Evidence map›Paper›PMID 28551772›Full record

ArticleMedicine, health care, and philosophy2018

E-health beyond technology: analyzing the paradigm shift that lies beneath.

Tania Moerenhout, Ignaas Devisch, Gustaaf C Cornelis

Abstract read
PubMed Publisher
In one paragraph

Article in Medicine, health care, and philosophy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
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

13 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Review
  3. eHealth Platforms to Promote Autonomous Life and Active Aging: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  4. Article
  5. Review
  6. Usage of eHealth/mHealth Services among Young Czech Adults and the Impact of COVID-19: An Explorative Survey.International journal of environmental research and public health · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
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

3 authors at 3 institutions in 2 countries.

Tania MoerenhoutDepartment of Family Medicine and Primary Health Care, Research Unit Ethics, Autonomy and Responsibility in Health Care, University of Gent, De Pintelaan 185 - Building 6K3, 9000, Ghent, Belgium. Tania.Moerenhout@UGent.be.ORCID http://orcid.org/0000-0002-6742-5260
Ignaas DevischDepartment of Family Medicine and Primary Health Care, Research Unit Ethics, Autonomy and Responsibility in Health Care, University of Gent, De Pintelaan 185 - Building 6K3, 9000, Ghent, Belgium.
Gustaaf C CornelisDepartment of Philosophy and Moral Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Ixelles, Belgium.
Ghent University · BEUniversity of Pittsburgh · USVrije Universiteit Brussel · BE

Funding

University of Gent Travel Grant
6 · The paper itself

Abstract

Information and computer technology has come to play an increasingly important role in medicine, to the extent that e-health has been described as a disruptive innovation or revolution in healthcare. The attention is very much focused on the technology itself, and advances that have been made in genetics and biology. This leads to the question: What is changing in medicine today concerning e-health? To what degree could these changes be characterized as a 'revolution'? We will apply the work of Thomas Kuhn, Larry Laudan, Michel Foucault and other philosophers-which offers an alternative understanding of progress and revolution in medicine to the classic discovery-oriented approach-to our analysis. Nowadays, the long-standing curative or reactive paradigm in medicine is facing a crisis due to an aging population, a significant increase in chronic diseases and the development of more expensive diagnostic tools and therapies. This promotes the evolution towards a new paradigm with an emphasis on preventive medicine. E-health constitutes an essential part of this new paradigm that seeks to solve the challenges presented by an aging population, skyrocketing costs and so forth. Our approach changes the focus from the technology itself toward the underlying paradigm shift in medicine. We will discuss the relevance of this approach by applying it to the surge in digital self-tracking through health apps and wearables: the recognition of the underlying paradigm shift leads to a more comprehensive understanding of self-tracking than a solely discovery-oriented or technology-focused view can provide.

Indexed as

TechnologyTelemedicineHumansInventionsMedicineMonitoring, AmbulatoryPrecision MedicineSmartphonee-HealthP4 medicineParadigm shiftPreventive medicineSelf-tracking

Identifiers

PMID28551772
OpenAlexW2618367439

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.