Calnan, M.W. and Rowe, R. (2008) Trust, accountability and choice. Health Risk & Society, 10 (3). pp. 201-206. ISSN 1369-8575.
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The emphasis in recent government policy for the NHS in England on the need to increase both the accountability of health care professionals and the choice available to patients have implications for trust relations. However, the findings from empirical research have not only highlighted the continued salience of trust to health care relationships but have questioned the effectiveness of performance management as a means of accountability and the ability of performance data to act as indicators of quality. This research evidence also suggests choice and trust do seem to be related and when choice is exercised it does seem to be based on trust of the doctors' competence and the cleanliness of the hospital mainly derived from indirect or direct experience. Performance information appears to act post the GP referral decision to influence the extent to which patients feel comfortable with the referral rather than actively determining where patients choose to be referred.
|Additional information:||Editorial Material|
|Uncontrolled keywords:||trust; choice; accountability; NHS NHS PERFORMANCE HEALTH CARE|
|Subjects:||R Medicine > RA Public aspects of medicine|
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research|
|Depositing User:||Suzanne Duffy|
|Date Deposited:||17 May 2010 11:55|
|Last Modified:||20 Apr 2012 14:43|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/14857 (The current URI for this page, for reference purposes)|
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