Evidence map›Paper›PMID 29951940›Full record

ArticleMedicine, health care, and philosophy2019

How to distinguish medicalization from over-medicalization?

Emilia Kaczmarek

Abstract read
In one paragraph

Article in Medicine, health care, and philosophy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

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

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  16. Information from ecological momentary assessments lead to over-medicalization: Yes.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024
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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

1 author.

Emilia KaczmarekEthics Department, Center for Bioethics and Biolaw, Institute of Philosophy, University of Warsaw, ul. Krakowskie Przedmieście 3, 00-097, Warsaw, Poland. emilia.kaczmarek@uw.edu.pl.ORCID http://orcid.org/0000-0002-2684-7723

Funding

Narodowe Centrum Nauki 2015/17/N/HS1/02122
6 · The paper itself

Abstract

Is medicalization always harmful? When does medicine overstep its proper boundaries? The aim of this article is to outline the pragmatic criteria for distinguishing between medicalization and over-medicalization. The consequences of considering a phenomenon to be a medical problem may take radically different forms depending on whether the problem in question is correctly or incorrectly perceived as a medical issue. Neither indiscriminate acceptance of medicalization of subsequent areas of human existence, nor criticizing new medicalization cases just because they are medicalization can be justified. The article: (i) identifies various consequences of both well-founded medicalization and over-medicalization; (ii) demonstrates that the issue of defining appropriate limits of medicine cannot be solved by creating an optimum model of health; (iii) proposes four guiding questions to help distinguish medicalization from over-medicalization. The article should foster a normative analysis of the phenomenon of medicalization and contribute to the bioethical reflection on the boundaries of medicine.

Indexed as

Health PromotionHumansMass ScreeningMedicalizationMedical OverusePhilosophy, MedicalPreventive MedicineSocial ValuesUnnecessary ProceduresBoundaries of medicineGuiding questionsMedicalizationMoral evaluation of medicalizationOver-medicalizationPragmatic approach

Identifiers

PMID29951940
PMCPMC6394498

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.