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Erschienen in: Medicine, Health Care and Philosophy 4/2021

20.08.2021 | COVID-19 | Review Article Zur Zeit gratis

The need for “gentle medicine” in a post Covid-19 world

verfasst von: Gabriel Andrade, Maria Campo Redondo

Erschienen in: Medicine, Health Care and Philosophy | Ausgabe 4/2021

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Abstract

As it has historically been the case with many pandemics, the Covid-19 experience will induce many philosophers to reconsider the value of medical practice. This should be a good opportunity to critically scrutinize the way medical research and medical interventions are carried out. For much of its history, medicine has been very inefficient. But, even in its contemporary forms, a review of common protocols in medical research and medical interventions reveal many shortcomings, especially related to methodological flaws, and more importantly, conflicts of interests due to profit incentives. In the face of these problems, we propose a program of “gentle medicine”. This term, originally formulated by philosopher Jacob Stegenga, describes a form of medicine in which physicians intervene less than they currently do. As part of this general program, we advance a series of reform recommendations that could be enacted both by medical staff in their everyday practice, but also by public health officials and policymakers.
Literatur
Zurück zum Zitat Agus, D.B. 2014. A short guide to a long life. New York: Simon and Schuster. Agus, D.B. 2014. A short guide to a long life. New York: Simon and Schuster.
Zurück zum Zitat Anastasia, K. 1984. History of frontal lobotomy in the United States, 1935–1955. Neurosurgery 14 (6): 765–772.CrossRef Anastasia, K. 1984. History of frontal lobotomy in the United States, 1935–1955. Neurosurgery 14 (6): 765–772.CrossRef
Zurück zum Zitat Andrade, G., and M. Campo-Redondo. 2020. The ethics of psychiatrists’ political involvement: A reassessment in the Trump era. Ethics, Medicine and Public Health 15: 100554.CrossRef Andrade, G., and M. Campo-Redondo. 2020. The ethics of psychiatrists’ political involvement: A reassessment in the Trump era. Ethics, Medicine and Public Health 15: 100554.CrossRef
Zurück zum Zitat Angell, M. 2005. The truth about the drug companies: How they deceive us and what to do about it. New York: Random House. Angell, M. 2005. The truth about the drug companies: How they deceive us and what to do about it. New York: Random House.
Zurück zum Zitat Armitage, J. 2007. The safety of statins in clinical practice. The Lancet 370 (9601): 1781–1790.CrossRef Armitage, J. 2007. The safety of statins in clinical practice. The Lancet 370 (9601): 1781–1790.CrossRef
Zurück zum Zitat Avorn, J., S.B. Soumerai, D.E. Everitt, D. Ross-Degnan, M.H. Beers, D. Sherman, and D. Fields. 1992. A randomized trial of a program to reduce the use of psychoactive drugs in nursing homes. New England Journal of Medicine 327 (3): 168–173.CrossRef Avorn, J., S.B. Soumerai, D.E. Everitt, D. Ross-Degnan, M.H. Beers, D. Sherman, and D. Fields. 1992. A randomized trial of a program to reduce the use of psychoactive drugs in nursing homes. New England Journal of Medicine 327 (3): 168–173.CrossRef
Zurück zum Zitat Ayta, I.A., J.B. McKinlay, and R.J. Krane. 1999. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU International 84 (1): 50–56.CrossRef Ayta, I.A., J.B. McKinlay, and R.J. Krane. 1999. The likely worldwide increase in erectile dysfunction between 1995 and 2025 and some possible policy consequences. BJU International 84 (1): 50–56.CrossRef
Zurück zum Zitat Barber, B., IV., and L. Diestre. 2019. Pushing for speed or scope? Pharmaceutical lobbying and Food and Drug Administration drug review. Strategic Management Journal 40 (8): 1194–1218. Barber, B., IV., and L. Diestre. 2019. Pushing for speed or scope? Pharmaceutical lobbying and Food and Drug Administration drug review. Strategic Management Journal 40 (8): 1194–1218.
Zurück zum Zitat Bero, L., F. Oostvogel, P. Bacchetti, and K. Lee. 2007. Factors associated with findings of published trials of drug–drug comparisons: why some statins appear more efficacious than others. PLoS Medicine 4 (6): e184.CrossRef Bero, L., F. Oostvogel, P. Bacchetti, and K. Lee. 2007. Factors associated with findings of published trials of drug–drug comparisons: why some statins appear more efficacious than others. PLoS Medicine 4 (6): e184.CrossRef
Zurück zum Zitat Black, W.C. 2000. Overdiagnosis: An underrecognized cause of confusion and harm in cancer screening. Journal of the National Cancer Institute 92 (16): 1280–1282.CrossRef Black, W.C. 2000. Overdiagnosis: An underrecognized cause of confusion and harm in cancer screening. Journal of the National Cancer Institute 92 (16): 1280–1282.CrossRef
Zurück zum Zitat Blendon, R.J., and J.M. Benson. 2018. The public and the opioid-abuse epidemic. New England Journal of Medicine 378 (5): 407–411.CrossRef Blendon, R.J., and J.M. Benson. 2018. The public and the opioid-abuse epidemic. New England Journal of Medicine 378 (5): 407–411.CrossRef
Zurück zum Zitat Broadbent, A. 2019. Philosophy of medicine. Oxford: Oxford University Press.CrossRef Broadbent, A. 2019. Philosophy of medicine. Oxford: Oxford University Press.CrossRef
Zurück zum Zitat Brodersen, J., and V.D. Siersma. 2013. Long-term psychosocial consequences of false-positive screening mammography. The Annals of Family Medicine 11 (2): 106–115.CrossRef Brodersen, J., and V.D. Siersma. 2013. Long-term psychosocial consequences of false-positive screening mammography. The Annals of Family Medicine 11 (2): 106–115.CrossRef
Zurück zum Zitat Brody, H. 1989. Ethics and therapeutic skepticism. Journal of Family Practice 29 (6): 611–613. Brody, H. 1989. Ethics and therapeutic skepticism. Journal of Family Practice 29 (6): 611–613.
Zurück zum Zitat Bulliard, J.L., and A. Chiolero. 2015. Screening and overdiagnosis: Public health implications. Public Health Reviews 36 (1): 1–5.CrossRef Bulliard, J.L., and A. Chiolero. 2015. Screening and overdiagnosis: Public health implications. Public Health Reviews 36 (1): 1–5.CrossRef
Zurück zum Zitat Carel, H., and J. Kidd. 2017. Epistemic injustice in medicine and healthcare. In The Routledge handbook of epistemic injustice, ed. I. Kidd, J. Medina, and G. Pohlhaus. New York: Routledge. Carel, H., and J. Kidd. 2017. Epistemic injustice in medicine and healthcare. In The Routledge handbook of epistemic injustice, ed. I. Kidd, J. Medina, and G. Pohlhaus. New York: Routledge.
Zurück zum Zitat Christakis, N. 2020. Apollo’s arrow: The profound and enduring impact of coronavirus on the way we live. New York: Little. Christakis, N. 2020. Apollo’s arrow: The profound and enduring impact of coronavirus on the way we live. New York: Little.
Zurück zum Zitat Cotter, J., and E. Wooltorton. 2005. New restrictions on celecoxib (Celebrex) use and the withdrawal of valdecoxib (Bextra). CMAJ 172 (10): 1299–1299.CrossRef Cotter, J., and E. Wooltorton. 2005. New restrictions on celecoxib (Celebrex) use and the withdrawal of valdecoxib (Bextra). CMAJ 172 (10): 1299–1299.CrossRef
Zurück zum Zitat Dal Rio, A.C.C., E.M.D. Nicola, and A.R.F. Teixeira. 2007. Halitosis-an assessment protocol proposal. Brazilian Journal of Otorhinolaryngology 73 (6): 835–842.CrossRef Dal Rio, A.C.C., E.M.D. Nicola, and A.R.F. Teixeira. 2007. Halitosis-an assessment protocol proposal. Brazilian Journal of Otorhinolaryngology 73 (6): 835–842.CrossRef
Zurück zum Zitat Dal-Ré, R., A.L. Caplan, C. Gluud, and R. Porcher. 2021. Ethical and scientific considerations regarding the early approval and deployment of a COVID-19 vaccine. Annals of Internal Medicine. 8: 3. Dal-Ré, R., A.L. Caplan, C. Gluud, and R. Porcher. 2021. Ethical and scientific considerations regarding the early approval and deployment of a COVID-19 vaccine. Annals of Internal Medicine. 8: 3.
Zurück zum Zitat Daniels, N. 1985. Just health care. Cambridge: Cambridge University Press.CrossRef Daniels, N. 1985. Just health care. Cambridge: Cambridge University Press.CrossRef
Zurück zum Zitat Diamond, M., and J. Garland. 2014. Evidence regarding cosmetic and medically unnecessary surgery on infants. Journal of Pediatric Urology 10 (1): 2–6.CrossRef Diamond, M., and J. Garland. 2014. Evidence regarding cosmetic and medically unnecessary surgery on infants. Journal of Pediatric Urology 10 (1): 2–6.CrossRef
Zurück zum Zitat Dieppe, P.A., S. Ebrahim, R.M. Martin, and P. Jüni. 2004. Lessons from the withdrawal of rofecoxib. BMJ 329: 867.CrossRef Dieppe, P.A., S. Ebrahim, R.M. Martin, and P. Jüni. 2004. Lessons from the withdrawal of rofecoxib. BMJ 329: 867.CrossRef
Zurück zum Zitat Ebrahim, S., S. Bance, A. Athale, C. Malachowski, and J.P. Ioannidis. 2016. Meta-analyses with industry involvement are massively published and report no caveats for antidepressants. Journal of Clinical Epidemiology 70: 155–163.CrossRef Ebrahim, S., S. Bance, A. Athale, C. Malachowski, and J.P. Ioannidis. 2016. Meta-analyses with industry involvement are massively published and report no caveats for antidepressants. Journal of Clinical Epidemiology 70: 155–163.CrossRef
Zurück zum Zitat Enck, P., S. Klosterhalfen, K. Weimer, B. Horing, and S. Zipfel. 2011. The placebo response in clinical trials: More questions than answers. Philosophical Transactions of the Royal Society b: Biological Sciences 366 (1572): 1889–1895.CrossRef Enck, P., S. Klosterhalfen, K. Weimer, B. Horing, and S. Zipfel. 2011. The placebo response in clinical trials: More questions than answers. Philosophical Transactions of the Royal Society b: Biological Sciences 366 (1572): 1889–1895.CrossRef
Zurück zum Zitat Endo, A. 2010. A historical perspective on the discovery of statins. Proceedings of the Japan Academy, Series B 86 (5): 484–493.CrossRef Endo, A. 2010. A historical perspective on the discovery of statins. Proceedings of the Japan Academy, Series B 86 (5): 484–493.CrossRef
Zurück zum Zitat Franco, O.H., A. Peeters, C.W. Looman, and L. Bonneux. 2005. Cost effectiveness of statins in coronary heart disease. Journal of Epidemiology & Community Health 59 (11): 927–933.CrossRef Franco, O.H., A. Peeters, C.W. Looman, and L. Bonneux. 2005. Cost effectiveness of statins in coronary heart disease. Journal of Epidemiology & Community Health 59 (11): 927–933.CrossRef
Zurück zum Zitat Gaynes, R. 2017. The discovery of penicillin—new insights after more than 75 years of clinical use. Emerging Infectious Diseases 23 (5): 849.CrossRef Gaynes, R. 2017. The discovery of penicillin—new insights after more than 75 years of clinical use. Emerging Infectious Diseases 23 (5): 849.CrossRef
Zurück zum Zitat Goldberg, A. 2001. Depathologizing homosexuality. Journal of the American Psychoanalytic Association 49 (4): 1109–1114.CrossRef Goldberg, A. 2001. Depathologizing homosexuality. Journal of the American Psychoanalytic Association 49 (4): 1109–1114.CrossRef
Zurück zum Zitat Gottlieb, S. 2002. 1.6 million elementary school children have ADHD, says report. BMJ 324 (7349): 1296.CrossRef Gottlieb, S. 2002. 1.6 million elementary school children have ADHD, says report. BMJ 324 (7349): 1296.CrossRef
Zurück zum Zitat Grandjean, P., P. Weihe, R.F. White, and F. Debes. 1998. Cognitive performance of children prenatally exposed to “safe” levels of methylmercury. Environmental Research 77 (2): 165–172.CrossRef Grandjean, P., P. Weihe, R.F. White, and F. Debes. 1998. Cognitive performance of children prenatally exposed to “safe” levels of methylmercury. Environmental Research 77 (2): 165–172.CrossRef
Zurück zum Zitat Greenstone, G. 2010. The history of bloodletting. BC Medical Journal 52 (1): 12–14. Greenstone, G. 2010. The history of bloodletting. BC Medical Journal 52 (1): 12–14.
Zurück zum Zitat Head, M.L., L. Holman, R. Lanfear, A.T. Kahn, and M.D. Jennions. 2015. The extent and consequences of p-hacking in science. PLoS Biology 13 (3): e1002106.CrossRef Head, M.L., L. Holman, R. Lanfear, A.T. Kahn, and M.D. Jennions. 2015. The extent and consequences of p-hacking in science. PLoS Biology 13 (3): e1002106.CrossRef
Zurück zum Zitat Hinshaw, S.P. 2018. Attention deficit hyperactivity disorder (ADHD): Controversy, developmental mechanisms, and multiple levels of analysis. Annual Review of Clinical Psychology 14: 291–316.CrossRef Hinshaw, S.P. 2018. Attention deficit hyperactivity disorder (ADHD): Controversy, developmental mechanisms, and multiple levels of analysis. Annual Review of Clinical Psychology 14: 291–316.CrossRef
Zurück zum Zitat Horwitz, A., and J. Wakefield. 2007. Loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York: Oxford University Press. Horwitz, A., and J. Wakefield. 2007. Loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York: Oxford University Press.
Zurück zum Zitat Illich, I. 1975. Medical nemesis. Sydney: Australian Broadcasting Commission, Science Programmes Unit. Illich, I. 1975. Medical nemesis. Sydney: Australian Broadcasting Commission, Science Programmes Unit.
Zurück zum Zitat Ioannidis, J.P. 2005. Why most published research findings are false. PLoS Medicine 2 (8): e124.CrossRef Ioannidis, J.P. 2005. Why most published research findings are false. PLoS Medicine 2 (8): e124.CrossRef
Zurück zum Zitat Ioannidis, J.P. 2016. Why most clinical research is not useful. PLoS Medicine 13 (6): e1002049.CrossRef Ioannidis, J.P. 2016. Why most clinical research is not useful. PLoS Medicine 13 (6): e1002049.CrossRef
Zurück zum Zitat Ioannidis, J.P. 2017. Defending biomedical science in an era of threatened funding. JAMA 317 (24): 2483–2484.CrossRef Ioannidis, J.P. 2017. Defending biomedical science in an era of threatened funding. JAMA 317 (24): 2483–2484.CrossRef
Zurück zum Zitat Johnson, E.E. 2011. Intellectual property and the incentive fallacy. Fla. St. UL Rev. 39: 623. Johnson, E.E. 2011. Intellectual property and the incentive fallacy. Fla. St. UL Rev. 39: 623.
Zurück zum Zitat Kalkman, J.P. 2021. Military crisis responses to COVID-19. Journal of Contingencies and Crisis Management 29 (1): 99–103.CrossRef Kalkman, J.P. 2021. Military crisis responses to COVID-19. Journal of Contingencies and Crisis Management 29 (1): 99–103.CrossRef
Zurück zum Zitat Kampa, M., and E. Castanas. 2008. Human health effects of air pollution. Environmental Pollution 151 (2): 362–367.CrossRef Kampa, M., and E. Castanas. 2008. Human health effects of air pollution. Environmental Pollution 151 (2): 362–367.CrossRef
Zurück zum Zitat Kuhn, T.S. 2012. The structure of scientific revolutions. Chicago: University of Chicago Press.CrossRef Kuhn, T.S. 2012. The structure of scientific revolutions. Chicago: University of Chicago Press.CrossRef
Zurück zum Zitat Leape, L.L. 1989. Unnecessary surgery. Health Services Research 24 (3): 351. Leape, L.L. 1989. Unnecessary surgery. Health Services Research 24 (3): 351.
Zurück zum Zitat Lexchin, J. 2006. Bigger and better: how Pfizer redefined erectile dysfunction. PLoS Medicine 3 (4): e132.CrossRef Lexchin, J. 2006. Bigger and better: how Pfizer redefined erectile dysfunction. PLoS Medicine 3 (4): e132.CrossRef
Zurück zum Zitat Light, D.W., J. Lexchin, and J.J. Darrow. 2013. Institutional corruption of pharmaceuticals and the myth of safe and effective drugs. The Journal of Law, Medicine & Ethics 41 (3): 590–600.CrossRef Light, D.W., J. Lexchin, and J.J. Darrow. 2013. Institutional corruption of pharmaceuticals and the myth of safe and effective drugs. The Journal of Law, Medicine & Ethics 41 (3): 590–600.CrossRef
Zurück zum Zitat Lim, W.H., S.H. Kim, H.L. Kim, K.H. Kim, S.H. Na, H.J. Lee, and M.A. Kim. 2015. Recurrent acute decompensated heart failure owing to severe iron deficiency anemia caused by inappropriate habitual bloodletting. Journal of Cardiovascular Ultrasound 23 (4): 253.CrossRef Lim, W.H., S.H. Kim, H.L. Kim, K.H. Kim, S.H. Na, H.J. Lee, and M.A. Kim. 2015. Recurrent acute decompensated heart failure owing to severe iron deficiency anemia caused by inappropriate habitual bloodletting. Journal of Cardiovascular Ultrasound 23 (4): 253.CrossRef
Zurück zum Zitat MacLennan, A.H., D.H. Wilson, and A.W. Taylor. 2002. The escalating cost and prevalence of alternative medicine. Preventive Medicine 35 (2): 166–173.CrossRef MacLennan, A.H., D.H. Wilson, and A.W. Taylor. 2002. The escalating cost and prevalence of alternative medicine. Preventive Medicine 35 (2): 166–173.CrossRef
Zurück zum Zitat Malhotra, A., D. Maughan, J. Ansell, R. Lehman, A. Henderson, M. Gray, S. Bailey, et al. 2015. Choosing Wisely in the UK: The Academy of Medical Royal Colleges’ initiative to reduce the harms of too much medicine. BMJ 350: 1.CrossRef Malhotra, A., D. Maughan, J. Ansell, R. Lehman, A. Henderson, M. Gray, S. Bailey, et al. 2015. Choosing Wisely in the UK: The Academy of Medical Royal Colleges’ initiative to reduce the harms of too much medicine. BMJ 350: 1.CrossRef
Zurück zum Zitat Marmot, M.G. 2006. Status syndrome: A challenge to medicine. JAMA 295 (11): 1304–1307.CrossRef Marmot, M.G. 2006. Status syndrome: A challenge to medicine. JAMA 295 (11): 1304–1307.CrossRef
Zurück zum Zitat McKeown, T. 2014. The role of medicine: Dream, mirage, or nemesis? New York: Princeton University Press. McKeown, T. 2014. The role of medicine: Dream, mirage, or nemesis? New York: Princeton University Press.
Zurück zum Zitat Moynihan, R., and A. Cassels. 2005. Selling sickness: How the world’s biggest pharmaceutical companies are turning us all into patients. Vancouver: Greystone Books. Moynihan, R., and A. Cassels. 2005. Selling sickness: How the world’s biggest pharmaceutical companies are turning us all into patients. Vancouver: Greystone Books.
Zurück zum Zitat Moynihan, R., and D. Henry. 2006. The fight against disease mongering: generating knowledge for action. PLoS Medicine 3 (4): e191.CrossRef Moynihan, R., and D. Henry. 2006. The fight against disease mongering: generating knowledge for action. PLoS Medicine 3 (4): e191.CrossRef
Zurück zum Zitat Moynihan, R., and R. Smith. 2002. Too much medicine? Almost certainly. BMJ 324: 859.CrossRef Moynihan, R., and R. Smith. 2002. Too much medicine? Almost certainly. BMJ 324: 859.CrossRef
Zurück zum Zitat Naylor, S., and J.Y. Chen. 2010. Unraveling human complexity and disease with systems biology and personalized medicine. Personalized Medicine 7 (3): 275–289.CrossRef Naylor, S., and J.Y. Chen. 2010. Unraveling human complexity and disease with systems biology and personalized medicine. Personalized Medicine 7 (3): 275–289.CrossRef
Zurück zum Zitat Nissen, S.E., and K. Wolski. 2007. Effect of rosiglitazone on the risk of myocardial infarction and death from cardiovascular causes. New England Journal of Medicine 356 (24): 2457–2471.CrossRef Nissen, S.E., and K. Wolski. 2007. Effect of rosiglitazone on the risk of myocardial infarction and death from cardiovascular causes. New England Journal of Medicine 356 (24): 2457–2471.CrossRef
Zurück zum Zitat Parsi, K. 2016. War metaphors in health care: What are they good for? The American Journal of Bioethics 16 (10): 1–2.CrossRef Parsi, K. 2016. War metaphors in health care: What are they good for? The American Journal of Bioethics 16 (10): 1–2.CrossRef
Zurück zum Zitat Patwardhan, A.R. 2016. Physicians-pharmaceutical sales representatives interactions and conflict of interest: challenges and solutions. INQUIRY: the Journal of Health Care Organization, Provision, and Financing 53: 597. Patwardhan, A.R. 2016. Physicians-pharmaceutical sales representatives interactions and conflict of interest: challenges and solutions. INQUIRY: the Journal of Health Care Organization, Provision, and Financing 53: 597.
Zurück zum Zitat Pellegrino, E.D. 1993. The metamorphosis of medical ethics: A 30-year retrospective. JAMA 269 (9): 1158–1162.CrossRef Pellegrino, E.D. 1993. The metamorphosis of medical ethics: A 30-year retrospective. JAMA 269 (9): 1158–1162.CrossRef
Zurück zum Zitat Pickett, K.E., and R.G. Wilkinson. 2015. Income inequality and health: A causal review. Social Science & Medicine 128: 316–326.CrossRef Pickett, K.E., and R.G. Wilkinson. 2015. Income inequality and health: A causal review. Social Science & Medicine 128: 316–326.CrossRef
Zurück zum Zitat Porter, R. 2004. Blood and guts: A short history of medicine. New York: WW Norton & Company. Porter, R. 2004. Blood and guts: A short history of medicine. New York: WW Norton & Company.
Zurück zum Zitat Ramsay, S. 2001. No closure in sight for the 10/90 health-research gap. The Lancet 358 (9290): 1348.CrossRef Ramsay, S. 2001. No closure in sight for the 10/90 health-research gap. The Lancet 358 (9290): 1348.CrossRef
Zurück zum Zitat Reiss, J., and P. Kitcher. 2009. Biomedical research, neglected diseases, and well-ordered science. THEORIA. Revista De Teoría, Historia y Fundamentos De La Ciencia 24 (3): 263–282. Reiss, J., and P. Kitcher. 2009. Biomedical research, neglected diseases, and well-ordered science. THEORIA. Revista De Teoría, Historia y Fundamentos De La Ciencia 24 (3): 263–282.
Zurück zum Zitat Riley, J.C. 2001. Rising life expectancy: A global history. Cambridge: Cambridge University Press.CrossRef Riley, J.C. 2001. Rising life expectancy: A global history. Cambridge: Cambridge University Press.CrossRef
Zurück zum Zitat Rochon, P.A., J.H. Gurwitz, R.W. Simms, P.R. Fortin, D.T. Felson, K.L. Minaker, and T.C. Chalmers. 1994. A study of manufacturer-supported trials of nonsteroidal anti-inflammatory drugs in the treatment of arthritis. Archives of Internal Medicine 154 (2): 157–163.CrossRef Rochon, P.A., J.H. Gurwitz, R.W. Simms, P.R. Fortin, D.T. Felson, K.L. Minaker, and T.C. Chalmers. 1994. A study of manufacturer-supported trials of nonsteroidal anti-inflammatory drugs in the treatment of arthritis. Archives of Internal Medicine 154 (2): 157–163.CrossRef
Zurück zum Zitat Rottlaender, D., and U.C. Hoppe. 2008. Risks of non-prescription medication. Clobutinol cough syrup as a recent example. Deutsche Medizinische Wochenschrift (1946) 133 (4): 144–146.CrossRef Rottlaender, D., and U.C. Hoppe. 2008. Risks of non-prescription medication. Clobutinol cough syrup as a recent example. Deutsche Medizinische Wochenschrift (1946) 133 (4): 144–146.CrossRef
Zurück zum Zitat Saddichha, S. 2010. Disease mongering in psychiatry: Is it fact or fiction? World Medical & Health Policy 2 (1): 267–284.CrossRef Saddichha, S. 2010. Disease mongering in psychiatry: Is it fact or fiction? World Medical & Health Policy 2 (1): 267–284.CrossRef
Zurück zum Zitat Sallon, S., Y. Dory, Y. Barghouthy, T. Tamdin, R. Sangmo, J. Tashi, and T. Bdolah-Abram. 2017. Is mercury in Tibetan Medicine toxic? Clinical, neurocognitive and biochemical results of an initial cross-sectional study. Experimental Biology and Medicine 242 (3): 316–332.CrossRef Sallon, S., Y. Dory, Y. Barghouthy, T. Tamdin, R. Sangmo, J. Tashi, and T. Bdolah-Abram. 2017. Is mercury in Tibetan Medicine toxic? Clinical, neurocognitive and biochemical results of an initial cross-sectional study. Experimental Biology and Medicine 242 (3): 316–332.CrossRef
Zurück zum Zitat Saquib, N., J. Saquib, and J.P. Ioannidis. 2015. Does screening for disease save lives in asymptomatic adults? Systematic review of meta-analyses and randomized trials. International Journal of Epidemiology 44 (1): 264–277.CrossRef Saquib, N., J. Saquib, and J.P. Ioannidis. 2015. Does screening for disease save lives in asymptomatic adults? Systematic review of meta-analyses and randomized trials. International Journal of Epidemiology 44 (1): 264–277.CrossRef
Zurück zum Zitat Schaller, B.J., and M. Leonardi. 2006. Invited comments. Neurology India 54 (1): 57–57. Schaller, B.J., and M. Leonardi. 2006. Invited comments. Neurology India 54 (1): 57–57.
Zurück zum Zitat Scotchmer, S. 2004. Innovation and incentives. Boston: MIT Press. Scotchmer, S. 2004. Innovation and incentives. Boston: MIT Press.
Zurück zum Zitat Sen, A. 1992. Inequality reexamined. Oxford: Oxford University Press. Sen, A. 1992. Inequality reexamined. Oxford: Oxford University Press.
Zurück zum Zitat Shojania, K.G. 2012. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ 21 (9): 1. Shojania, K.G. 2012. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ 21 (9): 1.
Zurück zum Zitat Simoni, R.D., R.L. Hill, and M. Vaughan. 2002. The discovery of insulin: The work of Frederick Banting and Charles Best. Journal of Biological Chemistry 277 (26): e15–e15.CrossRef Simoni, R.D., R.L. Hill, and M. Vaughan. 2002. The discovery of insulin: The work of Frederick Banting and Charles Best. Journal of Biological Chemistry 277 (26): e15–e15.CrossRef
Zurück zum Zitat Smith, R. 2005. Medical journals are an extension of the marketing arm of pharmaceutical companies. PLoS Medicine 2 (5): e138.CrossRef Smith, R. 2005. Medical journals are an extension of the marketing arm of pharmaceutical companies. PLoS Medicine 2 (5): e138.CrossRef
Zurück zum Zitat Sontag, S. 2001. Illness as metaphor and AIDS and its metaphors. New York: Macmillan. Sontag, S. 2001. Illness as metaphor and AIDS and its metaphors. New York: Macmillan.
Zurück zum Zitat Spiess, B.D. 2010. Pro: The practice of cardiac anesthesia has changed after the withdrawal of aprotinin. Journal of Cardiothoracic and Vascular Anesthesia 24 (5): 875–878.CrossRef Spiess, B.D. 2010. Pro: The practice of cardiac anesthesia has changed after the withdrawal of aprotinin. Journal of Cardiothoracic and Vascular Anesthesia 24 (5): 875–878.CrossRef
Zurück zum Zitat Stegenga, J. 2011. Is meta-analysis the platinum standard of evidence? Studies in History and Philosophy of Science Part c: Studies in History and Philosophy of Biological and Biomedical Sciences 42 (4): 497–507.CrossRef Stegenga, J. 2011. Is meta-analysis the platinum standard of evidence? Studies in History and Philosophy of Science Part c: Studies in History and Philosophy of Biological and Biomedical Sciences 42 (4): 497–507.CrossRef
Zurück zum Zitat Stegenga, J. 2018. Medical Nihilism. Oxford: Oxford University Press.CrossRef Stegenga, J. 2018. Medical Nihilism. Oxford: Oxford University Press.CrossRef
Zurück zum Zitat Strebhardt, K., and A. Ullrich. 2008. Paul Ehrlich’s magic bullet concept: 100 years of progress. Nature Reviews Cancer 8 (6): 473–480.CrossRef Strebhardt, K., and A. Ullrich. 2008. Paul Ehrlich’s magic bullet concept: 100 years of progress. Nature Reviews Cancer 8 (6): 473–480.CrossRef
Zurück zum Zitat Suresh, K. P. 2011. An overview of randomization techniques: an unbiased assessment of outcome in clinical research. Journal of human reproductive sciences 4 (1): 8. Suresh, K. P. 2011. An overview of randomization techniques: an unbiased assessment of outcome in clinical research. Journal of human reproductive sciences 4 (1): 8.
Zurück zum Zitat Szasz, T.S. 1960. The myth of mental illness. American Psychologist 15 (2): 113.CrossRef Szasz, T.S. 1960. The myth of mental illness. American Psychologist 15 (2): 113.CrossRef
Zurück zum Zitat Vidyasagar, D. 2006. Global notes: The 10/90 gap disparities in global health research. Journal of Perinatology 26 (1): 55–56.CrossRef Vidyasagar, D. 2006. Global notes: The 10/90 gap disparities in global health research. Journal of Perinatology 26 (1): 55–56.CrossRef
Zurück zum Zitat Willoughby, C.D. 2018. Running away from drapetomania: Samuel A Cartwright, medicine, and race in the Antebellum South. Journal of Southern History 84 (3): 579–614.CrossRef Willoughby, C.D. 2018. Running away from drapetomania: Samuel A Cartwright, medicine, and race in the Antebellum South. Journal of Southern History 84 (3): 579–614.CrossRef
Zurück zum Zitat Winau, F., O. Westphal, and R. Winau. 2004. Paul Ehrlich—in search of the magic bullet. Microbes and Infection 6 (8): 786–789.CrossRef Winau, F., O. Westphal, and R. Winau. 2004. Paul Ehrlich—in search of the magic bullet. Microbes and Infection 6 (8): 786–789.CrossRef
Zurück zum Zitat Wolinsky, H. 2005. Disease mongering and drug marketing: Does the pharmaceutical industry manufacture diseases as well as drugs? EMBO Reports 6 (7): 612–614.CrossRef Wolinsky, H. 2005. Disease mongering and drug marketing: Does the pharmaceutical industry manufacture diseases as well as drugs? EMBO Reports 6 (7): 612–614.CrossRef
Zurück zum Zitat Woloshin, S., and L.M. Schwartz. 2006. Giving legs to restless legs: A case study of how the media helps make people sick. PLoS Medicine 3 (4): e170.CrossRef Woloshin, S., and L.M. Schwartz. 2006. Giving legs to restless legs: A case study of how the media helps make people sick. PLoS Medicine 3 (4): e170.CrossRef
Zurück zum Zitat Worrall, J. 2002. What evidence in evidence-based medicine? Philosophy of Science 69 (S3): S316–S330.CrossRef Worrall, J. 2002. What evidence in evidence-based medicine? Philosophy of Science 69 (S3): S316–S330.CrossRef
Zurück zum Zitat Wottoon, D. 2007. Bad medicine: Doctors doing harm since Hippocrates. Oxford: Oxford University Press. Wottoon, D. 2007. Bad medicine: Doctors doing harm since Hippocrates. Oxford: Oxford University Press.
Zurück zum Zitat Yeo, M. 1989. Primum non nocere: The ethics of teaching medical ethics. Teaching Philosophy 12 (1): 23–34.CrossRef Yeo, M. 1989. Primum non nocere: The ethics of teaching medical ethics. Teaching Philosophy 12 (1): 23–34.CrossRef
Zurück zum Zitat Zelenay, J.L. 2005. The prescription drug user fee act: Is a faster Food and Drug Administration always a better Food and Drug Administration? Food and Drug Law Journal 60 (2): 261–338. Zelenay, J.L. 2005. The prescription drug user fee act: Is a faster Food and Drug Administration always a better Food and Drug Administration? Food and Drug Law Journal 60 (2): 261–338.
Metadaten
Titel
The need for “gentle medicine” in a post Covid-19 world
verfasst von
Gabriel Andrade
Maria Campo Redondo
Publikationsdatum
20.08.2021
Verlag
Springer Netherlands
Schlagwort
COVID-19
Erschienen in
Medicine, Health Care and Philosophy / Ausgabe 4/2021
Print ISSN: 1386-7423
Elektronische ISSN: 1572-8633
DOI
https://doi.org/10.1007/s11019-021-10046-z

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