Doctor-patient relationship and public trust in health science in post-COVID world: Lessons from USA and India

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Kunal Saha, MD, PhD


Building better trust between doctors and patients is key to improving the standard of healthcare delivery system in rich and poor countries alike. Trust between doctors and patients depends on a variety of ill-defined factors that include physician behavior, skill, cost of healthcare and societal perception of integrity of the medical community. Mode of practice of medicine has undergone radical changes during the COVID-19 pandemic with frequent use of PPE and long-distance video consultancy. COVID-19 pandemic has caused enormous pain, suffering and death across the globe.  While many morbidities and mortalities due to COVID-19 were inevitable, gross medical mismanagements of COVID-19 have also contributed to increased rate of death of COVID-19 patients in many countries.  Most importantly, shocking political intrusion of medical science during the COVID-19 pandemic has caused unprecedented erosion of public trust in the medical profession in several countries, particularly in USA and India.  Top medical leaders in the Center for Disease Control (CDC) and Food and Drug Administration (FDA) in USA, the “gold standard” medical authorities, stood speechless next to the USA president, Donald Trump, as he brazenly made numerous false, unscientific and dangerous claims to prevent and cure COVID-19.  Top government healthcare authorities in India also spread misinformation and baseless claims about COVID-19 morbidities and mortalities to misguide ordinary people.  While some devious medical leaders shamelessly supported the bogus claims under sinister pressure from their political leaders, other doctors around the world made tremendous selfless sacrifice and stepped forward to save the victims of COVID-19 even at the risks to their own lives.  Although there is little doubt that experience during the COVID-19 pandemic may have significant impact on public trust in the medical profession in the future, whether doctor-patient relationship will improve or deteriorate in the post-COVID world remains uncertain at this juncture.  But it is imperative that the medical community must send a strong and clear message now disparaging any exploitation of the scientific evidence on COVID-19 pandemic in fear of any political or medical retribution.

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How to Cite
SAHA, Kunal. Doctor-patient relationship and public trust in health science in post-COVID world: Lessons from USA and India. Medical Research Archives, [S.l.], v. 9, n. 8, aug. 2021. ISSN 2375-1924. Available at: <>. Date accessed: 23 july 2024. doi:
Research Articles


1. Emanuel EJ, Emanuel LL. Four models of the physician-patient relationship. JAMA 1992(16); 267: 2221-2226.

2. Anderson LA, Dedrick RF. Development of the trust in physician scale: a measure to assess interpersonal trust in patient-physician relationships. Psychol Red. 1990; 67: 1091-1100.

3. Mechanic D. The functions and limitations of trust in the provision of medical care. J Health Polit Policy Law. 1998; 23: 661-686.

4. Pearson SD, Raeke, LH. Patients’ trust in physicians: Many theories, few measures and little data. J. Gen. Intern. Med. 2000; 15: 509-513.

5. Simons J, Vaughan, J. Sacrifice and risk in the time of COVID-19. Future Healthc J. 2020; 7(2): 158-160.

6. Torres, N. Medical workers are sacrificing themselves to protect us. Here’s how we can help them. The Guardian, October 9, 2020. Available from: [Accessed May 23, 2021].

7. Wiersinga WJ, Rhodes A, Cheng AC et al. Pathophysiology, diagnosis, transmission and treatment of coronavirus disease 2019 (COVID-19). JAMA 2020; 324(8): 782-793.

8. COVID-19 pandemic numbers at a glance. WHO, May 24, 2021. Available from: [Accessed May 24, 2021].

9. US COVID-19 case average falls below 30,000. Wall Street Journal, May 21, 2021. Available from: [Accessed May 24, 2021].

10. India’s COVID-19 emergency (Editorial). Lancet 2021; 397:1683.

11. FDA revokes emergency use authorization for chloroquine and hydroxychloroquine. FDA Press Announcement 2020. Available from: [Accessed May 22, 2021].

12. Vaccine refusal may put herd immunity at risk, researchers warn. NPR Health News, April 7, 2021. Available from: [Accessed May 24, 2021].

13. Public policy and health in the Trump era. Lancet 2021; 397: 705-753.

14. Pulla P. Medical Council of India is corrupt, says health minister. BMJ 2014; 349: g4762.
15. Berger D. Corruption ruins the doctor-patient relationship in India. BMJ 2014; 348: g3169.
16. Sachan D. Tackling corruption in Indian medicine. Lancet 2013; 382: e23-24.
17. Chaudhuri M. Families demand reform of India’s medical negligence system. BMJ 2014; 348: g183.
18. India COVID: Delhi hospitals plead for oxygen as more patients die. BBC News, May 2, 2021. Available from: 56940595 [accessed May 22, 2021]
19. Why is world’s largest COVID-19 vaccine campaign faltering? Science Magazine, May 19, 2021; Available from: [accessed May 24, 2021].
20. Saha, K. Can India’s COVID-19 emergncy be fixed without politics. Lancet 2021; 397: 2465.

21. Blendon RJ, Benson JM, Hero JO. Public trust in physicians – U.S. medicine in international perspective. NEJM 2014; 371: 1570-1572.

22. Ken S, Kalnan M. Erosion of trust in the medical profession in India: Time for doctors to act. Int. J Health Pol. Manag. 2017; 6(1): 5-8.

23. Kao AC, Green DC, Zaslavsky AM et al. The relationship between method of physician payment and patient trust. JAMA 1998; 280(19): 1708-1714.

24. Pandya S, Nagral S, Nundy S. World Medical Association’s tainted president, Ketan Desai. BMJ 2016; 355: i5867.

25. Johnson SB, Butcher F. Doctors during the COVID pandemic: What are their duties and what is owed to them. J Med Ethics 2021; 47: 12-15.

26. Looi MK, Coombes R. Risky business: Lessons from COVID-19. BMJ 2020; 369: m2221.