Evidence map›Paper›PMID 33766070›Full record

ReviewItalian journal of pediatrics2021

The implications of complexity, systems thinking and philosophy for pediatricians.

Jochen Ehrich, Jürgen Manemann, Velibor Tasic, Natale Gaspare DeSanto

Open access · goldAbstract readReview
In one paragraph

Review in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

4 authors at 3 institutions in 2 countries.

Jochen EhrichChildren's Hospital, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. ehrich.jochen@mh-hannover.de.ORCID http://orcid.org/0000-0003-4617-042X
Jürgen ManemannHanover Research Institute for Philosophy, Hannover, Germany.
Velibor TasicUniversity Children's Hospital, Medical School, Skopje, North Macedonia.
Natale Gaspare DeSantoUniversity of Campania Luigi Vanvitelli, Naples, Italy.
Medizinische Hochschule Hannover · DEResearch Institute for Philosophy Hannover · DEUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

National service systems in child healthcare are characterized by diversity and complexity. Primary, secondary, tertiary and quaternary healthcare services create complex networks covering pediatric subspecialties, psychology, sociology, economics and politics. Can pediatrics exist without philosophy? Does the absence of integrating philosophical perspectives during conceptualization of pediatric care contribute to deficiencies in the service systems structuring child healthcare? Philosophy offers new ways of complex systems thinking in scientific and clinical pediatrics. Philosophy could improve coping strategies on different levels when dealing with ethics of research projects, individual child healthcare and crises of healthcare service systems. Boundary and ultimate situations experienced by severely sick children require help, hope and resilience. Patients and families as well as pediatricians and other caregivers must act in concert. All of them may benefit from consulting with philosophers. The aim of this article is to point out the risks of a strict separation of scientific insight and sensory experience affecting child healthcare in our modern society, which is dominated by technology, competition and lack of equity and time.

Indexed as

PediatricsPhilosophy, MedicalSystems TheoryChildChild Health ServicesHolistic HealthHumansChildrenComplexityPediatricsPhilosophySalutogenesisSystems thinking

Identifiers

PMID33766070
PMCPMC7993893
OpenAlexW3136966292

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.