Diametros 45:82-106 (2015)

Abstract
Trust is a fundament of decent and just health care. In a subtle relation between patient and physician trust not only fuels the process of therapy but also plays a therapeutic role itself. Trust is a precondition of successful cooperation – it lowers its costs, increases efficiency and brings satisfaction to the partners. Only altruistic trust acts as such. Philosophical arguments as well as experiments analysing birth of trust in health care praxis prove the validity of the altruistic model. Distinction between these two models casts light on the contemporary health care crisis. Many of todays’ reforms improve only cognitive side of trust by increasing predictability and efficiency of the health care system, while neglecting its crucial – ethical side. Article analyses also ambivalent influence of new technologies on these processes
Keywords health care reform  health care  I. Bohnet  A. Howson  new medical technologies  altruizm  J. Brownlie  altruism  J. Mansbridge  reforma służby zdrowia  M. Hillen
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DOI 10.13153/diam.45.2015.798
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