PT  - JOURNAL ARTICLE
AU  - Mark Linzer
AU  - Hannah Neprash
AU  - Roger Brown
AU  - Eric Williams
AU  - Crystal Audi
AU  - Sara Poplau
AU  - Kriti Prasad
AU  - Dhruv Khullar
AU  - For the Healthy Work Place Investigators
TI  - Where Trust Flourishes: Perceptions of Clinicians Who Trust Their Organizations and Are Trusted by Their Patients
AID  - 10.1370/afm.2732
DP  - 2021 Nov 01
TA  - The Annals of Family Medicine
PG  - 521--526
VI  - 19
IP  - 6
4099  - http://www.annfammed.org/content/19/6/521.short
4100  - http://www.annfammed.org/content/19/6/521.full
SO  - Ann Fam Med2021 Nov 01; 19
AB  - PURPOSE Trust is an essential component of health care. Clinicians need to trust organizational leaders to provide a safe and effective work environment, and patients need to trust their clinicians to deliver high-quality care while addressing their health care needs. We sought to determine perceived characteristics of clinics by clinicians who trust their organizations and whose patients have trust in them.METHODS We used baseline data from the Healthy Work Place trial, a randomized trial of interventions to improve work life in 34 Midwest and East Coast primary care clinics, to identify clinic characteristics associated with high clinician and patient trust.RESULTS The study included 165 clinicians with 1,132 patients. High trust by clinicians with patients who trusted them was found for 34% of 162 clinicians with sufficient data for modeling. High clinician-high patient trust occurred when clinicians perceived their organizational cultures to have (1) an emphasis on quality (odds ratio [OR] 4.95; 95% CI, 2.02-12.15; P <.001), (2) an emphasis on communication and information (OR 3.21; 95% CI, 1.33-7.78; P = .01), (3) cohesiveness among clinicians (OR 2.29; 95% CI, 1.25-4.20; P = .008), and (4) values alignment between clinicians and leaders (OR 1.86; 95% CI, 1.23-2.81; P = .003).CONCLUSION Addressing organizational culture might improve the trust of clinicians whose patients have high trust in them.