Vandenbroucke J P
Leids Universitair Medisch Centrum, afd. Klinische Epidemiologie, Leiden.
Ned Tijdschr Geneeskd. 1999 Dec 25;143(52):2625-8.
In the first decades of this century clinical scientific research was carried out within the way of thinking of the experimental medicine of Claude Bernard, in which physicians-researchers tried to replicate laboratory findings at the bedside. Two developments ensued: the advent of the so-called fundamental disciplines with experiments at the cellular and molecular level, and the statistical and epidemiological way of thinking in medicine. Important in the beginning of statistics was Austin Bradford Hill. Chronic disease epidemiology originated in Britain, but was further developed by investigators of the universities of Harvard, Johns Hopkins and Yale (United States of America) and of McMaster (Canada). In the Netherlands epidemiology departments were introduced in the universities in the seventies and their growth was stimulated by fund-raising and collecting charities.
在本世纪的头几十年里,临床科学研究是在克劳德·伯纳德实验医学的思维方式下进行的,在这种思维方式中,医生兼研究人员试图在床边复制实验室的研究结果。随后出现了两个发展趋势:一是出现了所谓的基础学科,其进行细胞和分子水平的实验;二是医学领域的统计学和流行病学思维方式。统计学初期的重要人物是奥斯汀·布拉德福德·希尔。慢性病流行病学起源于英国,但由哈佛大学、约翰·霍普金斯大学和耶鲁大学(美国)以及麦克马斯特大学(加拿大)的研究人员进一步发展。在荷兰,大学在70年代设立了流行病学系,通过筹集资金和募集慈善捐款推动了该系的发展。