Evidence map›Paper›PMID 30079286›Full record

ReviewCureus2018

The United States Health Care System is Sick: From Adam Smith to Overspecialization.

Deanna Anderlini

Abstract readReview
In one paragraph

Review in Cureus, 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. The Hidden Curriculum and Integrating Cure- and Care-Based Approaches to Medicine.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022
    Article
  3. Article
  4. 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

1 author.

Deanna AnderliniHMNS, The University of Queensland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The United States (US) health care system is sick. High cost affects the nation and the people. The poor outcomes mainly impact the patients. If we do not fix it, the system will implode because of the unsustainable economic burden. The choice to shape the health care system on the "pin factory" model described by Adam Smith is the cause of the failure. The key players in the health care system are accordingly molded. Many factors tightly intertwined need to be addressed. Medical education, the role of family doctor, the overspecialization and, not least, the translation of discoveries into clinical practice are among them. The failure of the US health care system is a complex and multi-factorial issue which requires a global approach.

Indexed as

family doctorhealthcare costhealthcare systemnihoverspecialization

Identifiers

PMID30079286
PMCPMC6067811

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.