Trust and Transparency in Public Health 公开

Abstract

Trust and transparency are key contributors to the success or failure of public health programs at all levels. Trust and transparent communication must exist among the myriad of stakeholders including health authorities, community members, private actors, regulatory agencies, public health professionals, healthcare providers, and beyond. Variations of trust in public health entities by the community can result in poor compliance with public health measures and thus impaired safety and wellbeing of the people the programs aim to serve. Variation in trust limits the impact of even the most well-designed public health interventions. This systematic literature review explores the reasons for community mistrust of critical actors within the public health sphere by examining past and current public health interventions and how to enhance trust and transparency in public health interventions. The successes and failures of public health interventions are attributable to determinants of trust including religious beliefs and cultural practices, healthcare system capacity, community perception, governments, transparency by public health entities, and modes of information uptake. This review identifies gaps and limitations of current knowledge about the contribution and prevalence of the determinants above. Future research should include the collection of standardized program efficacy data to inform evidence-based public health action, enact positive community engagement, form multidisciplinary partnerships, and create novel policies and programs to ensure a future of healthy people and communities. 

Table of Contents

Table of Contents Chapter

1: Introduction ........................................................................................................1

1.1 Background and significance................................................................................2

1.2 Statement of the problem....................................................................................5

1.3 Statement of purpose..........................................................................................6

1.4 Research questions.............................................................................................6

Chapter 2: Methods..................................................................................................8

Chapter 3: Results....................................................................................................9

3.1 Determinants of community trust or mistrust in public health..............................11

3.2 Insightful public health interventions, recommendations, and programs................18

Chapter 4: Discussion, Recommendations & Conclusions...........................................26

4.1 Discussion.........................................................................................................26

4.2 Recommendations..............................................................................................27

4.3 Conclusions.......................................................................................................28

References..............................................................................................................29

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
关键词	Keywords: effective communication, public knowledge, public trust, transparency, trust, distrust, mistrust, community engagement, risk communication, misinformation, emergency preparedness, emergency response, pandemic, epidemic, outbreak, infectious disease.
Committee Chair / Thesis Advisor	Scott McNabb, Emory University

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