Kirk-Smith Michael D, Stretch David D
The University of Ulster, Newtonabbey, Northern Ireland, UK.
J Eval Clin Pract. 2003 Nov;9(4):417-22. doi: 10.1046/j.1365-2753.2003.00360.x.
This paper examines how the practise of science in medicine may be subverted by the professionalism of medicine. The requirements of science as regards the axiom of the burden of proof and research design may be inevitably entangled with the influence of authority. This entanglement may be particularly strong in medical research because of the way the profession works and is organized. The nature and possible effects of this entanglement are explored by examining the cultural differences between scientists and professionals and their approach to authority. Then the nature of the axiom of burdens of proof and research design are described, followed by accompanying discussions of how aspects of authority and professional organization may influence them. Finally, concluding comments address ways forward.
本文探讨医学中的科学实践如何可能被医学的专业性所颠覆。科学在举证责任公理和研究设计方面的要求可能不可避免地与权威的影响纠缠在一起。由于医学专业的工作方式和组织形式，这种纠缠在医学研究中可能尤为强烈。通过审视科学家和专业人员之间的文化差异及其对待权威的方式，来探究这种纠缠的性质和可能产生的影响。接着描述举证责任公理和研究设计的性质，随后讨论权威和专业组织的各个方面可能如何对它们产生影响。最后，结语部分阐述了前进的方向。
