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The philosophical basis of peer review and the suppression of innovation

1990/03/09 by D. F. Horrobin · 57 citations
Medicine · #Basis (linear algebra) #Epistemology #Health and Medical Research Impacts #Medicine

paper · doi:10.1001/jama.263.10.1438

published in JAMA 263(10), 1438-1441 (American Medical Association)

openalex publication_date 1990/03/09 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

Peer review can be performed successfully only if those involved have a clear idea as to its fundamental purpose. Most authors of articles on the subject assume that the purpose of peer review is quality control. This is an inadequate answer. The fundamental purpose of peer review in the biomedical sciences must be consistent with that of medicine itself, to cure sometimes, to relieve often, to comfort always. Peer review must therefore aim to facilitate the introduction into medicine of improved ways of curing, relieving, and comforting patients. The fulfillment of this aim requires both quality control and the encouragement of innovation. If an appropriate balance between the two is lost, then peer review will fail to fulfill its purpose. (<i>JAMA</i>. 1990;263:1438-1441)

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