Thank you, Dr. Frank! I agree completely (personally and "scientifically").
The poll was designed to assess the trustworthiness of different sectors in society, not individuals or workforces (so "universities" not "professors"). That was also the approach the center took with the Principles: what can organizations/institutions do to demonstrate they are worthy of trust. The idea being that it will take deep collaborations between these sectors to achieve the kind of systemic collaborations needed to create health opportunity.
But one-on-one trust between patients and providers is key, of course! Here's some additional
AAMC strategic plan-related work that touches more on "individual-level" trust:
Building confidence in COVID-19 vaccines. Through a cooperative agreement with the U.S. Centers for Disease Control and Prevention, we've established VaccineVoices achieved extensive media outreach, and launched a grant program focused on building trust and confidence through partnerships. We also convened a medical education symposium on confronting health misinformation. We're launching medical education grants to address health misinformation.
And just in case, here a link to
Building Trust – An initiative of the ABIM Foundation So many great resources and opportunities (and just so I'm transparent and so people don't think I'm being self-promoting on the sly, when you scroll down you'll see a gigantic photo of me in promotion of an upcoming
"trust conversation" I've been invited to)
And again, thanks for the interest in the center's work!
Philip
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Philip Alberti
Senior Director, Health Equity Research and Policy
Founding Director, AAMC Center for Health Justice
Association of American Medical Colleges
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Original Message:
Sent: 12-21-2021 14:17
From: Brian Frank
Subject: New "State of Trustworthiness" Polling brief from AAMC Center for Health Justice
@Philip Alberti
Thank you for sharing this, and for the important work of the CHJ. If I'm being honest, I was most surprised (and disappointed) to see that the entirety of the healthcare system was simply represented by "hospitals" even though the majority of people's experience with healthcare occur in the outpatient setting with primary care providers. Compared to the 79% figure in the CHJ survey, an NPR poll showed that trust in "your personal doctor" was 85%. This gap even held true for contentious health issues. In a poll from the African American Research Collaborative, the most effective messenger for COVID vaccination was "my personal doctor/primary care physician" at 60% with "local hospitals" trailing at 53%. The same poll showed "my doctor's office" as the preferred site of vaccination overall, with "hospital" at only 23% [acknowledgment to our PA and NP colleagues for both surveys' omission of their valuable contributions]. I would posit that the unique, often lifelong, relationship people share with primary care providers will be the key to improving public faith in the healthcare system. Failing to acknowledge this distinction risks misdirecting resources as we work to rebuild trust with the communities we serve.
Respectfully,
Brian Frank MD
Assistant Professor
Department of Family Medicine
Oregon Health & Science University
Portland, OR
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Brian Frank
Assistant Professor
Oregon Health & Science University School of Medicine
Original Message:
Sent: 12-17-2021 08:35
From: Philip Alberti
Subject: New "State of Trustworthiness" Polling brief from AAMC Center for Health Justice
Good morning AAMC CHARGE and the academic medicine community!
In case you missed it, yesterday the AAMC CHJ released results from it's September 2021 polling where we asked US adults whether they trusted various kinds of community-based institutions to treat everyone fairly and whether that trust has changed during COVID19.
The State of Trustworthiness | Center For Health Justice (aamchealthjustice.org)
Some of the results surprised the heck out of me! Fire departments are the most trusted by everyone regardless of race, age, income, geography, etc. (yet in my 20+ year community health career we've never partnered with one! Why not!?!) Our youngest, Gen Z adults stood out as outliers in terms of how deeply DIStrustful they are and as the only demographic group of any kind whose net trust decreased during the pandemic. It was also gratifying to read that many US adults, when asked what these sectors can do to increase their trustworthiness, expressed actions parallel to those in the center's Principles of Trustworthiness.
The Principles of Trustworthiness | Center For Health Justice (aamchealthjustice.org)
Our brief only shares a handful of findings, but we link to the full data tables. I'd be eager to hear: what surprised you? How might these findings impact your own community collaborations?
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Philip Alberti
Senior Director, Health Equity Research and Policy
Association of American Medical Colleges
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