non-white subjects.89 Additionally, disease severity may influence trust; despite treatment, 9% of patients with glaucoma may become blind.90 Even with regular appointments, black patients are more likely than white patients to have severe vision loss from glaucoma, which may contribute to lack of trust in the provider over time. Furthermore, although trust in the healthcare system is not the same as trust in the provider, the broader societal level of trust is critical for maintaining consistent follow-up and adherence to a care plan.91,92 Unfortunately, there is historical precedent in the Tuskegee Syphilis Study that may challenge this societal level of trust in the healthcare system among black patients.93
Public perceptions on Twitter of nurses during the COVID-19 pandemic
Published in Contemporary Nurse, 2022
Umit Tokac, Petra Brysiewicz, Jennifer Chipps
Central to this positive sentiment towards nursing, the content analysis confirmed high levels of trust in nurses. This was also demonstrated in the US GALLUP poll of ethics ratings (1999-2020) which saw, for the seventh year in a row, nurses taking the top spot in the annual poll ranking professions for honesty and ethics with 84% of Americans rating the honesty and ethical standards of nurses as ‘high’ or ‘very high’ (Saad, 2020). Similarly, in a public poll conducted in the UK (2022) nursing was named as the top profession for their contribution to society (Deveraux, 2022). Nursing’s trustworthiness is an intangible and valuable asset that substantiates nursing’s marketing and support its worth (Rutherford, 2014). Trust is important in a professional care relationship to ensure satisfactory patient outcomes, enabling patient to share concerns and navigate choices around their health care needs (Pratt et al., 2021). The values of person-centered care, professional competency and interpersonal caring are central in developing trust (Ozaras & Abaan, 2018).