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2021 | OriginalPaper | Chapter

10. Patient-Doctor Trust at Local Healthcare Centers in Rural Bangladesh

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Abstract

Patient-doctor trust depends on patients’ perception of the trustworthiness of doctors, patients’ propensity to trust, and doctors’ fulfillment of patients’ expectations. This chapter explores the components of trust and its development in rural healthcare institutions in Bangladesh, namely the Upazila Health Complexes (UHCs), with doctors as the focus of trust. Based on a study of six rural UHCs, it is found that the dynamics of trust between patients and doctors can be explained and assessed by using (Kim,.Administration & Society 37:611–635, 2005) dimensions of trustworthiness, that is, competence, credible commitment, benevolence, honesty, and fairness. The findings suggest that UHCs enjoy a high level of patients’ trust in all the dimensions of institutional trustworthiness. The non-clinical behavioral aspects of doctors are found to be more instrumental in the formation of patients’ initial trust in UHCs than is the clinical dimension of competence.

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Footnotes
1
Upazila denotes a sub-district, which is the second-lowest administrative unit in Bangladesh (the lowest level is the union parishad). Upazilas operate according to a decentralized model of governance and have locally elected representatives and public officials.
 
2
The Daily Star, June 30,2019.
 
3
The Daily Star, August 2019.
 
4
“PM irked by doctors’ absence at upazila level hospitals,” Daily Star, October 08, 2018.
“Crisis of doctors at upazila hospitals,” Daily Star, October 9, 2018.
“Government clams down on doctor absenteeism,” Dhaka Tribune, July 26, 2015.
 
5
“Beton Gramey, Thaken Dhakay” [“salaried at rural workstation, but lives in Dhaka”], Doinik Amader Shomoy, May 21, 2013.
 
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Metadata
Title
Patient-Doctor Trust at Local Healthcare Centers in Rural Bangladesh
Author
Md. Mahfuzul Haque
Copyright Year
2021
DOI
https://doi.org/10.1007/978-3-030-66018-5_10