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Other stories describing clinical mistrust of patients highlight a need for healthcare professionals to ask more 'searching questions' in order to truly reveal what lies beneath the surface of a patient's outward appearance.
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Trust was frequently attributed to other service users and although intimated, mistrust of other patients was never actually articulated.
The fact that the Bezwoda trials had not been approved by the local ethics and review committee together with the falsified publications led to mistrust, dramatically reducing enrolment of patients in prospective trials [ 108].
In a pilot survey expanding African American physician perceptions about clinical trials, 166 physician reported that low enrollment were due to lack of patient awareness and patient mistrust of the medical community 14.
Implementing the recommendations from this study may also help in addressing patient mistrust of mainstream health services and reduce the impact of institutionalised racism on Aboriginal renal patients.
In addition to the witnessed violence, the healthcare providers described being unable to travel from their homes or obtain resources such as food, not being allowed to provide care in particular clinics because of the perceived risk to members of their ethnicity in that community, and experiencing mistrust from patients because of the providers' ethnicity.
There also appears to be a level of mistrust of medical research and some patients were more likely to accept an experimental treatment 'outside' of a research protocol.
Bioethical codes are predicated on assumptions of mistrust and hazard: patients need to be protected from risky research which is often linked to powerful commercial interests.
At the top of the list of reasons China may be facing a cancer crisis is the crucial issue of mistrust between patient and doctor.
Just one patient expressed mistrust of the motivations of research and declined to participate in any biomedical studies.
In contrast, there was an emphasis on reported mistrust of staff, and even when a patient put the well-being of other patients on the ward at risk, the staff were assigned responsibility for their ability to contain or bring the situation under control.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com