Leicester Research Archive

Leicester Research Archive >
College of Medicine, Biological Sciences and Psychology >
Health Sciences, Department of >
Published Articles, Dept. of Health Sciences >

Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/9330

Title: Continuity and Trust in Primary Care: A Qualitative Study Informed by Game Theory
Authors: Tarrant, Carolyn Clare
Dixon-Woods, Mary
Colman, Andrew M.
Stokes, Tim
Issue Date: Oct-2010
Publisher: Annals of Family Medicine, Inc.
Citation: Annals of Family Medicine, 2010, 8 (5), pp. 440-446.
Abstract: PURPOSE: The relationship between continuity of care and patient trust in primary care is not fully understood. We report an empirical investigation, informed by game theory, of patients’ accounts of their trust in general practitioners (GPs). METHODS: We conducted an analysis based on the constant comparative method of 20 semistructured interviews with patients about trust in GPs in the United Kingdom. RESULTS: People use institutional trust, derived from expectations of medicine as an institution and doctors as professionals, as a starting point for their transactions with unfamiliar doctors. This expectation may be enough to allow patients the minimum of what they want from doctors and is often sufficient for single-episode encounters, where patients have specific goals. Repeated interactions with the same doctor can allow patients to develop more secure expectations, based on a history of other interactions and anticipation of future interactions. Secure trust can develop over time, especially if patients are convinced that the doctor has their interests at heart. CONCLUSIONS: This work identifies dynamics inherent in repeated interactions that enable secure trust to develop. These findings have important implications for the design of services, which in the United Kingdom and elsewhere are increasingly focused on enhancing access rather than continuity. They suggest that patients do not see GPs as interchangeable and that the move toward organizing services around single encounters may disrupt the development of secure trust.
ISSN: 1544-1709
Links: http://dx.doi.org/10.1370/afm.1160
http://www.annfammed.org/cgi/content/abs(...)
http://hdl.handle.net/2381/9330
Type: Article
Description: This paper was published as Annals of Family Medicine, 2010, 8 (5), pp. 440-446. It is available from http://www.annfammed.org/cgi/content/abstract/8/5/440. DOI: 10.1370/afm.1160
Metadata only entry
Appears in Collections:Published Articles, Dept. of Health Sciences

Files in This Item:

There are no files associated with this item.

View Statistics

Items in LRA are protected by copyright, with all rights reserved, unless otherwise indicated.

 

MAINTAINER