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Trust in Communication Management

Edited By Aydemir Okay

This book aspires to make an expedient contribution to the trust-based body of knowledge. Various disciplines analyze the notion of "trust", by addressing it from their own perspectives. The fact that the importance of multilevel and cross-level perspectives is gaining increasing attention in communication management has led to a call for examining trust across levels of communication analysis. The authors approach trust from the standpoint of different sub-branches of communication discipline, including brand management, public relations research, comparative advertising, health communication, political communication and digital communication. In addition, this book provides empirical evidence from a wide range of cases in Turkey, seeking to both reveal the existing situation in details and open up a world of new questions and lines of enquiry to pursue for future research.

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Banu Kumbasar - Evaluation of Interpersonal and Institutional Trust in Health Care


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Banu Kumbasar

Evaluation of Interpersonal and Institutional Trust in Health Care

Abstract Trust is a major element for a good physician-patient relationship and also for success in health care. The objective of this study was to explore whether there are differences in institutional and interpersonal trust across socio-demographic variables. A convenience sample of 296 adults in Istanbul was examined. Medical Mistrust Index (MMI) was used to determine the institutional mistrust in health care. Trust in Physician Scale (TIPS) was used to determine the interpersonal trust in health care organizations. Socio-demographic variables were significantly associated with interpersonal and institutional trust in health care (p≤0.05). Negative strong correlation was found between medical mistrust and trust in physician (r=–.972, p≤0.001). Interpersonal and institutional trust in health care was associated with socio-demographic variables. Institutional trust was associated with interpersonal trust. When medical mistrust increased, trust in physician decreased.

Trust is an important element for health care. It is a binary relation and an essential to get positive health outcomes. Trust has several meanings in literature. In almost all of these meanings trust is a cognitive element for human. Trust is a belief and it is based on expectations. In health care two types of trust become important: interpersonal trust and institutional trust. Interpersonal trust is defined as a patient’s trust in their physician. Institutional trust is defined as a patient’s trust in health care organizations and systems. Interpersonal and institutional trust is...

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