ArticleJournal of general internal medicine2026
Moral Infrastructure in Medicine: Conditions for Honest Work.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Authors and funding
2 authors.
Funding
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Abstract
What happens when clinicians know what good care requires, but the conditions of work make it difficult to realize? Through scenes from primary care, we describe moral infrastructure: the conditions that allow clinicians to notice what matters and respond to it in ordinary work. Compressed time, fragmented attention, and weakened continuity do not erase professional responsibility, but they can make it harder for clinicians to respond with integrity. Moral infrastructure does not label an organization moral or immoral, nor does it guarantee good outcomes. Rather, it complements organizational ethics by asking whether the conditions of work support or erode clinicians' capacity for moral attention, judgment, and response. Protecting those conditions matters for patients, clinicians, professional formation, and medicine's ability to remember what humane care requires.
Indexed as
Identifiers
42844548What OpenQuestion holds
Registered trials
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.