Evidence map›Paper›PMID 40730741›Full record

ArticleJournal of bioethical inquiry2026

Reflections on Epistemic Injustice to Advance Person-Centred Care Through the Experiences of Persons with Chronic Pain.

Felix Gabathuler, Kristina Würth, Martina Hodel, Andrea Glässel, Nikola Biller-Andorno, Bettina Schwind

Abstract read
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In one paragraph

Article in Journal of bioethical inquiry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The Language Games of Pain in Nursing: A Wittgensteinian Analysis of NANDA-I Diagnoses.Nursing philosophy : an international journal for healthcare professionals · 2026
    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

6 authors.

Felix GabathulerInstitute of Biomedical Ethics and History of Medicine (IBME), University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland. felix.gabathuler@uzh.ch.ORCID 0000-0002-6608-3895
Kristina WürthInstitut des Humanités en Médecine (IHM), Université de Lausanne, Avenue de Provence 82, 1007, Lausanne, Switzerland.
Martina HodelInstitute of Biomedical Ethics and History of Medicine (IBME), University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.
Andrea GlässelInstitute of Biomedical Ethics and History of Medicine (IBME), University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.
Nikola Biller-AndornoInstitute of Biomedical Ethics and History of Medicine (IBME), University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.
Bettina SchwindInstitute of Biomedical Ethics and History of Medicine (IBME), University of Zurich, Winterthurerstrasse 30, 8006, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationalePersons with chronic pain report that their voices are marginalized in healthcare, despite efforts to achieve person-centred care. AIMS AND

objectivesThis study aims to explore the healthcare experiences of persons with chronic pain through the lens of epistemic injustice to advance person-centred care.

methodA secondary analysis of cross-sectional interviews with twenty German-speaking Swiss participants, originally collected as part of the DIPEx Switzerland project, was conducted. Data were examined using thematic analysis.

resultsResults revealed two overarching themes. Under Epistemic Challenges, participants felt dismissed, misunderstood, or relegated to passive roles by a system privileging quantifiable measures over subjective experiences. This overreliance on objective data fosters epistemic injustice by discounting patient testimonies and perpetuating systemic inadequacies. Under Epistemic Opportunities, participants reported more effective knowledge exchange when their expertise was acknowledged, empathy was shown, and professionals recognized their own limitations.

conclusionsFindings underscore the need to balance objective assessments with patients' subjective perspectives, recognizing persons with chronic pains as legitimate collaborators. By integrating their lived expertise, healthcare systems may mitigate epistemic injustices and provide more empathetic, effective care.

Indexed as

Chronic PainKnowledgePatient-Centered CareSocial JusticeAdultAgedCross-Sectional StudiesEmpathyFemaleHumansMaleMiddle AgedQualitative ResearchSwitzerlandBioethicsChronic painDIPExMedical ethicsPerson-centred carePhysician–patient relations

Identifiers

PMID40730741
PMCPMC13068697

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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.