循证医学中理性主义转向的必要性。
The need for a rationalist turn in evidence-based medicine.
作者信息
Kelly Michael P
机构信息
Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Forvie Site, Cambridge, CB2 0SR, UK.
出版信息
J Eval Clin Pract. 2018 Oct;24(5):1158-1165. doi: 10.1111/jep.12974. Epub 2018 Jun 28.
Abstract
When evidence-based medicine (EBM) became established, its dominant rhetoric was empiricist, in spite of rationalist elements in its practice. Exploring some of the key statements about EBM down the years, the paper examines the tensions between empiricism and rationalism and argues for a rationalist turn in EBM to help to develop the next generation of scholarship in the field.
摘要
当循证医学（EBM）确立之时，尽管其实践中存在理性主义元素，但其主导性的言辞却是经验主义的。通过探究多年来关于循证医学的一些关键论述，本文审视了经验主义与理性主义之间的紧张关系，并主张循证医学应转向理性主义，以助力该领域下一代学术研究的发展。
相似文献
1
The need for a rationalist turn in evidence-based medicine.循证医学中理性主义转向的必要性。
J Eval Clin Pract. 2018 Oct;24(5):1158-1165. doi: 10.1111/jep.12974. Epub 2018 Jun 28.
2
Rationalism, Empiricism, and Evidence-Based Medicine: A Call for a New Galenic Synthesis.理性主义、经验主义与循证医学：呼吁新的盖伦式综合
Medicines (Basel). 2018 Apr 25;5(2):40. doi: 10.3390/medicines5020040.
3
Immunonutrition in septic patients: a philosophical view of the current situation.脓毒症患者的免疫营养：对当前状况的哲学视角
Clin Nutr. 2007 Feb;26(1):25-9. doi: 10.1016/j.clnu.2006.08.005. Epub 2006 Oct 16.
4
[Philosophical background of evidence-based medicine].[循证医学的哲学背景]
Uisahak. 2004 Dec;13(2):335-46.
5
Scholarship-based medicine and retirement of EBM.基于奖学金的医学与循证医学的式微
Br J Gen Pract. 2018 Oct;68(675):467-468. doi: 10.3399/bjgp18X699005.
6
Regarding empiricism and rationalism in medicine and 2 medical worldviews.
Mayo Clin Proc. 2014 Jan;89(1):137. doi: 10.1016/j.mayocp.2013.10.019.
7
Scholarship-based medicine: teaching tomorrow's generalists why it's time to retire EBM.基于奖学金的医学：教导未来的全科医生为何是时候摒弃循证医学了。
Br J Gen Pract. 2018 Aug;68(673):390-391. doi: 10.3399/bjgp18X698261.
8
An epistemological shift: from evidence-based medicine to epistemological responsibility.一种认识论的转变：从循证医学到认识论责任。
J Eval Clin Pract. 2015 Jun;21(3):433-9. doi: 10.1111/jep.12282. Epub 2014 Nov 13.
9
Empiricism and rationalism in medicine: can 2 competing philosophies coexist to improve the quality of medical care?医学中的经验主义与理性主义：两种相互竞争的哲学能否共存以提高医疗质量？
Mayo Clin Proc. 2013 Oct;88(10):1042-5. doi: 10.1016/j.mayocp.2013.08.005.
10
Has evidence-based medicine ever been modern? A Latour-inspired understanding of a changing EBM.循证医学曾经是现代的吗？一种受拉图尔启发对不断变化的循证医学的理解。
J Eval Clin Pract. 2017 Oct;23(5):964-970. doi: 10.1111/jep.12752. Epub 2017 May 16.
引用本文的文献
1
Evidence-based practice in well-child care.循证实践在儿童保健中的应用。
Eur J Pediatr. 2022 Dec;181(12):4183-4189. doi: 10.1007/s00431-022-04624-3. Epub 2022 Sep 28.
2
Avicenna and clinical experiences in Canon of Medicine.阿维森纳与《医典》中的临床经验
J Med Life. 2022 Feb;15(2):168-173. doi: 10.25122/jml-2021-0246.
3
Joint synthesis of conditionally related multiple outcomes makes better use of data than separate meta-analyses.联合分析条件相关的多个结局比单独进行 meta 分析能更好地利用数据。
Res Synth Methods. 2020 Jul;11(4):496-506. doi: 10.1002/jrsm.1380. Epub 2019 Nov 10.
本文引用的文献
1
Teaching by (bad) example: what a confused attempt to "advance" EBM reveals about its underlying problems: commentary on Jenicek, M. (2015). Do we need another discipline in medicine? From epidemiology and evidence-based medicine to cognitive medicine and medical thinking. Journal of evaluation in clinical practice, 21:1028-1034.（不良）示范教学：对“推进”循证医学的混乱尝试揭示了其潜在问题：对耶尼塞克，M.（2015年）的评论。《我们是否需要医学中的另一门学科？从流行病学和循证医学到认知医学和医学思维》。《临床实践评估杂志》，21:1028 - 1034。
J Eval Clin Pract. 2016 Aug;22(4):628-33. doi: 10.1111/jep.12552. Epub 2016 May 26.
2
Do we need another discipline in medicine? From epidemiology and evidence-based medicine to cognitive medicine and medical thinking.医学领域还需要另一门学科吗？从流行病学和循证医学到认知医学与医学思维。
J Eval Clin Pract. 2015 Dec;21(6):1028-34. doi: 10.1111/jep.12381. Epub 2015 May 29.
3
The integration of social, behavioral, and biological mechanisms in models of pathogenesis.发病机制模型中社会、行为和生物学机制的整合。
Perspect Biol Med. 2014 Summer;57(3):308-28. doi: 10.1353/pbm.2014.0026.
4
The judgement process in evidence-based medicine and health technology assessment.循证医学与卫生技术评估中的判断过程。
Soc Theory Health. 2012 Feb;10(1):1-19. doi: 10.1057/sth.2011.21. Epub 2011 Dec 14.
5
The evidence that evidence-based medicine omits.被循证医学忽视的证据。
Prev Med. 2013 Dec;57(6):745-7. doi: 10.1016/j.ypmed.2012.10.020. Epub 2012 Oct 27.
6
Evidence based public health: A review of the experience of the National Institute of Health and Clinical Excellence (NICE) of developing public health guidance in England.循证公共卫生：英国国家卫生与临床优化研究所（NICE）制定公共卫生指南经验回顾。
Soc Sci Med. 2010 Sep;71(6):1056-62. doi: 10.1016/j.socscimed.2010.06.032. Epub 2010 Jul 14.
7
Iconoclast or creed? Objectivism, pragmatism, and the hierarchy of evidence.反传统者还是教条？客观主义、实用主义与证据等级
Perspect Biol Med. 2009 Spring;52(2):168-87. doi: 10.1353/pbm.0.0080.
8
Evidence-based public health: a fundamental concept for public health practice.循证公共卫生：公共卫生实践的一个基本概念。
Annu Rev Public Health. 2009;30:175-201. doi: 10.1146/annurev.publhealth.031308.100134.
9
The limitations of 'evidence-based' public health.“循证”公共卫生的局限性。
J Eval Clin Pract. 2006 Jun;12(3):319-24. doi: 10.1111/j.1365-2753.2006.00600.x.
10
Integrating evidence into clinical practice: an alternative to evidence-based approaches.将证据整合到临床实践中：循证方法的替代方案。
J Eval Clin Pract. 2006 Jun;12(3):248-56. doi: 10.1111/j.1365-2753.2004.00551.x.
Zotero 插件