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The relationship between trust and compliance in the Italian NHS: Results of the People's Voice Survey

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  • Tarricone, Rosanna
  • Armeni, Patrizio
  • Arsenault, Catherine
  • Kruk, Margaret E.

Abstract

Public health systems are assessed not only for outcomes but also for their ability to sustain legitimacy and trust. Trust supports long-term cooperation, while mandates can secure immediate adherence but risk eroding trust and weakening future willingness to comply. Italy illustrates this paradox, combining strong outcomes and extensive COVID-19 mandates with comparatively low public confidence.

Suggested Citation

  • Tarricone, Rosanna & Armeni, Patrizio & Arsenault, Catherine & Kruk, Margaret E., 2026. "The relationship between trust and compliance in the Italian NHS: Results of the People's Voice Survey," Health Policy, Elsevier, vol. 165(C).
    • Handle: RePEc:eee:hepoli:v:165:y:2026:i:c:s0168851025002982
    DOI: 10.1016/j.healthpol.2025.105544
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    References listed on IDEAS

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