Rethinking Trust and Public Health Compliance: Introducing a Trust Continuum for Policy and Practice.
Ashley Fox, Victoria Y Fan, Heeun Kim, Minah Kang
Author Information
Ashley Fox: Rockefeller College of Public Affairs and Policy, Department of Public Administration and Policy, University at Albany, Albany, NY, USA. ORCID
Victoria Y Fan: Center for Global Development, Washington, DC, USA.
Heeun Kim: Rockefeller College of Public Affairs and Policy, Department of Public Administration and Policy, University at Albany, Albany, NY, USA.
Minah Kang: Department of Public Administration, Ewha Womans University, Seoul, South Korea.
Trust in government has emerged as one of the strongest predictors of national performance in fighting COVID-19. This commentary aims to take stock of the vast literature on trust and compliance with public health measures that has emerged during the pandemic to synthesize policy-relevant recommendations about: 1) How to conceptualize trust; 2) Whether trust is always deserved; and 3) How governments can earn (appropriate levels of) trust. Based on a critical reading of the literature, we develop a framework that conceptualizes trust as falling along a continuum ranging from extreme distrust to blind trust with the ideal point- "informed" or "basic" trust-falling in the mid-point of the continuum. We illustrate the continuum with examples and provide recommendations regarding how governments can build more nuanced disease responses that account for individuals and sub-groups at different rungs on the continuum while (re)building trust. We conclude that trust-building is a long-term project that must continue in non-crisis times.