Abstract：
The centrality of trust in traditional doctor-patient relationships has been criticized as inordinately paternalistic, yet in today\'s discussions about medical ethics-mostly in response to disruptive innovation in healthcare-trust reappears as an asset to enable empowerment. To turn away from paternalistic trust-based doctor-patient relationships and to arrive at an empowerment-based medical model, increasing reference is made to the importance of nurturing trust in technologies that are supposed to bring that empowerment. In this article we stimulate discussion about why the move towards patient empowerment may not be able to keep clear of the criticism of trust in traditional patient-doctor relationships. First, we explore how such a shift in trust dynamics might corrode patient empowerment in the name of patient empowerment. Second, we examine how a translocation of trust may at best push the \"trust issue\" elsewhere and at worst make it harder to evaluate trustworthiness.
摘要：
信任在传统医患关系中的中心地位被批评为过分家长式，然而，在今天关于医学伦理的讨论中——主要是为了应对医疗保健的破坏性创新——信任重新出现，作为一种资产来实现授权。要摆脱家长式的基于信任的医患关系，并建立基于授权的医疗模式，越来越多的人提到培养对应该带来授权的技术的信任的重要性。在本文中，我们激发了有关为什么向患者赋权的举动可能无法消除对传统医患关系中信任的批评的讨论。首先,我们探讨了这种信任动态的转变如何以患者赋权的名义侵蚀患者赋权。第二,我们研究了信任的转移如何充其量将“信任问题”推到其他地方，最坏的情况是如何使评估可信度变得更加困难。
