Strand Anders, Parkkinen Veli-Pekka
Department of Philosophy, Classics, History of Art and Ideas, University of Oslo, Oslo, Norway.
J Eval Clin Pract. 2015 Jun;21(3):532-4. doi: 10.1111/jep.12304. Epub 2015 Feb 9.
Kerry et al. criticize our discussion of causal knowledge in evidence-based medicine (EBM) and our assessment of the relevance of their dispositionalist ontology for EBM. Three issues need to be addressed in response: (1) problems concerning transfer of causal knowledge across heterogeneous contexts; (2) how predictions about the effects of individual treatments based on population-level evidence from RCTs are fallible; and (3) the relevance of ontological theories like dispositionalism for EBM.
克里等人批评了我们在循证医学(EBM)中对因果知识的讨论,以及我们对他们的倾向主义本体论与循证医学相关性的评估。对此需要回应三个问题:(1)关于因果知识在异质背景下转移的问题;(2)基于随机对照试验(RCT)的群体水平证据对个体治疗效果的预测是如何容易出错的;(3)像倾向主义这样的本体论理论与循证医学的相关性。