| Besides we can interpret PPR through individual dimension, still we can add other factors nominated by bureaucracy. Hence, we should also recognize the trust between physicians and patients from the bureaucracy dimension. On account of the complication of the fashions and patterns of PPR, any attempt of making the prospect of PPR entirely clear becoming sorts of utopian conceit. And at the same time, both from philosophy level and implementation level, we all can see every conclusion about interpreting PPR may be face situation of controversial, however, this isn't persuasive reason for people to give up the pursuing of studying PPR whatever from both ideality and practical angles. This article put forth bureaucracy factor in studying PPR and focus on the side-effects of hospital firstly, then go further, try to do some effort in studying trust in PPR in more specific medical field i.e. Informed Consent. First of all, we should analyze the prerequisite of establishing trust in PPR in the Informed Consent implement process; secondly, our considering should proceed from benefit of patient, watching what on earth making patient worry about in informed consent process, which should be the key factor for establishing trust. These factors are risk evaluation, motive estimation respectively. And at the last but not the least, we should take a look at intermediary feature of Informed Consent and dual-role of physician. What we have discussing above are all from bureaucracy. And we also recognize these factors influence system trust in PPR all the time. Finally, we put forward some ethical strategies against these side-effects generated by such factors we have mentioned, whatever the general or peculiar aspects in Informed Consent, and hoping such part discussion about system trust in PPR can becoming the start point for improving the whole trust in PPR and especially for the system trust, meanwhile, get rid off some flaw in it. |