IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v292y2022ics0277953621009059.html
   My bibliography  Save this article

The vicious cycle of distrust: Access, quality, and efficiency within a post-communist mental health system

Author

Listed:
  • Doblytė, Sigita

Abstract

Trust –a critical mechanism to manage vulnerability amidst uncertainty– may greatly influence healthcare practices, and consequently, its objectives. Building upon the work of Jürgen Habermas and the framework of trust chains, the aim of this article is to unpack how trust dynamics between the state, the provider, and the service user shape the functioning of mental healthcare in one of the former Soviet states –Lithuania. The case is of interest to medical sociology due to the region's historical and contemporary context. By drawing on in-depth interviews with healthcare providers and users, I demonstrate how the chains of reciprocal distrust underpin the workings of the mental health system and how the actors in turn employ a range of responses to such distrust. The instances of trusting relations nevertheless demonstrate how trust might facilitate the strive for mental healthcare that is more accessible, efficient, and of higher quality.

Suggested Citation

  • Doblytė, Sigita, 2022. "The vicious cycle of distrust: Access, quality, and efficiency within a post-communist mental health system," Social Science & Medicine, Elsevier, vol. 292(C).
    • Handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621009059
    DOI: 10.1016/j.socscimed.2021.114573
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621009059
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.114573?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Barry, Christine A. & Stevenson, Fiona A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2001. "Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice," Social Science & Medicine, Elsevier, vol. 53(4), pages 487-505, August.
    2. Djankov, Simeon & Nikolova, Elena & Zilinsky, Jan, 2016. "The happiness gap in Eastern Europe," Journal of Comparative Economics, Elsevier, vol. 44(1), pages 108-124.
    3. Wilk, Adam S. & Platt, Jodyn E., 2016. "Measuring physicians' trust: A scoping review with implications for public policy," Social Science & Medicine, Elsevier, vol. 165(C), pages 75-81.
    4. Baji, Petra & Rubashkin, Nicholas & Szebik, Imre & Stoll, Kathrin & Vedam, Saraswathi, 2017. "Informal cash payments for birth in Hungary: Are women paying to secure a known provider, respect, or quality of care?," Social Science & Medicine, Elsevier, vol. 189(C), pages 86-95.
    5. Katarzyna Growiec & Jakub Growiec, 2014. "Trusting Only Whom You Know, Knowing Only Whom You Trust: The Joint Impact of Social Capital and Trust on Happiness in CEE Countries," Journal of Happiness Studies, Springer, vol. 15(5), pages 1015-1040, October.
    6. Stasiulis, Elaine & Gibson, Barbara E. & Webster, Fiona & Boydell, Katherine M., 2020. "Resisting governance and the production of trust in early psychosis intervention," Social Science & Medicine, Elsevier, vol. 253(C).
    7. Gilson, Lucy, 2003. "Trust and the development of health care as a social institution," Social Science & Medicine, Elsevier, vol. 56(7), pages 1453-1468, April.
    8. Gilson, Lucy & Palmer, Natasha & Schneider, Helen, 2005. "Trust and health worker performance: exploring a conceptual framework using South African evidence," Social Science & Medicine, Elsevier, vol. 61(7), pages 1418-1429, October.
    9. Carlson, Per, 2004. "The European health divide: a matter of financial or social capital?," Social Science & Medicine, Elsevier, vol. 59(9), pages 1985-1992, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Groenewegen, Peter P. & Hansen, Johan & de Jong, Judith D., 2019. "Trust in times of health reform," Health Policy, Elsevier, vol. 123(3), pages 281-287.
    2. Stasiulis, Elaine & Gibson, Barbara E. & Webster, Fiona & Boydell, Katherine M., 2020. "Resisting governance and the production of trust in early psychosis intervention," Social Science & Medicine, Elsevier, vol. 253(C).
    3. Daker-White, Gavin & Rogers, Anne & Kennedy, Anne & Blakeman, Thomas & Blickem, Christian & Chew-Graham, Carolyn, 2015. "Non-disclosure of chronic kidney disease in primary care and the limits of instrumental rationality in chronic illness self-management," Social Science & Medicine, Elsevier, vol. 131(C), pages 31-39.
    4. Magrath, Priscilla & Nichter, Mark, 2012. "Paying for performance and the social relations of health care provision: An anthropological perspective," Social Science & Medicine, Elsevier, vol. 75(10), pages 1778-1785.
    5. Ezumah, Nkoli & Manzano, Ana & Ezenwaka, Uchenna & Obi, Uche & Ensor, Tim & Etiaba, Enyi & Onwujekwe, Obinna & Ebenso, Bassey & Uzochukwu, Benjamin & Huss, Reinhard & Mirzoev, Tolib, 2022. "Role of trust in sustaining provision and uptake of maternal and child healthcare: Evidence from a national programme in Nigeria," Social Science & Medicine, Elsevier, vol. 293(C).
    6. Ingmar Leijen & Hester van Herk, 2021. "Health and Culture: The Association between Healthcare Preferences for Non-Acute Conditions, Human Values and Social Norms," IJERPH, MDPI, vol. 18(23), pages 1-15, December.
    7. Wilk, Adam S. & Platt, Jodyn E., 2016. "Measuring physicians' trust: A scoping review with implications for public policy," Social Science & Medicine, Elsevier, vol. 165(C), pages 75-81.
    8. Bloom, Gerald & Standing, Hilary & Lloyd, Robert, 2008. "Markets, information asymmetry and health care: Towards new social contracts," Social Science & Medicine, Elsevier, vol. 66(10), pages 2076-2087, May.
    9. Hampshire, Kate & Hamill, Heather & Mariwah, Simon & Mwanga, Joseph & Amoako-Sakyi, Daniel, 2017. "The application of Signalling Theory to health-related trust problems: The example of herbal clinics in Ghana and Tanzania," Social Science & Medicine, Elsevier, vol. 188(C), pages 109-118.
    10. Teela, Katherine C. & Mullany, Luke C. & Lee, Catherine I. & Poh, Eh & Paw, Palae & Masenior, Nicole & Maung, Cynthia & Beyrer, Chris & Lee, Thomas J., 2009. "Community-based delivery of maternal care in conflict-affected areas of eastern Burma: Perspectives from lay maternal health workers," Social Science & Medicine, Elsevier, vol. 68(7), pages 1332-1340, April.
    11. Hamill, Heather & Hampshire, Kate & Mariwah, Simon & Amoako-Sakyi, Daniel & Kyei, Abigail & Castelli, Michele, 2019. "Managing uncertainty in medicine quality in Ghana: The cognitive and affective basis of trust in a high-risk, low-regulation context," Social Science & Medicine, Elsevier, vol. 234(C), pages 1-1.
    12. Katarzyna Growiec & Jakub Growiec, 2016. "Bridging Social Capital and Individual Earnings: Evidence for an Inverted U," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(2), pages 601-631, June.
    13. Katarzyna Growiec & Jakub Growiec & Bogumil Kaminski, 2017. "Social Network Structure and The Trade-Off Between Social Utility and Economic Performance," KAE Working Papers 2017-026, Warsaw School of Economics, Collegium of Economic Analysis.
    14. Michal Brzezinski, 2019. "Diagnosing Unhappiness Dynamics: Evidence from Poland and Russia," Journal of Happiness Studies, Springer, vol. 20(7), pages 2291-2327, October.
    15. Schneider, Pia, 2005. "Trust in micro-health insurance: an exploratory study in Rwanda," Social Science & Medicine, Elsevier, vol. 61(7), pages 1430-1438, October.
    16. Brownlie, Julie & Howson, Alexandra, 2006. "'Between the demands of truth and government': Health practitioners, trust and immunisation work," Social Science & Medicine, Elsevier, vol. 62(2), pages 433-443, January.
    17. Nikolova, Milena, 2016. "Minding the happiness gap: Political institutions and perceived quality of life in transition," European Journal of Political Economy, Elsevier, vol. 45(S), pages 129-148.
    18. Kruk, Margaret E. & Rockers, Peter C. & Mbaruku, Godfrey & Paczkowski, Magdalena M. & Galea, Sandro, 2010. "Community and health system factors associated with facility delivery in rural Tanzania: A multilevel analysis," Health Policy, Elsevier, vol. 97(2-3), pages 209-216, October.
    19. Coupe, Tom & Obrizan, Maksym, 2016. "The impact of war on happiness: The case of Ukraine," Journal of Economic Behavior & Organization, Elsevier, vol. 132(PA), pages 228-242.
    20. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621009059. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.