 Trust is the engine of change: A conceptual model for trust building in health systemsMary B. Adam and Angela Donelson Systems Research and Behavioral Science, 2022, vol. 39, issue 1, 116-127 Abstract: We examine trust at the theory level as an engine driving sustainable change. We propose a new measurable dimension of the trust construct: reciprocity. Cooperative reciprocal relationships are its building blocks, enabling stakeholders to ‘try out’ interactions with less risk, calibrating level of effort, time and emotional investment before continuing further. Reciprocity includes three measurable elements: common goals furthering equitable and healthier communities, mutual self‐interests and gratitude/indebtedness. We utilize a process model showing how these building blocks interrelate within a health systems context to jump‐start and sustain reciprocal relationships. Process models are valuable in addressing internal dynamics of human relationships in complex systems as a complement to factor‐ or variance‐based models. We applied theory by longitudinally tracking community health volunteers, examining reciprocity in close‐to‐the‐community health systems. These methods and application of theory have relevance to environments where institutional structures are open to multistakeholder‐driven innovation. Date: 2022 Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:bla:srbeha:v:39:y:2022:i:1:p:116-127 Ordering information: This journal article can be ordered from Access Statistics for this article More articles in Systems Research and Behavioral Science from Wiley Blackwell |
Is your work missing from RePEc? Here is how to contribute.
Questions or problems? Check the EconPapers FAQ or send mail to .
EconPapers is hosted by the
School of Business at Örebro University.