Hi Lotty, I'm glad I came across your vital article on communication as a key to building trust in the healthcare system and finds me empathy to such experiences. I agree with you that the communication problem is one of the major flaws within many health care systems around the world, and I can describe it as now part of the culture of health systems that has a great impact on patients’ experiences and perceptions about medical services, as it often constitutes a barrier to accessing or delaying medical services.Which increases the risk factors for patient safety on the other level effective communication between health care providers and patients, as you mentioned in the article, starting from security and safety personnel, through reception staff and health records, and effective communication between the medical team and patients.The more effective communication lead to greater trust in the health system, and we obtained Excellent results indicators.