First, do no harm: institutional betrayal and trust in health care organizations.

ABSTRACT:

Purpose

Patients' trust in health care is increasingly recognized as important to quality care, yet questions remain about what types of health care experiences erode trust. The current study assessed the prevalence and impact of institutional betrayal on patients' trust and engagement in health care.

Participants and methods

Participants who had sought health care in the US in October 2013 were recruited from an online marketplace, Amazon's Mechanical Turk. Participants (n = 707; 73% Caucasian; 56.8% female; 9.8% lesbian, gay, or bisexual; median age between 18 and 35 years) responded to survey questions about health care use, trust in health care providers and organizations, negative medical experiences, and institutional betrayal.

Results

Institutional betrayal was

SUBMITTER: Smith CP 

PROVIDER: S-EPMC5388348 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature