Evidence map›Paper›PMID 8506538›Full record

ReviewTheoretical medicine1993

What's so special about medicine?

D P Sulmasy

Abstract readReview
PubMed Publisher
In one paragraph

Review in Theoretical medicine, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Supererogation and the profession of medicine.Journal of medical ethics · 2002
    Article
  3. Should medical schools be schools for virtue?Journal of general internal medicine · 2000
    Article
  4. What's so special about medicine?Theoretical medicine · 1993
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

D P SulmasyCenter for Clinical Bioethics, Georgetown University School of Medicine, Washington, D.C. 20007.

Funding

NHLBI NIH HHS HL07180NHLBI NIH HHS NHLBI-T32
6 · The paper itself

Abstract

Health care has increasingly come to be understood as a commodity. The ethical implications of such an understanding are significant. The author argues that health care is not a commodity because health care (1) is non-proprietary, (2) serves the needs of persons who, as patients, are uniquely vulnerable, (3) essentially involves a special human relationship which ought not be bought or sold, (4) helps to define what is meant by 'necessity' and cannot be considered a commodity when subjected to rigorous conceptual analysis. The Oslerian conception that medicine is a calling and not a business ought to be reaffirmed by both the profession and the public. Such a conception would have significant ramifications for patient care and health care policy.

Indexed as

CommerceEthics, MedicalBeneficenceHealth ServicesHumansMoral ObligationsPhysician-Patient RelationsSocial JusticeTrustAnalytical ApproachHealth Care and Public HealthProfessional Patient Relationship

Identifiers

PMID8506538

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.