This report was developed to highlight the policy principles that need to be implemented to build trust between under‑represented groups and health systems. For
reasons of feasibility, we have focused on four traditionally under‑represented groups (people from racial and ethnic minorities, women, members of the LGBTQ+ community,
and people with disabilities) in five countries (Brazil, France, Japan, the UK, and the US) where recent global survey data have indicated worrying trends of mistrust in health systems.1–3 This report built on conceptual frameworks of trust in health systems presented in the published literature, a review of policies on health equity from the aforementioned five countries as they relate to these four under-represented groups, and discussions among our Advisory Group. Our wish in putting together this report has been not just to highlight deficiencies in trust, but to propose concrete, evidence-based policy actions that, if locally co‑implemented, will help build trustworthy health systems.(From the Executive summary). Record #8920