title: Perceptions of trust in physician-managers.
abstract: OBJECTIVE
  The purpose of this paper is to explore the dual role of physician-managers through an examination of perceptions of trust and distrust in physician-managers. The healthcare sector needs physicians to lead. Physicians in part-time managerial positions who continue their medical practice are called part-time physician-managers. This paper explores this dual role through an examination of perceptions of trust and distrust in physician-managers.
  
  
  METHODS
  The study takes a qualitative research approach in which interviews and focus group discussions with physician-managers and nurse-managers provide the empirical data. An analytical model, with the three elements of ability, benevolence and integrity, was used in the analysis of trust and distrust in physician-managers.
  
  
  RESULTS
  The respondents (physician-managers and nurse-managers) perceived both an increase and a decrease in physicians' trust in the physician-managers. Because elements of distrust were more numerous and more severe than elements of trust, the physician-managers received negative perceptions of their role.
  
  
  CONCLUSIONS
  This paper's findings are based on perceptions of perceptions. The physicians were not interviewed on their trust and distrust of physician-managers.
  
  
  CONCLUSIONS
  The healthcare sector must pay attention to the diverse expectations of the physician-manager role that is based on both managerial and medical logics. Hospital management should provide proper support to physician-managers in their dual role to ensure their willingness to continue to assume managerial responsibilities.
  
  
  CONCLUSIONS
  The paper takes an original approach in its research into the dual role of physician-managers who work under two conflicting logics: the medical logic and the managerial logic. The focus on perceived trust and distrust in physician-managers is a new perspective on this complicated role.
authors.affiliation: School of Public Administration, University of Gothenburg, Göteborg, Sweden.
authors.forename: Anna
authors.initials: A
authors.lastname: Cregård
authors.forename: Nomie
authors.initials: N
authors.lastname: Eriksson
mesh_terms: D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D008486:Physician Executives; D036301:Qualitative Research; D013548:Sweden; D035502:Trust
keywords: Healthcare; Managerial logic; Medical logic; Part-time manager; Perceived trust; Physician-manager