title: [Trust and reliability in surgery].
abstract: Social interactions are hardly possible without trust. Medical and in particular surgical actions can change the lives of people directly and indirectly existentially. Thus, the relationship between doctor and patient is a special form of social interaction, and will be hard to find anywhere else. The nature of the doctor-patient relationship also determines the success of a treatment. The core and the importance of trust, as a central part of this relationship, will be reconstructed in the present paper. The increasing possibilities of information acquisition in modern societies, and the ever-present need for transparency, impact more and more on the doctor-patient relationship. At first glance, concepts of trust seem to be of secondary importance. The current developments regarding the remuneration of services in the medical system likewise bear the risk to increasingly determine the importance of trust in the doctor-patient relationship. However, it is necessary to delineate reliability from trust. Due to the conditions which are constitutive for the operational disciplines, a climate of trust, even in a modern information society, is more necessary than ever.
authors.affiliation: Allgemein-und Viszeralchirurgie, Heilig-Geist-Hospital Bingen, Kapuzinerstraße 15-17, 55411, Bingen, Deutschland. thomas.weigel@heilig-geist-hospital.de.
authors.forename: T F
authors.initials: TF
authors.lastname: Weigel
authors.affiliation: Viszeral-und Thoraxchirurgie, Asklepios Klinik Langen, Röntgenstr 20, 63225, Langen, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Hanisch
authors.affiliation: Allgemein-und Viszeralchirurgie, St. Elisabethen-Krankenhaus, Ginnheimer Straße 3, 60487, Frankfurt, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Buia
authors.affiliation: Allgemein-und Viszeralchirurgie, Heilig-Geist-Hospital Bingen, Kapuzinerstraße 15-17, 55411, Bingen, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Hessler
mesh_terms: D002983:Clinical Competence / Q000191:economics / Q000592:standards; D003142:Communication; D003431:Cross-Cultural Comparison; D005858:Germany; D017048:Health Care Costs / Q000592:standards; D006801:Humans; D009313:National Health Programs / Q000191:economics / Q000592:standards; D010817:Physician-Patient Relations; D011785:Quality Assurance, Health Care / Q000592:standards; D012051:Reimbursement Mechanisms / Q000191:economics / Q000592:standards; D066231:Surgeons / Q000191:economics* / Q000523:psychology*; D035502:Trust / Q000523:psychology*
keywords: Physician-patient relationship; Quality; Reliability; Transparency; Trust