Current epistemological problems in evidence based medicine
Current epistemological problems in evidence based medicine
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DOI：
10.1136/jme.2003.007039
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发表时间：
2004-04-01
影响因子：
4.1
通讯作者：
Ashcroft, RE
中科院分区：
文献类型：
--
作者：
Ashcroft, RE
循证医学在其短暂的生命周期中一直是医疗和保健界颇具争议的话题，因为其支持者对用于评估支持或反对医疗干预有效性的证据的标准提出了主张。本文回顾了支持循证医学辩论的中心认识论辩论，并提出了一些仍有待进一步工作的领域。特别是，证据和推理理论还需要进一步的工作；因果关系和相关性；临床判断和集体知识；医学理论的结构；以及临床有效性的性质。
Evidence based medicine has been a topic of considerable controversy in medical and health care circles over its short lifetime, because of the claims made by its exponents about the criteria used to assess the evidence for or against the effectiveness of medical interventions. The central epistemological debates underpinning the debates about evidence based medicine are reviewed by this paper, and some areas are suggested where further work remains to be done. In particular, further work is needed on the theory of evidence and inference; causation and correlation; clinical judgment and collective knowledge; the structure of medical theory; and the nature of clinical effectiveness.