Public trust in health care: a comparison of Germany, The Netherlands, and England and Wales

Health Policy. 2007 Apr;81(1):56-67. doi: 10.1016/j.healthpol.2006.04.004. Epub 2006 Jun 14.


This article describes public trust in health care in three European countries. Public trust is a generalised attitude, influenced by people's experiences in contacts with representatives of institutions, in its turn influencing how people enter these contacts. In general, people in Germany have less trust in health care, while people in England and Wales have the highest trust levels. Cultural differences between the three countries could be an important source of differences. That makes public trust a less straightforward candidate for use as indicator of the future oriented dimension of user views in an international, comparative performance framework.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Delivery of Health Care*
  • Europe
  • Female
  • Humans
  • Male
  • Middle Aged
  • Public Opinion*
  • Surveys and Questionnaires
  • Trust*