全科医学与源于“混沌”和复杂性理论的新科学。
General practice and the new science emerging from the theories of 'chaos' and complexity.
作者信息
Griffiths F, Byrne D
机构信息
Primary Care Unit, University of Warwick.
出版信息
Br J Gen Pract. 1998 Oct;48(435):1697-9.
This paper outlines the general practice world view and introduces the main features of the theories of 'chaos' and complexity. From this, analogies are drawn between general practice and the theories, which suggest a different way of understanding general practice and point to future developments in general practice research. A conceptual and practical link between qualitative and quantitative methods of research is suggested. Methods of combining data about social context with data about individuals and about biomedical factors are discussed. The paper emphasizes the importance of data collected over time and of considering the multiplicative interactions between variables. Finally, the paper suggests that to develop this type of research, general practice many need to reassess systems of categorizing and recording appropriate data.
本文概述了全科医疗的世界观，并介绍了“混沌”理论和复杂性理论的主要特征。据此，在全科医疗与这些理论之间进行了类比，这为理解全科医疗提供了一种不同的方式，并指出了全科医疗研究的未来发展方向。文中提出了质性研究方法与量化研究方法之间的概念性和实践性联系。讨论了将社会背景数据与个体数据以及生物医学因素数据相结合的方法。本文强调了长期收集数据以及考虑变量之间乘法相互作用的重要性。最后，本文提出，为了开展这类研究，全科医疗可能需要重新评估对适当数据进行分类和记录的系统。
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