The art and science of clinical knowledge: evidence beyond measures and numbers
The art and science of clinical knowledge: evidence beyond measures and numbers
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DOI：
10.1016/s0140-6736(01)05548-9
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发表时间：
2001-08-04
期刊：
影响因子：
168.9
通讯作者：
Malterud, K
中科院分区：
文献类型：
--
作者：
Malterud, K
医生们声称他们的学科是建立在科学知识的基础上的。然而，尽管循证医学的思想被广泛接受，但临床决策和患者护理方法的基础不仅仅是对照实验的结果。临床知识包括解释行为和互动因素，涉及沟通，意见和经验。传统的定量研究方法代表了对临床知识的有限访问，因为它们只包含可以控制，测量和计数的问题和现象。一个有经验的从业者的隐性知识也应该被调查，分享和质疑。定性研究方法是系统收集、组织和解释从谈话或观察中获得的文本材料的策略，它允许探索个人在自然环境中经历的社会事件。定性研究有助于更广泛地理解医学科学。
Medical doctors claim that their discipline is founded on scientific knowledge. Yet, although the ideas of evidence based medicine are widely accepted, clinical decisions and methods of patient care are based on much more than just the results of controlled experiments. Clinical knowledge consists of interpretive action and interaction-factors that involve communication, opinions, and experiences. The traditional quantitative research methods represent a confined access to clinical knowing, since they incorporate only questions and phenomena that can be controlled, measured, and counted. The tacit knowing of an experienced practitioner should also be investigated, shared, and contested. Qualitative research methods are strategies for the systematic collection, organisation, and interpretation of textual material obtained from talk or observation, which allow the exploration of social events as experienced by individuals in their natural context. Qualitative inquiry could contribute to a broader understanding of medical science.