Trust but Verify: The Interactive Effects of Trust and Autonomy Preferences on Health Outcomes
Trust but Verify: The Interactive Effects of Trust and Autonomy Preferences on Health Outcomes
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DOI：
10.1007/s10728-008-0100-1
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发表时间：
2009-09-01
影响因子：
1.9
通讯作者：
Lin, Julia L.
中科院分区：
文献类型：
--
作者：
Lee, Yin-Yang;Lin, Julia L.
患者对医生的信任改善了他们的健康结果，因为更好的依从性，更多的披露，更强的安慰剂效应，以及更多的医生值得信赖的行为。患者的自主性也可能影响健康结果，并在医疗保健中越来越受到重视。然而，尽管信任和自主权的关键作用，天真地信任他们的医生的患者可能会变得过度依赖，缺乏参与医疗护理的动机。在这篇文章中，我们认为，增加信任并不一定意味着减少自主权。此外，具有高度信任和自主偏好的患者最有可能获得最佳健康结果。我们提出了一个框架，了解同时信任和自主权的偏好，并认识到他们的互动影响健康结果的动态医疗遭遇。这一框架认为，政策制定者和卫生保健提供者应努力培养不仅病人的信任，而且他们的自主权的偏好，从而获得实现健康相关目标的最佳位置。
Patients' trust in their physicians improves their health outcomes because of better compliance, more disclosure, stronger placebo effect, and more physicians' trustworthy behaviors. Patients' autonomy may also impact on health outcomes and is increasingly being emphasized in health care. However, despite the critical role of trust and autonomy, patients that na < vely trust their physicians may become overly dependent and lack the motivation to participate in medical care. In this article, we argue that increased trust does not necessarily imply decreased autonomy. Furthermore, patients with high levels of trust and autonomy preferences are most likely to have the best health outcomes. We propose a framework for understanding simultaneous trust and autonomy preferences and for recognizing their interactive effects on health outcomes in the dynamic medical encounter. This framework argues that policy makers and health care providers should make efforts to foster not only patients' trust but also their preferences for autonomy and thus gain the best position for achieving health-related goals.