Weed D L
Division of Cancer Prevention and Control, National Cancer Institute, Bethesda, MD 20892.
J Clin Epidemiol. 1991;44 Suppl 1:15S-22S.
The merger of bioethics and epidemiology reflects the established idea that values are important for epidemiologic practice. It also reflects the more recent realization that standards of conduct are a timely addition to the profession. The thesis of this paper goes somewhat further and asserts that this merger represents an essential cornerstone in the foundation of a philosophy of epidemiology. Historical reflection reveals existing ontological and epistemological components to this same foundation. The union of bioethics and epidemiology suggests an important philosophical problem: selecting a method for unifying ethical and scientific reasoning. Solutions are proposed including: dialectic and critical rationalism.
生物伦理学与流行病学的融合反映了一种既定观念,即价值观对流行病学实践至关重要。它还反映了最近的一种认识,即行为标准是该专业及时补充的内容。本文的论点更进一步,断言这种融合代表了流行病学哲学基础的一个重要基石。历史反思揭示了这同一基础中现有的本体论和认识论成分。生物伦理学与流行病学的结合提出了一个重要的哲学问题:选择一种统一伦理和科学推理的方法。文中提出了一些解决方案,包括:辩证法和批判理性主义。