Department of Medicine, Westmead Hospital, Sydney, New South Wales, Australia.
J Eval Clin Pract. 2011 Oct;17(5):868-72. doi: 10.1111/j.1365-2753.2011.01723.x. Epub 2011 Aug 4.
Evidence-based medicine (EBM) has been rapidly and widely adopted because it claims to provide a method for determining the safety and efficacy of medical therapies and public health interventions more generally. However, as others have noted, EBM may be riven through with cultural bias, both in the generation of evidence and in its translation. We suggest that technological and scientific advances in medicine accentuate and entrench these cultural biases, to the extent that they may invalidate the evidence we have about disease and its treatment. This creates a significant ethical, epistemological and ontological challenge for medicine.
循证医学（EBM）已经迅速而广泛地被采用，因为它声称提供了一种方法来确定医疗疗法和更广泛的公共卫生干预措施的安全性和有效性。然而，正如其他人所指出的，EBM 可能存在文化偏见，无论是在证据的产生还是在其翻译中。我们认为，医学中的技术和科学进步加剧并强化了这些文化偏见，以至于它们可能使我们对疾病及其治疗的证据无效。这为医学带来了重大的伦理、认识论和本体论挑战。
