Eisenberg L
Department of Social Medicine and Health Policy, Harvard Medical School, Boston, Massachusetts 02115.
Am J Med. 1988 Mar;84(3 Pt 1):483-91.
Contrary to the common assertion that there is too much science in medicine, it is precisely the application of the natural sciences in the clinic that has enhanced the diagnostic and therapeutic powers of the physician. Much of the criticism of science in medicine mistakes the technology made possible by science, and the way that technology is employed, for science itself. What has hampered progress is too narrow a view of the sciences relevant to medicine. The concepts and methods of the social sciences must be integrated into medical education if physicians are to be enabled to respond effectively to illness as a human experience. Nonetheless, without major changes in the social context of medical practice, efforts to improve performance through curriculum reform will be futile.
与“医学中科学成分过多”这一普遍观点相反，正是自然科学在临床中的应用增强了医生的诊断和治疗能力。医学中对科学的许多批评将科学所带来的技术以及技术的应用方式错当成了科学本身。阻碍进步的是对与医学相关科学的狭隘看法。如果要让医生能够有效地应对作为人类体验的疾病，就必须将社会科学的概念和方法融入医学教育。然而，在医疗实践的社会背景没有重大改变的情况下，通过课程改革来提高医疗水平的努力将是徒劳的。
