Evidence map›Paper›PMID 29256088›Full record

ReviewJournal of general internal medicine2018

Ethical Issues in the Design and Implementation of Population Health Programs.

Matthew DeCamp, Daniel Pomerantz, Kamala Cotts, Elizabeth Dzeng, Neil Farber, Lisa Lehmann, P Preston Reynolds, Lois Snyder Sulmasy, Jon Tilburt

Abstract readReview
In one paragraph

Review in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The Imperative of Population-Specific Biochemical Reference Intervals: A Translational Framework for Precision Public Health.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    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

9 authors.

Matthew DeCampBerman Institute of Bioethics and Division of General Internal Medicine, Johns Hopkins University, Deering Hall 1809 Ashland Avenue, Baltimore, MD, 21205, USA. mdecamp1@jhmi.edu.
Daniel PomerantzAlbert Einstein College of Medicine and Montefiore New Rochelle Hospital, New Rochelle, NY, USA.
Kamala CottsSection of General Internal Medicine, University of Chicago, Chicago, IL, USA.
Elizabeth DzengDivision of Hospital Medicine and Social and Behavioral Sciences, University of California - San Franciso, San Francisco, CA, USA.
Neil FarberDivision of General Internal Medicine, University of California - San Diego, San Diego, CA, USA.
Lisa LehmannNational Center for Ethics in Health Care, U.S. Department of Veterans Affairs, Washington, DC, USA.
P Preston ReynoldsDivision of General, Geriatric, Palliative and Hospital Medicine, University of Virginia, Charlottesville, VA, USA.
Lois Snyder SulmasyCenter for Ethics and Professionalism, American College of Physicians, Philadephia, PA, USA.
Jon TilburtDivisions of General Internal Medicine, Health Care Policy & Research, and the Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
NIA NIH HHS P30 AG044281
6 · The paper itself

Abstract

Spurred on by recent health care reforms and the Triple Aim's goals of improving population health outcomes, reducing health care costs, and improving the patient experience of care, emphasis on population health is increasing throughout medicine. Population health has the potential to improve patient care and health outcomes for individual patients. However, specific population health activities may not be in every patient's best interest in every circumstance, which can create ethical tensions for individual physicians and other health care professionals. Because individual medical professionals remain committed primarily to the best interests of individual patients, physicians have a unique role to play in ensuring population health supports this ethical obligation. Using widely recognized principles of medical ethics-nonmaleficence/beneficence, respect for persons, and justice-this article describes the ethical issues that may arise in contemporary population health programs and how to manage them. Attending to these principles will improve the design and implementation of population health programs and help maintain trust in the medical profession.

Indexed as

Ethics, MedicalPhysician's RolePopulation HealthProgram DevelopmentHumans

Identifiers

PMID29256088
PMCPMC5834965

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.