Resisting evidence: the study of evidence-based medicine as a contemporary social movement
Resisting evidence: the study of evidence-based medicine as a contemporary social movement
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DOI：
10.1177/1363459303007003002
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发表时间：
2003-07-01
期刊：
影响因子：
2.1
通讯作者：
Pope, C
中科院分区：
文献类型：
--
作者：
Pope, C
循证医学(EBM)是相对较新出现的描述将研究证据应用于医疗实践的显性过程。这项运动备受瞩目，但并不是太成功：许多临床医生在日常工作中没有使用最新的证据。这篇文章展示了如何用社会运动的观点来分析循证医学的出现，并阐明了医疗专业各部分之间的权力斗争。它利用布鲁默(1951)关于社会运动的文章来证明这一方法的持续突出。本文还提供了来自英国和美国外科医生的定性研究的经验数据，以说明循证医学如何为医疗实践中“艺术”与“科学”、“实践”与“证据”之间的部分冲突提供焦点。这些数据和社会运动视角一起提供了对这场斗争的动态的洞察，并有助于解释为什么临床医生继续抵制循证医学。
Evidence-based medicine (EBM) emerged relatively recently to describe the explicit process of applying research evidence to medical practice. The movement was high profile, yet not overly successful: many clinicians do not use up-to-date evidence in their everyday work. This article shows how a social movement perspective can be used to analyse the emergence of EBM and shed light on power struggles between segments of the medical profession. It draws on Blumer's (1951) essay on social movements to demonstrate the continued salience of this approach. The article also presents empirical data from a qualitative study of English and American surgeons to illustrate how EBM provides a focus for segmental conflict within medical practice between 'art' and 'science', 'practice' and 'evidence'. Together these data and the social movements perspective provide insight into the dynamics of this struggle and help to explain why clinicians continue to resist EBM.