Evidence map›Paper›PMID 42769475›Full record

ReviewNorthern clinics of Istanbul2026

Financial venous stasis and thrombosis: A circulatory architecture for frozen capital and high-value care.

Kemal Tekesin

Abstract readReview
In one paragraph

Review in Northern clinics of Istanbul, 2026. 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.

Kemal TekesinDepartment of General Surgery, University of Health Sciences, Umraniye Training and Research Hospital, Istanbul, Turkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health systems face a paradox. Aging populations, advanced therapeutics, and long-term needs expand demand for high-value care while large financial stocks coexist with incomplete service coverage and widespread financial hardship. The article examines whether this mismatch reflects a circulatory pathology of capital allocation in care-intensive sectors where biological vulnerability and human dignity are most exposed. This paper uses a structured conceptual synthesis for theory building rather than statistical estimation. It integrates research on precautionary saving, institutional trust, health financing, accreditation, real-world evidence, and programmable financial governance under protocols for source selection, bibliographic verification, and bias control. Interdisciplinary convergence is treated as theoretical triangulation, not empirical proof. The synthesis develops financial venous stasis and thrombosis as a bounded theory-building metaphor. Care cost insecurity is its proposed behavioral hinge. Capital may pool for future security and care assurance as well as yield. When prudent preservation against aging, illness, and care uncertainty scales through institutional routines and risk controls, it may harden into systemic low flow that monetary expansion alone may not resolve. The response is an institutional treatment architecture for financial thrombolysis. It places a clinical core without profit distributions within an auditable, phased centralized finance-to-decentralized finance governance structure supported by accreditation, real-world evidence, and transparent flow protocols. The framework does not claim empirical validation. It is a falsifiable health policy agenda dependent on pilot testing and assessable through clinical outcomes, patient experience, compliance integrity, cash flow durability, equity effects, and transparent social allocation. Its central contribution reframes capital not as a scarce resource to be rationed but as a circulatory medium whose movement may be impaired. It tests whether usable channels can restore circulation and convert defensive preservation into measurable care capacity that protects dignity without penalizing capital.

Indexed as

Care–cost insecurityCeAIcentralized financeDeAIdecentralized financefinancial thrombolysisfrozen capitalhealth care financinginstitutional trustprecautionary savingreal-world evidencereverse health silk road

Identifiers

PMID42769475
PMCPMC13591378

What OpenQuestion holds

Textmetadata
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.