This paper suggests a framework for measuring trust in health care at the institutional level and for explaining the impact of structural variables on trust. The empirical study was conducted in Israel using a national survey. Trust in health care is found to be positively related with performance and satisfaction much more than with participation in decision-making processes and other structural variables such as accessibility, equality, and autonomy. Participation is positively related with performance. The paper also provides an explanation based on political culture for the weak relations between participation in decision-making and trust in health-care organizations.
- health services
- participation in decision-making