Trust relations in a changing health service.

Objective: Trust in health care is an important policy area although research has tended to focus on interpersonal trust between patient and practitioner and has neglected trust relations at the organizational and institutional levels. Each of these levels of trust may have been influenced by recent policy and organizational changes in the NHS as well as wider cultural changes. Our aim was to explore the relationship between patients, practitioners and managers to identify if there was any evidence of changes in trust relations.

Implementation: the need for a contextual approach to the implementation of musculoskeletal guidelines.

This chapter focuses on how strategies to reduce the burden of musculoskeletal disease might be used to inform the development of best clinical practice, public behaviour and health policy. We review what is known about how to modify clinical practice and public behaviour and the effectiveness of a range of interventions that seek to achieve change. From a health policy perspective we examine how those who produce evidence can be linked with decision-makers and how evidence can be used to answer key questions that are pertinent to policy-makers.

Trust relations in health care: an agenda for future research.

Purpose: The aim of this paper is to draw together suggestions for future research from the papers and from the discussion that took place at the workshop.

Design/methodology/approach: The suggestions are summarised under four broad themes.

Findings: At an international workshop on trust organised by the U.

Trust relations in health care: developing a theoretical framework for the "new" NHS.

Purpose: This paper seeks to address how and why trust relations in the NHS may be changing and presents a theoretical framework for exploring them in future empirical research.

Design/methodology/approach: This paper provides a conceptual analysis. It proposes that public and patient trust in health care in the U.

Researching trust relations in health care: conceptual and methodological challenges--introduction.

Purpose: The aim of this paper is to provide a rationale for examining trust in health care.

Design/methodology/approach: Conducts a review of the literature of trust relations in health care that highlighted that most empirical research has addressed threats to patient-provider relationships and trust in health care systems from the patient's perspective, but studies in the organisational literature suggests that trust relations in the workforce, between providers and between providers and managers, may also influence patient-provider relationships and levels of trust.

Findings: Suggests that trust is not primarily dispositional or an individual attribute or psychological state, but is constructed from a set of inter-personal behaviors or from a shared identity.

Foundation trusts. Hitting the big time.

Foundation trusts offer the potential for substantial local autonomy. Their governance arrangements raise concerns. Lay non-executives in primary care trusts will face difficulties holding hospitals to account.