Sachs Lisbeth
Tema kommunikation, Linköpings universitet, Skaraborgsinstitutet, Skövde.
Lakartidningen. 2002 Feb 21;99(8):757-62.
From a humanistic, social scientific perspective, the most complex task in evidence-based medicine lies in the communication of specialized medical knowledge to non-professionals. Information is never simply the neutral transmission of facts, not even when dealing with scientific knowledge and research. It is always interpreted and evaluated from a particular perspective in a specific context. That information can be neutral is thus a myth. In all medical consultations the process of communication is not just a matter of transmitting information from one who knows to one who does not. Knowledge created and formulated in a scientific context is thus recontextualised first in a clinical situation and then as an interpreted version in people's real lives. Furthermore there are difficulties when practice must be based on current research, in a situation in which no prior clinical experience exists and in which results are interpreted and used regardless of the relative certainty of current evidence.
从人文社会科学的角度来看，循证医学中最复杂的任务在于将专业医学知识传达给非专业人士。信息绝不是简单地对事实进行中立的传递，即使在涉及科学知识和研究时也是如此。它总是在特定背景下从特定视角进行解读和评估。因此，信息能够中立只是一个神话。在所有医疗咨询中，沟通的过程不仅仅是从知晓者向不知晓者传递信息。这样一来，在科学背景下产生并形成的知识首先要在临床情境中重新情境化，然后在人们的现实生活中作为一种解读版本呈现。此外，当实践必须基于当前研究时，在没有先前临床经验且无论当前证据的相对确定性如何都要对结果进行解读和应用的情况下，会存在困难。
