RT Journal Article
SR Electronic
T1 Where Trust Flourishes: Perceptions of Clinicians Who Trust Their Organizations and Are Trusted by Their Patients
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 521
OP 526
DO 10.1370/afm.2732
VO 19
IS 6
A1 Linzer, Mark
A1 Neprash, Hannah
A1 Brown, Roger
A1 Williams, Eric
A1 Audi, Crystal
A1 Poplau, Sara
A1 Prasad, Kriti
A1 Khullar, Dhruv
A1 For the Healthy Work Place Investigators
YR 2021
UL http://www.annfammed.org/content/19/6/521.abstract
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.