Trust and health worker performance: exploring a conceptual framework using South African evidence
Trust and health worker performance: exploring a conceptual framework using South African evidence
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DOI：
10.1016/j.socscimed.2004.11.062
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发表时间：
2005-10-01
影响因子：
5.4
通讯作者：
Schneider, H
中科院分区：
文献类型：
--
作者：
Gilson, L;Palmer, N;Schneider, H
对提供保健服务特别重要的两种关系是病人与提供者之间的关系，以及保健工作者与雇主之间的关系。本文提出了一个分析框架，建立在这些关系的信任的关键方面，并建议如何将它们联合收割机在影响卫生系统的反应。本文探讨了相关的框架，用它来分析案例研究的初级保健提供者在南非，分析表明，尊重治疗是初级保健服务的用户，在积极的态度/行为，彻底性和技术能力，以及机构，支持公平对待的中心需求。有人认为，这种治疗是必要的，不可分割的，病人提供信任。研究结果还表明，工作场所信任的概念（结合对同事，主管和用人组织的信任）与其工作场所的供应商经验相关，因此可以为加强管理提供重要的见解。尽管如此，考虑到这种初步分析的局限性，需要进一步研究，以发展工作场所信任的概念，并测试它有什么作用，沿着提供者-社区关系，在影响卫生工作者的表现。(c)2005爱思唯尔有限公司保留所有权利。
Two relationships of particular importance to health care provision are those between patient and provider, and health worker and employer. This paper presents an analytical framework that establishes the key dimensions of trust within these relationships, and suggests how they may combine in influencing health system responsiveness. The paper then explores the relevance of the framework by using it to analyse case studies of primary care providers in South Africa.The analysis suggests that respectful treatment is the central demand of primary care service users, in terms of positive attitudes/behaviours, thoroughness, and technical competence, as well as institutions that support fair treatment. It is argued that such treatment is necessary for, and integral to, patient-provider trust. The findings also suggest that the notion of workplace trust (combining trust in colleagues, supervisor and employing organisation) has relevance to provider experiences of their workplaces, and so can provide important insights for strengthening management. Nonetheless, given the limitations of this preliminary analysis, further research is needed to develop the notion of workplace trust and to test what role it has, along with that of provider-community relations, in influencing health worker performance. (c) 2005 Elsevier Ltd. All rights reserved.