ReviewPhilosophy, ethics, and humanities in medicine : PEHM2010
How clinicians make (or avoid) moral judgments of patients: implications of the evidence for relationships and research.
Review in Philosophy, ethics, and humanities in medicine : PEHM, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Hip fracture has profound psychosocial impacts: a systematic review of qualitative studies.Age and ageing · 2024Pooled it
- The Use of Biased Language in the Care of Seriously Ill Children: A Pilot Study.The American journal of hospice & palliative care · 2026Article
- Recognition at the Heart of the Complex Situations Experienced by People With Chronic Musculoskeletal Pain.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The relationship between empowerment and stigma among the Chinese people with diabetes: the mediating role of self-management and the moderating role of psychological resilience.Frontiers in psychology · 2025Article
- Integrating the Teaching and Assessment of Moral Reasoning into Undergraduate Medical Education to Advance Health Equity.Medical science educator · 2024Article
- 'Nutrition has everything to do with wound healing'-health professionals' perceptions of assessment and management of nutrition in individuals with diabetes-related foot ulceration.International wound journal · 2024Article
- Information-seeking behaviours in Australian sexual minority men engaged in chemsex.Addictive behaviors reports · 2022Article
- Duty of care trumps utilitarianism in multi-professional obesity management decisions.Nursing ethics · 2022Article
- Priority setting and personal health responsibility: an analysis of Norwegian key policy documents.Journal of medical ethics · 2022Article
- The impact of poverty and deprivation at the end of life: a critical review.Palliative care and social practice · 2021Review
- Adherence and the Moral Construction of the Self: A Narrative Analysis of Anticoagulant Medication.Qualitative health research · 2020Article
- Podiatrists' views of assessment and management of pain in diabetes-related foot ulcers: a focus group study.Journal of foot and ankle research · 2020Article
- 'There is no such thing as getting sick justly or unjustly' - a qualitative study of clinicians' beliefs on the relevance of personal responsibility as a basis for health prioritisation.BMC health services research · 2020Article
- 'If there were doctors who could understand our problems, I would already be better': dissatisfactory health care and marginalisation in superdiverse neighbourhoods.Sociology of health & illness · 2020Article
- The work and relatedness of ties mediated online in supporting long-term condition self-management.Sociology of health & illness · 2020Article
- "It's like heaven over there": medicine as discipline and the production of the carceral body.Health & justice · 2020Article
- The moral discourse of HIV providers within their organizational context: An ethnographic case study.Patient education and counseling · 2018Article
- Supporting HIV prevention and reproductive goals in an HIV-endemic setting: taking safer conception services from policy to practice in South Africa.Journal of the International AIDS Society · 2017Article
- Article
- Attitudes and Behaviours of Health Workers and the Use of HIV/AIDS Health Care Services.Nursing research and practice · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Physicians, nurses, and other clinicians readily acknowledge being troubled by encounters with patients who trigger moral judgments. For decades social scientists have noted that moral judgment of patients is pervasive, occurring not only in egregious and criminal cases but also in everyday situations in which appraisals of patients' social worth and culpability are routine. There is scant literature, however, on the actual prevalence and dynamics of moral judgment in healthcare. The indirect evidence available suggests that moral appraisals function via a complex calculus that reflects variation in patient characteristics, clinician characteristics, task, and organizational factors. The full impact of moral judgment on healthcare relationships, patient outcomes, and clinicians' own well-being is yet unknown. The paucity of attention to moral judgment, despite its significance for patient-centered care, communication, empathy, professionalism, healthcare education, stereotyping, and outcome disparities, represents a blind spot that merits explanation and repair. New methodologies in social psychology and neuroscience have yielded models for how moral judgment operates in healthcare and how research in this area should proceed. Clinicians, educators, and researchers would do well to recognize both the legitimate and illegitimate moral appraisals that are apt to occur in healthcare settings.
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What OpenQuestion holds
Registered trials
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.