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“医学新冠科学”:哲学与系统问题:重新思考医学?论新冠医学的认识论

'Medical Corona Science': Philosophical and systemic issues: Re-thinking medicine? On the epistemology of Corona medicine.

作者信息

Tretter Felix, Marcum James

机构信息

Bertalanffy Center for the Study of Systems Science, Vienna, Austria.

Department of Philosophy, Baylor University, Waco, Texas, USA.

出版信息

J Eval Clin Pract. 2023 Apr;29(3):405-414. doi: 10.1111/jep.13734. Epub 2022 Jul 11.

Abstract

RATIONALE, AIMS, AND OBJECTIVES: The disciplinary profile and the quality of production of knowledge on Corona pandemic is studied. This scientific field is called 'Medical Corona Science'.

METHODS

Criteria of analytical philosophy of science and science studies are systematically applied.

RESULTS

It is shown that mainly auxiliary medical disciplines such as virology and epidemiology but not clinical disciplines provide Corona knowledge. We see a laboratory-centered, technology- and data-driven science, largely ignoring clinical issues. Therefore we call these approaches "Medical Corona Science" (MCS). We see the need to adapt to features of a 'post-normal science', a 'mode 2 science' and of 'Integration and Implementation Science', especially as clinical knowledge must be integrated. There is also a severe lack of theoretical considerations that could help to frame the pandemic as a complex dynamic system.

CONCLUSIONS

We suggest a deeper meta-scientific discussion of the epistemic value of MCS and propose the application of tools from systems science.

摘要

原理、目的和目标:对新冠疫情相关知识的学科概况和知识产出质量进行研究。这个科学领域被称为“医学新冠科学”。

方法

系统应用科学分析哲学和科学研究的标准。

结果

研究表明,主要是病毒学和流行病学等辅助医学学科而非临床学科提供新冠相关知识。我们看到的是一门以实验室为中心、由技术和数据驱动的科学,很大程度上忽视了临床问题。因此,我们将这些方法称为“医学新冠科学”(MCS)。我们认为有必要适应“后常态科学”、“模式2科学”和“整合与实施科学”的特点,尤其是因为必须整合临床知识。同时,严重缺乏能够将疫情构建为一个复杂动态系统的理论思考。

结论

我们建议对医学新冠科学的认知价值进行更深入的元科学讨论,并提议应用系统科学的工具。

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