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A qualitative study of patient (dis)trust in public and private hospitals: the importance of choice and pragmatic acceptance for trust considerations in South Australia

Overview of attention for article published in BMC Health Services Research, July 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (89th percentile)

Mentioned by

1 news outlet
1 blog
1 policy source
1 Facebook page


35 Dimensions

Readers on

107 Mendeley
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A qualitative study of patient (dis)trust in public and private hospitals: the importance of choice and pragmatic acceptance for trust considerations in South Australia
Published in
BMC Health Services Research, July 2015
DOI 10.1186/s12913-015-0967-0
Pubmed ID

Paul R. Ward, Philippa Rokkas, Clinton Cenko, Mariastella Pulvirenti, Nicola Dean, Simon Carney, Patrick Brown, Michael Calnan, Samantha Meyer


This paper explores the nature and reasoning for (dis)trust in Australian public and private hospitals. Patient trust increases uptake of, engagement with and optimal outcomes from healthcare services and is therefore central to health practice, policy and planning. A qualitative study in South Australia, including 36 in-depth interviews (18 from public and 18 from private hospitals). 'Private patients' made active choices about both their hospital and doctor, playing the role of the 'consumer', where trust and choice went hand in hand. The reputation of the doctor and hospital were key drivers of trust, under the assumption that a better reputation equates with higher quality care. However, making a choice to trust a doctor led to personal responsibility and the additional requirement for self-trust. 'Public patients' described having no choice in their hospital or doctor. They recognised 'problems' in the public healthcare system but accepted and even excused these as 'part of the system'. In order to justify their trust, they argued that doctors in public hospitals tried to do their best in difficult circumstances, thereby deserving of trust. This 'resigned trust' may stem from a lack of alternatives for free health care and thus a dependence on the system. These two contrasting models of trust within the same locality point to the way different configurations of healthcare systems, hospital experiences, insurance coverage and related forms of 'choice' combine to shape different formats of trust, as patients act to manage their vulnerability within these contexts.

Mendeley readers

The data shown below were compiled from readership statistics for 107 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 107 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 26 24%
Student > Postgraduate 11 10%
Student > Ph. D. Student 11 10%
Student > Bachelor 10 9%
Professor 7 7%
Other 22 21%
Unknown 20 19%
Readers by discipline Count As %
Medicine and Dentistry 22 21%
Social Sciences 16 15%
Nursing and Health Professions 15 14%
Business, Management and Accounting 10 9%
Psychology 8 7%
Other 10 9%
Unknown 26 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 16. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 March 2017.
All research outputs
of 21,338,015 outputs
Outputs from BMC Health Services Research
of 7,090 outputs
Outputs of similar age
of 268,984 outputs
Outputs of similar age from BMC Health Services Research
of 1 outputs
Altmetric has tracked 21,338,015 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,090 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.4. This one has done particularly well, scoring higher than 90% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 268,984 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 89% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them