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1 – 10 of over 95000Evelien van der Schee, Peter P. Groenewegen and Roland D. Friele
If public trust in health care is to be used as a performance indicator for health care systems, its measurement has to be sensitive to changes in the health care system. For this…
Abstract
Purpose
If public trust in health care is to be used as a performance indicator for health care systems, its measurement has to be sensitive to changes in the health care system. For this purpose, this study has monitored public trust in health care in The Netherlands over an eight‐year period, from 1997 to 2004. The study expected to find a decrease in public trust, with a low point in 2002.
Design/methodology/approach
Since 1997, public trust in health care was measured through postal questionnaires to the “health care consumer panel”. This panel consists of approximately 1,500 households and forms a representative sample of the Dutch population.
Findings
Trust in health care and trust in hospitals did not show any significant trend. Trust in medical specialists displayed an upward trend. Trust in future health care, trust in five out of six dimensions of health care and trust in general practitioners actually did show a decrease. However, only for trust in macro level policies and trust in professional expertise this trend continued. For the remaining trust objects, after 1999 or 2000, an upward trend set in.
Research implications/limitations
No support was found for our overall assumption. Explanations for the fact that trust did increase after 1999 or 2000 are difficult to find. On the basis of these findings the study questions whether the measure of public trust is sensitive enough to provide information on the performance of the health care system.
Originality/value
The aim of this research is to study public trust in health care on its abilities to be used as a performance indicator for health care systems.
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This study investigates the factors that influence citizens trust in public leaders [i.e. presidents, members of parliament (MPs) and local government leaders (LGs)] in 34…
Abstract
Purpose
This study investigates the factors that influence citizens trust in public leaders [i.e. presidents, members of parliament (MPs) and local government leaders (LGs)] in 34 countries in Africa between 2019 and 2021.
Design/methodology/approach
Individual-level data with a sample size of 48,084 was obtained from the Afro-Barometer round 8 survey only and analyzed using multivariate binary logistic regression.
Findings
Several important and intriguing observations were made from this analysis: (1) the performance of public leaders influences citizens trust in their leaders; (2) the perceived corruption of public leaders and civil servants and the level of corruption influence citizens trust in public leaders; (3) perceived neighborhood problems (i.e. fear of violence, fear of terrorism and service delivery) influence citizens trust in their public leaders and (4) the socio-demographic characteristics of citizens (i.e. age, religion, education, location, employment and political party affiliation) influence citizens trust in their public leaders.
Originality/value
This study is exceptional in two ways: (1) it examines and compares citizens trust in public leaders across different levels, i.e. presidents, MPs and LGs in Africa and (2) it examines and compares the factors influencing citizens trust in public leaders in Africa comparatively.
Sigurbjörg Sigurgeirsdóttir and GuÐrún Johnsen
Public trust in institutions in Iceland plunged after the country’s banking sector collapsed. The political system wobbled under outrage and anger when the general public took to…
Abstract
Public trust in institutions in Iceland plunged after the country’s banking sector collapsed. The political system wobbled under outrage and anger when the general public took to the streets. The Parliamentary Special Investigation Commission conducted a ground-breaking crisis-induced investigation, delivering a report that was a milestone in Iceland’s history of politics and public administration. Yet, despite this endeavour and the fact that subsequent investigations have disclosed ample information intended to restore trust in institutions, public trust remains unsteady. This chapter addresses the following questions: How has public trust in institutions progressed after the crash? Why is it taking so long for trust to return? In Chapter 3 in this volume, we examine data on public trust in Icelandic institutions from Gallup surveys over the 15 years from 2002 to 2017 in order to identify and explain patterns of trust in the aftermath of the crisis. Our interpretation of theory in this chapter suggests that elements of mistrust inherent in the principal–agent approach to accountability in public administration, implemented in previous New Public Management reforms, undermined the creation of a climate of trust necessary to ensure effective accountability mechanisms. We argue that in the absence of a climate of trust, accountability mechanisms of culpability that conflict with mechanisms of answerability, combined with a succession of post-crisis scandals, mainly explain the slow return of the public’s trust.
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Jacob Torfing and Tina Øllgaard Bentzen
Denmark is characterised by high levels of trust between citizens and public authorities as well as between public leaders and employees, providing a comparative advantage when it…
Abstract
Denmark is characterised by high levels of trust between citizens and public authorities as well as between public leaders and employees, providing a comparative advantage when it comes to expanding public welfare, enhancing economic performance and handling a crisis like COVID-19. Public governance, however, requires a delicate balance between trust and the legitimate need for control to secure accountability This chapter explains how the high levels of trust in the Danish public sector are wedded to a pragmatic combination of various public governance paradigms, which has produced a ‘hybrid governance system’ balancing the legitimate demand for control with widespread trust in public employees. Traditional Weberian bureaucratic values of regularity, impartiality and expertise are combined with a limited and selective introduction of New Public Management reforms. Simultaneously, a dynamic neo-Weberian state works to satisfy an increasingly demanding citizenry while new platforms for developing collaborative solutions to complex problems are designed and developed at the municipal level. This hybrid governance system produces a virtuous circle of trust sustained by trust-based systems of evaluation, assessment and accountability developed in close dialogue between public managers and employees. The chapter demonstrates how a long-lasting political-administrative culture based on trust and a pragmatic, non-ideological combination of different governance paradigms has generated a positive trust‒public governance feedback loop. Striking the right control‒trust balance remains a continual challenge, however, to avoid governance failures eroding citizen trust in the public sector and to safeguard public values of transparency, accountability and performance.
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The decline of trust in government has been a critical issue in many parts of the world. Various surveys have indicated that the public cast suspicious eyes on their government…
Abstract
The decline of trust in government has been a critical issue in many parts of the world. Various surveys have indicated that the public cast suspicious eyes on their government and become less trustful of performance of their public sector. The OECD labels trust in government as a fundamental element of the democratic “contract,” while its decline may have significant impacts on government activities. Likewise, the UN also refers to trust as the foundation for good governance; therefore, improving trust would help strengthen sound governance in any polity. As these examples demonstrate, trust in government has increasingly become a central concern for government reformers.
In Japan, for a long time, bureaucrats have been perceived to be trustful social agents and they have enjoyed more confidence than those of party members. However, a series of scandals involving high-ranking bureaucrats, in addition to several policy failures and severe financial difficulties, have deteriorated the trustful image of Japanese public officials. Confronted with the problem, both central and local governments in Japan have attempted to improve their public perceptions and tried to rebuild trust in government by resorting to various types of administrative reform. However, the identification of reasons for the decline of public trust in government appear an awesome task and hard to come. While some of the reforms have helped contributed rebuilding trust, others have further eroded the level of government confidence.
Against these backgrounds, the chapter aims to show the current level of trust in government, specifically in Japan. It tries to assess government efforts of rebuilding trust by discussing different government reforms at both the central and the local levels.
Tawanda Nyikadzino and Natasha Mataire
One of the critical challenges confronting the Government of Zimbabwe in disaster management is the dearth of public trust. Public trust is an indispensable governance component…
Abstract
One of the critical challenges confronting the Government of Zimbabwe in disaster management is the dearth of public trust. Public trust is an indispensable governance component as it promotes public participation and support. It is even more important in times of crises where cooperative, collaborative and comprehensive approaches are required. The Coronavirus disease (COVID-19), first identified in December 2019 in Wuhan, China, and declared a public health emergency of international concern by the World Health Organization (WHO) on 30 January 2020, is a classic example of a wicked problem that requires public trust in containing it. In Zimbabwe, the government declared the pandemic a national disaster on 17 March 2020; thereafter, it adopted and administered different policy instruments ranging from sermons to sticks to contain the pandemic. Using desktop and secondary data, this chapter argues that the lack of public trust significantly hampered the Government of Zimbabwe's response to the pandemic. Rather than building back the lost public trust, factors such as lack of transparency and accountability, incapacitation, unethical conduct, a heavy-handed approach and lack of meaningful government support further broke the already fragile social contract and public trust. The chapter recommends the need for the strengthening of transparency, accountability, public engagement and effective communication as important strategies for rebuilding public trust.
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This study aims to investigate the correlation between public trust and the performance of collaborative e-governance, with a particular emphasis on trust in government…
Abstract
Purpose
This study aims to investigate the correlation between public trust and the performance of collaborative e-governance, with a particular emphasis on trust in government institutions as the central aspect of inquiry. It assesses how public trust influences e-governance performance through the lens of good governance principles, encompassing evaluations of trust in government services and trust in the technological infrastructure used for citizen services.
Design/methodology/approach
The research framework is based on a thorough literature review, pilot study and practical experience. An empirical survey was conducted using a structured questionnaire to collect primary data from individuals who have used specific e-governance projects. To conduct the survey, the author used the snowball sampling method both offline and online. The author analysed the data using SmartPLS Version 3 to assess the measurement and structural model.
Findings
The study rigorously examines and confirms all formulated hypotheses using robust statistical analyses. Nonetheless, the results underscore the pivotal significance of the reliability and utility of e-governance services in nurturing public trust. Furthermore, the research unveils a troubling concern pertaining to the absence of tailored responses to citizen inquiries, grievances and recommendations, indicating an area of vulnerability in the effort to cultivate public trust.
Research limitations/implications
The research has implications for managers, citizens and researchers. It focuses on public trust in interaction-based collaboration, but researchers may extend it to other forms like content-based collaboration. Policymakers can implement the findings in present and future e-governance projects. Limitations include a moderate sample size, country context, and not assessing other factors that may influence public trust in collaborative e-governance performance.
Originality/value
This study contributes to the existing body of knowledge by exploring the link between good governance, public trust and collaborative e-governance performance. It focuses on projects that require physical visits to government offices, where public trust has been impacted. This study is unique because it assesses public trust in collaborative e-governance, specifically in the context of India, where there is limited prior research on this topic exists.
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This article seeks to discuss trust within the context of public health crises using an autopoietic systems perspective that positions communication as one of its core concepts…
Abstract
Purpose
This article seeks to discuss trust within the context of public health crises using an autopoietic systems perspective that positions communication as one of its core concepts. This article will explore trust studies conducted during public health crises in this Millennium (from SARS to COVID-19 pandemics), including their problems; briefly summarize Luhmann's concept of Vertrauen; and use this concept to analyze trust issues during the COVID-19 pandemic.
Design/methodology/approach
This article will explore trust studies conducted during public health crises from SARS to COVID-19 pandemics, including their problems. The perspective used is an explication of Niklas Luhmann's theory regarding Vertrauen which was derived as a framework for reading empirical facts on trust issues during the COVID-19 pandemic. The research design and exploration stages were inspired by the theory of autopoiesis systems by Niklas Luhmann.
Findings
From a systems perspective, the COVID-19 pandemic has highlighted the extraordinary complexity of the linkages between social systems. Trust will continue to evolve dynamically as new variants emerge in society. Consequently, the pandemic has provided the momentum necessary for maximally exploring the concept of trust. Indonesia thus experienced significant obstacles when making and implementing disaster mitigation policies. Owing to the lack of a trust system, greater emphasis was given to control and power. There has been little preparedness to create and reinforce public trust, and this in turn has stifled efforts to stop the spread of COVID-19.
Originality/value
This study of trust, communication and public health crises has provided space to reflect on the development of trust within the social system. This study shows that trust can prove to be a very important factor in resolving a crisis. However, the complexity of the interrelationships of the social system can affect the quality of trust. The context of Indonesia's social system which is very complex due to population density and the dynamics of the development of its social system which is very diverse as an archipelagic country has contributed to the originality of the study of trust in times of crisis in a growing contemporary society.
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Sylke Jaspers and Koen Migchelbrink
In coproduction, citizens may be confronted with a conflict between creating user value and a more collective understanding of public value creation. In order to deal with…
Abstract
Purpose
In coproduction, citizens may be confronted with a conflict between creating user value and a more collective understanding of public value creation. In order to deal with conflicts experienced as trade-off situations, coproducers follow various coping strategies leading to different results. This study aims to gain insight into what drives the choices for coping strategies, which are valuable for understanding the role of citizen coproducers in public value creation.
Design/methodology/approach
This article studies the effects of citizens' external efficacy and trust in public servants on citizen coproducers' preferences for coping strategies. The study presents a vignette experiment among n = 257 citizens involved in the temporary use of vacant spaces in Flanders, Belgium.
Findings
No statistically significant effects of external efficacy and trust in public servants on respondents' preferences for coping strategies are found. The results show that irrespective of the level of external efficacy or trust in public servants, citizen coproducers prefer to ask for help from the public servant involved in the project.
Originality/value
This result draws attention to the need for facilitation and guidance from public servants and the servants' organizations to help citizen coproducers balance out these otherwise paralyzing value conflicts. Moreover, the lack of statistically significant effects of trust and external efficacy is a valuable finding for literature. The result shows that, in the drivers of coproduction behavior, there is no consistent relationship between citizen trust in government or external efficacy and coproduction behavior.
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The author studies the determinants of public trust in government doctors and hospitals (DH) – a crucial indicator of the quality of a country's healthcare system – in India by…
Abstract
Purpose
The author studies the determinants of public trust in government doctors and hospitals (DH) – a crucial indicator of the quality of a country's healthcare system – in India by analyzing the India Human Development Survey (IHDS) 2011–2012.
Design/methodology/approach
The author uses descriptive statistics and a set of ordered probit regression models controlling for a set of individual-specific, household-level and other covariates and analyze across heterogeneous contexts (national/rural/urban/male heads/female heads/social groups).
Findings
Across contexts, people reporting a great deal of trust in private DH (PDH) are significantly more likely to report a great deal of trust in government DH. Those people with a great deal of trust in government schools to provide good education (vis-à-vis people with only some trust in government school) have significantly higher likelihood of reporting a great deal of trust in government DH. Visiting a private doctor last time (vis-à-vis a government doctor) makes reporting higher trust levels in government DH less likely.
Practical implications
India's healthcare system is afflicted with several resource allocation problems and low public trust issues are indicative of misgovernance. In presence of limited state capacity, ubiquitous corruption and underwhelming institutional trust, understanding the factors influencing public trust in healthcare providers is critical to designing appropriate trust-enhancing public health policies.
Originality/value
Given the sparse empirical literature on public trust in healthcare systems in the developing countries such as India, this study is a pertinent contribution as the study explains the determinants of public trust in DH using a comprehensive unit-recorded household survey dataset.
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