• Mark Linzer, Hannah Neprash, Roger Brown, Eric Williams, Crystal Audi, Sara Poplau, Kriti Prasad, Dhruv Khullar, and Healthy Work Place Investigators.
• Hennepin Healthcare Research Institute, Hennepin Healthcare, Minneapolis, MN mark.linzer@hcmed.org.
• Ann Fam Med. 2021 Nov 1; 19 (6): 521526521-526.

PurposeTrust is an essential component of health care. Clinicians need to trust organizational leaders to provide a safe and effective work environment, and patients need to trust their clinicians to deliver high-quality care while addressing their health care needs. We sought to determine perceived characteristics of clinics by clinicians who trust their organizations and whose patients have trust in them.MethodsWe used baseline data from the Healthy Work Place trial, a randomized trial of interventions to improve work life in 34 Midwest and East Coast primary care clinics, to identify clinic characteristics associated with high clinician and patient trust.ResultsThe study included 165 clinicians with 1,132 patients. High trust by clinicians with patients who trusted them was found for 34% of 162 clinicians with sufficient data for modeling. High clinician-high patient trust occurred when clinicians perceived their organizational cultures to have (1) an emphasis on quality (odds ratio [OR] 4.95; 95% CI, 2.02-12.15; P <.001), (2) an emphasis on communication and information (OR 3.21; 95% CI, 1.33-7.78; P = .01), (3) cohesiveness among clinicians (OR 2.29; 95% CI, 1.25-4.20; P = .008), and (4) values alignment between clinicians and leaders (OR 1.86; 95% CI, 1.23-2.81; P = .003).ConclusionAddressing organizational culture might improve the trust of clinicians whose patients have high trust in them.© 2021 Annals of Family Medicine, Inc.

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