Understanding Institutional Trust. What Does It Mean to Trust the Health System?
Research on trust in the health system has been given more importance, since Hardin’s study (2006 ), which found a decrease in trust at the level of important democratic systems, (Canada, USA, UK, Sweden) and Fukuyama’s work (1995 ), where societies are d
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Abstract Research on trust in the health system has been given more importance, since Hardin’s study (2006), which found a decrease in trust at the level of important democratic systems, (Canada, USA, UK, Sweden) and Fukuyama’s work (1995), where societies are divided into high-trust societies and low-trust societies. Yet the notion of trust is often regarded as ambiguous, difficult to define and to investigate. Trust has only recently begun to be measured and analyzed in the health sector and almost no empirical investigation has been conducted in developing countries. In high income countries this interest is associated with concern for the decline of trust in governments and professionals, and in developing countries has been prompted by debates around the notion of social capital. Empirical studies found a decrease in the degree of trust in medical institutions, which can be explained by epistemological challenges about the authenticity of knowledge (Popay et al. 2003), by a drop in trust in the power of science (Irwin and Michael, 2003), and by an increase in individual and social reflexivity (Giddens 1994, pp. 194–197). The purpose of this article is to identify—in scientific literature—the way in which trust in health systems and the determinants of a relationship based on trust have been measured. In the analysis, we used the PubMed
“Grigore T. Popa” University of Medicine and Pharmacy Iasi, Romania, post-doctoral researcher in “Program of excellence in multidisciplinary doctoral and postdoctoral research regarding chronic diseases”, Grant No. POSDRU/159/1.5/S/133377, beneficiary “Gr. T. Popa” U.M.F. Iasi, a project co-funded by Social European Fund, through the Sectoral Operational Program Human Resources Development 2007–2013 Senior lecturer, “Alexandru Ioan Cuza” University of Iasi, Romania. M. Rădoi (&) A. Lupu Alexandru Ioan Cuza University of Iași, Bulevardul Carol I 11, 700506 Iași, Romania e-mail: [email protected] A. Lupu e-mail: [email protected] © Springer International Publishing Switzerland 2017 A. Maturo et al. (eds.), Recent Trends in Social Systems: Quantitative Theories and Quantitative Models, Studies in Systems, Decision and Control 66, DOI 10.1007/978-3-319-40585-8_2
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database, without specifying a certain time interval, and the reports of the European Commission referring to health. The following concepts were used: trust, institutional trust, health system, literature review. Keywords Trust
Institutional trust Health system
1 Introduction Health system is more and more acknowledged as a predictor that reflects the values and priorities of a nation (Gilson 2003; Freedman 2005). Health system comprises the factors and organizations whose primary purpose is to promote health and to prevent and treat disease (WHO 2008). Health system—considered as social institution—is especially important because it structures relationships between the vulnerable population and the government of that country (Freedman 2005). According to WHO (2007), predicto
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