Evidence map›Paper›PMID 18470634›Full record

ReviewMedicine, health care, and philosophy2009

The agency problem and medical acting: an example of applying economic theory to medical ethics.

Andreas Langer, Peter Schröder-Bäck, Alexander Brink, Johannes Eurich

Abstract readReview
PubMed Publisher
In one paragraph

Review in Medicine, health care, and philosophy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Why the Economic Aspects of Healthcare are not Unique.Sultan Qaboos University medical journal · 2020
    Article
  4. Observational
  5. Governance mechanisms in the physician-patient relationship: a literature review and conceptual framework.Health expectations : an international journal of public participation in health care and health policy · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andreas LangerHamburg University of Applied Sciences, Economy and Social Affairs, Saarlandstr. 30, 22303, Hamburg, Germany. andreas.langer@fesi.info
Peter Schröder-Bäck
Alexander Brink
Johannes Eurich

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this article, the authors attempt to build a bridge between economic theory and medical ethics to offer a new perspective to tackle ethical challenges in the physician-patient encounter. They apply elements of new institutional economics to the ethically relevant dimensions of the physician-patient relationship in a descriptive heuristic sense. The principal-agent theory can be used to analytically grasp existing action problems in the physician-patient relationship and as a basis for shaping recommendations at the institutional level. Furthermore, the patients' increased self-determination and modern opportunities for the medical laity to inform themselves lead to a less asymmetrical distribution of information between physician and patient and therefore require new interaction models. Based on the analysis presented here, the authors recommend that, apart from the physician's necessary individual ethics, greater consideration should be given to approaches of institutional ethics and hence to incentive systems within medical ethics.

Indexed as

Ethics, MedicalAttitude of Health PersonnelHumansMoralsPatient AdvocacyPhysician-Patient RelationsPhysician's RolePractice Patterns, Physicians'Reimbursement, Incentive

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.