Evidence map›Paper›PMID 27460832›Full record

ArticleSociology of health & illness2016

The dispositions of things: the non-human dimension of power and ethics in patient-centred medicine.

John Gardner, Alan Cribb

Abstract read
In one paragraph

Article in Sociology of health & illness, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Practicings of Person-Centred Care in Physiotherapy.Sociology of health & illness · 2025
    Article
  3. Article
  4. Use of Measuring Tools in Practice Development Projects: A Critical Perspective.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2021
    Article
  5. Article
  6. 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

2 authors.

John GardnerScience and Technology Studies Unit, Department of Sociology, University of York, York, UK.
Alan CribbDepartment of Education and Professional Studies, Kings College London, London, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

This article explores power relations between clinicians, patients and families as clinicians engage in patient-centred ethical work. Specifically, we draw on actor-network theory to interrogate the role of non-human elements in distributing power relations in clinical settings, as clinicians attempt to manage the expectations of patients and families. Using the activities of a multidisciplinary team providing deep brain stimulation to children with severe movement disorders as an example, we illustrate how a patient-centred tool is implicated in establishing relations that constitute four modes of power: 'power over', 'power to', "power storage" and "power/discretion". We argue that understanding the role of non-human elements in structuring power relations can guide and inform bioethical discussions on the suitability of patient-centred approaches in clinical settings.

Indexed as

BioethicsPower, PsychologicalAnthropology, CulturalDecision MakingHumansPatient-Centered CarePhysician-Patient Relationsactor-network theorybioethicsempirical ethicsshared decision-making

Identifiers

PMID27460832
PMCPMC5026057

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.