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Context: The COVID-19 pandemic has reignited a commitment from the health policy and health services research communities to rebuilding trust in healthcare and created a renewed appetite for measures of trust for system monitoring and evaluation. The aim of the present paper was to develop a multidimensional measure of trust in healthcare that: (1) Is responsive to the conceptual and methodological limitations of existing measures; (2) Can be used to identify systemic explanations for lower levels of trust in equity-deserving populations; (3) Can be used to design and evaluate interventions aiming to (re)build trust. Methods: We conducted a 2021 review of existing measures of trust in healthcare, 72 qualitative interviews (Aug-Dec 2021; oversampling for equity-deserving populations), an expert review consensus process (Oct 2021), and factor analyses and validation testing based on two waves of survey data (Nov 2021, n = 694; Jan-Feb 2022, n = 740 respectively). Findings: We present the Trust in Multidimensional Healthcare Systems Scale (TIMHSS); a 38-item correlated three-factor measure of trust in doctors, policies, and the system. Measurement of invariance tests suggest that the TIMHSS can also be reliably administered to diverse populations. Conclusions: This global measure of trust in healthcare can be used to measure trust over time at a population level, or used within specific subpopulations, to inform interventions to (re)build trust. It can also be used within a clinical setting to provide a stronger evidence base for associations between trust and therapeutic outcomes. [ABSTRACT FROM AUTHOR]

Experiences of time and risk during the COVID-19 pandemic were volatile; exacerbated by lockdowns resulting in working from home, social distancing and home schooling. This article explores embodied temporalities of risk before and during the pandemic in relation to alcohol consumption and breast cancer for a small, non-probability sample of Australian women pre-midlife (aged 25–44). Layered inferential analyses of our data, collected at four timepoints pre- and during- the COVID-19 pandemic, enabled an illumination of the horizons of risk in women's lives (broadly construed) and the ways these were recalibrated during the pandemic to manage its gendered stressors. Findings from this longitudinal study suggest that future risks of breast cancer were often discounted or faded from view, as new risks with more immediate consequences emerged: including viral transmission and surviving the (gendered) emotional/relational labours of lockdown. The immediacy of alcohol's effects, both positive and negative, stayed in view however for women and served as a source of reflection around 'health' and 'wellbeing', with psychosocial wellbeing elevated over physical health. Examining the multiple time-framings of risk which co-existed on the horizons for women in pre-midlife helped us to elucidate challenges to decreasing future breast cancer burden at population levels via alcohol reduction alone. These insights advance scholarship on how gendered temporalities of risk are reflexively embodied in daily life. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to identify how dietitians and other healthcare providers work to build trust in food systems in the course of providing dietary education. Methods: Qualitative semi‐structured interviews were conducted with 15 purposefully sampled dietitians (n = 5), general practitioners (n = 5), and complementary and alternative medicine practitioners (n = 5) within metropolitan South Australia. Interview data were then interpreted using an inductive thematic analysis approach, involving the construction of themes representing trust‐enhancing roles around which beliefs about professional roles, the 'patient', and food and health were clustered. Results: Healthcare providers communicate beliefs regarding (dis)trust in food systems through: (i) responding to patient queries and concerns following a food incident or scare; (ii) helping patients to identify (un)trustworthy elements of food supply systems; and (iii) encouraging consumption of locally produced and minimally processed food. Importantly, the expression of these roles differed according to participant beliefs about food and health (medico‐scientific versus alternative medicine) and their adoption of professional projects that sought to promote medico‐scientific ways of thinking about health and diet or manage the failures of Western medicine. Conclusion: The development and consolidation of trust‐enhancing roles amongst healthcare providers likely requires disciplinary reflection on professional values and the processes by which practitioners apply these values to understanding food systems. [ABSTRACT FROM AUTHOR]