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Building Patient Trust in an Era of Mistrust in Healthcare 

Trust between physicians and patients is critical but increasingly fragile in today's environment of widespread health misinformation and skepticism. The article from the Physician Leadership Journal highlights the challenges physicians face due to the growth of anti-science rhetoric and misinformation, especially online.  

Outlook on Patient Care:

  • 77% of Americans have confidence in medical scientists, though skepticism has increased from 13% in 2019 to 22% in 2023

  • Meanwhile, just 34% of Americans said they had “a great deal” or “quite a lot” of confidence in the medical system, according to a survey by Gallup in June 2023

  • However, 93% of American adults trust their physician (Kaiser Family Foundation, 2023).

While patients generally trust their own doctors, the limited contact with physicians can create an information void that's often filled by less reliable sources like social media and neighbors.

How Healthcare Professionals Can Rebuilt Patient Trust

  1. Open Communication and Transparency 

    Physicians build credibility by being candid about medical information, explaining risks and benefits, and encouraging patients to seek second opinions. This kind of communication can be meaningful when we recognize our own biases and judgments that can skew the conversation, rather than a stance of curiosity. This transparency helps counteract misinformation, as patients tend to trust professionals who demonstrate integrity and respect for their concerns (Joseph, 2024). 

2. Emotional Connection and Empathy 

Understanding that misinformation often exploits fear, physicians can combat this by addressing patients' concerns empathetically. A consensus from the American Psychological Association shows that empathy helps mitigate the effects of fear-based misinformation, fostering a more trusting patient-provider relationship. 

3. Educational Engagement 

Physicians who actively provide educational resources—such as reliable online sites and reputable publications—help prevent patients from falling prey to harmful, incorrect information. Geeta Nayyar, MD, suggests that guiding patients to trusted information sources builds trust and reduces their reliance on non-expert advice.  Understanding the need for certainty in an uncertain world can be the foundation of believing in misinformation, the more certainty we can bring as healthcare professionals, the more we can build a foundation of trust.  Be willing to review the information that patients bring with an eye to curiosity and civil discussion with each other. 

4. Social Media as a Tool for Truth 

While social media can amplify misinformation, some physicians use it as a platform to share evidence-based knowledge. Megan Ranney, MD, emphasizes the importance of filling the information void left by non-experts with accurate, accessible facts to foster trust.

Social media can be an effective tool but can also be a haven for hate and retaliation, posts should often not allow for comment to prevent this and encourage discourse with their personal healthcare professionals. 

5. Institutional Support for Public Engagement 

Institutions should support physicians' engagement in public discourse, ensuring that they have the resources and guidance to navigate public messaging effectively. This support not only aids individual physicians but also contributes to organizational credibility. 

The Future of Trust in Healthcare

As trust in the healthcare system faces challenges, physicians can play a pivotal role in regaining it. By combining openness, empathy, education, and strategic public engagement, healthcare professionals can counteract misinformation and foster a trusting environment for their patients. 

For further information, you can read the full article in the Physician Leadership Journal here

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