Evidence map›Paper›PMID 32399648›Full record

ArticleJournal of bioethical inquiry2020

Beyond Money: Conscientious Objection in Medicine as a Conflict of Interests.

Alberto Giubilini, Julian Savulescu

Abstract read
In one paragraph

Article in Journal of bioethical inquiry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Origin of "Conscientious Objection" in Health Care: How Care Denials Became Enshrined into Law Because of Abortion.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Life Goes On.Journal of bioethical inquiry · 2020
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Alberto GiubiliniWellcome Centre for Ethics and Humanities and Oxford Uehiro Centre for Practical Ethics, University of Oxford, 16-17 St Ebbes Street, Littlegate House, Oxford, OX1 1PT, UK. alberto.giubilini@philosophy.ox.ac.uk.
Julian SavulescuOxford Uehiro Centre for Practical Ethics and Wellcome Centre for Ethics and Humanities, University of Oxford, 16-17 St Ebbes Street, Littlegate House, Oxford, OX1 1PT, UK.

Funding

Wellcome Trust 104848Wellcome Trust 104848/Z/14/ZWellcome Trust 203132/Z/16/Z
6 · The paper itself

Abstract

Conflict of interests (COIs) in medicine are typically taken to be financial in nature: it is often assumed that a COI occurs when a healthcare practitioner's financial interest conflicts with patients' interests, public health interests, or professional obligations more generally. Even when non-financial COIs are acknowledged, ethical concerns are almost exclusively reserved for financial COIs. However, the notion of "interests" cannot be reduced to its financial component. Individuals in general, and medical professionals in particular, have different types of interests, many of which are non-financial in nature but can still conflict with professional obligations. The debate about healthcare delivery has largely overlooked this broader notion of interests. Here, we will focus on health practitioners' moral or religious values as particular types of personal interests involved in healthcare delivery that can generate COIs and on conscientious objection in healthcare as the expression of a particular type of COI. We argue that, in the healthcare context, the COIs generated by interests of conscience can be as ethically problematic, and therefore should be treated in the same way, as financial COIs.

Indexed as

Conflict of InterestConscienceFemaleHumansMoralsPharmaceutical PreparationsPregnancyRefusal to TreatPharmaceutical PreparationsConflicts of interestsConscienceConscientious objectionProfessionalism

Identifiers

PMID32399648
PMCPMC7367904

What OpenQuestion holds

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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.