Evidence map›Paper›PMID 41029433›Full record

ArticlePhilosophy, ethics, and humanities in medicine : PEHM2025

Electronic health records, the device paradigm, and the need for engagement.

Will Lyon

Abstract readLetter
In one paragraph

Article in Philosophy, ethics, and humanities in medicine : PEHM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Will LyonDepartment of Medicine, Division of Geriatric and Palliative Medicine, Medical College of Wisconsin, Milwaukee, USA. wlyon@mcw.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Technology and the Character of Contemporary Life, Albert Borgman puts forth the "device paradigm" as characteristic of the way we interact with the world in our technological society. He argues that devices, while liberating and disburdening us from some effort, also result in a lack of physical and social engagement. In this essay I apply Borgman's device paradigm to the electronic health record as an example of the device paradigm in healthcare, and argue that engagement and caring, two essential components of the doctor-patient relationship, are harmed by the EHR.

Indexed as

Electronic Health RecordsPhysician-Patient RelationsHumansClinical skillsDoctor-patient relationshipElectronic health record (EHR)PhilosophyTechnology

Identifiers

PMID41029433
PMCPMC12487404

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.