Evidence map›Paper›PMID 34783971›Full record

ReviewMedicine, health care, and philosophy2022

Health and disease as practical concepts: exploring function in context-specific definitions.

Rik van der Linden, Maartje Schermer

Abstract readReview
In one paragraph

Review in Medicine, health care, and philosophy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Changing definitions of disease: Transformations in the diagnostic criteria for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  3. Mental health pluralism.Medicine, health care, and philosophy · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. East Meets West: A Whole-Person Approach in Integrated Care.International journal of integrated care
    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

2 authors.

Rik van der LindenDepartment of Medical Ethics, Philosophy and History of Medicine, Erasmus MC Academic University Hospital, Rotterdam, The Netherlands. r.r.vanderlinden@erasmusmc.nl.ORCID http://orcid.org/0000-0002-9642-3715
Maartje SchermerDepartment of Medical Ethics, Philosophy and History of Medicine, Erasmus MC Academic University Hospital, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-4283-9659

Funding

Nederlandse Organisatie voor Wetenschappelijk Onderzoek 406.18.FT.002
6 · The paper itself

Abstract

Despite the longstanding debate on definitions of health and disease concepts, and the multitude of accounts that have been developed, no consensus has been reached. This is problematic, as the way we define health and disease has far-reaching practical consequences. In recent contributions it is proposed to view health and disease as practical- and plural concepts. Instead of searching for a general definition, it is proposed to stipulate context-specific definitions. However, it is not clear how this should be realized. In this paper, we review recent contributions to the debate, and examine the importance of context-specific definitions. In particular, we explore the usefulness of analyzing the relation between the practical function of a definition and the context it is deployed in. We demonstrate that the variety of functions that health and disease concepts need to serve makes the formulation of monistic definitions not only problematic but also undesirable. We conclude that the analysis of the practical function in relation to the context is key when formulating context-specific definitions for health and disease. At last, we discuss challenges for the pluralist stance and make recommendations for future research.

Indexed as

DiseaseHealthTerminology as TopicConsensusHumansConceptual pluralismContext-specific definitionDiseaseHealthPhilosophy of medicinePragmatism

Identifiers

PMID34783971
PMCPMC8857121

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.