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Can We Create the Time?

Arch Intern Med. 2004;164:930-932.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Beneficence, confidentiality, and compassion are tenets of our profession and qualities that engender trust. Most, if not all, physicians believe that developing trust with their patients is essential to good clinical outcomes. We are not surprised when research validates this precept by showing that patient understanding, satisfaction, and compliance are better when the patient trusts the physician.^1-2

When considering the issue of trust in the broad domain of health care, it is important to separate the trust an individual physician can engender in a patient from the effects of the "system" of health care delivery in which both the patient and physician happen to find themselves. In this issue of the ARCHIVES, Keating et al³ analyze the relationship of trust among patients referred to internal medicine subspecialists and neurologists in an academic practice. For those of us who practice in these disciplines, this is a welcome extension of previous work . . . [Full Text of this Article]

Joel S. Levine, MD
Division of Gastroenterology-Hepatology
University of Colorado Health Sciences Center
B-158, 4200 E Ninth Ave
Denver, CO 80262
(e-mail: joel.levine@uchsc.edu)

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