Introducing a Paradigm Model of Reasons to Distrust Health System in Social Media and propose a Useful Policy

The connection of physicians and patients is one of the most important human contacts in the health system and Trust is the basis of this connection. The health system is associated with all levels of society and because of the sensitivity, the capacity to create excitement and to be related to the health of people has a better chance of gossip and thus has an effect on trust. Making and publishing false news in social media about medical experiences and their impact on the health system is a major new topic for an important new issue study. One of the interests of governments is controlling the production and distribution of false news in social media. The researcher's observations showed that much of the rumor in the social media was linked to the health system; therefore, the study began.

Interview and focus group were used for writing this research paper. The data obtained from it are used in the Grounded Theory method.

The study showed that the lack of legal accountability for published content has led to rumored publication in social media with the lowest possible cost. The lack of proper information, the economic cycle of rumor and inefficiency, are the main factors behind the creation and dissemination of rumors about the health system which has reduced the confidence of the health system. The change in the media system towards flattening and the elimination of control mechanisms and goalkeeping of news, the health system, like other governance systems, weakened in news management. Ethical Considerations: This research paper uses data from a PhD thesis in Media Management at Islamic Azad University.

The researcher propos that parts of the health system that are responsible for the health system brand management will understand the changes in the media system and increase their activity in the networking community.