循证医学概念的演进及其启示  

On the History of the Evolution of Evidence-based Medicine and its Revelation

作　　者：谢瑜[1] 艾昌林[1] 邓绍林[1] 李幼平[1] 

机构地区：[1]四川大学中国循证医学中心,成都610041

出　　处：《中华医史杂志》2010年第4期225-228,共4页Chinese Journal of Medical History

摘　　要：循证医学概念发展经历了两个阶段，先后纳入了医患关系和决策背景。循证医学发展的一个新趋势是解决从理论到实践的决策问题。用后SSK实践模式解读循证医学概念演进模式发现，循证医学是一个融合了自然与社会、物质与文化多因素的不可分割的实践网络，网络中各个行动者通过“转译”相互连接。在循证实践中，各式各样自然物、社会关系、地域因素、传统文化资源、科学仪器等的介入，使科学理论成为这些因素在科学实践中不断相互博弈的结果。在这种博弈中，自然与社会、物质与人类、自然科学与社会科学之间的界线消失，从而进入一种人文医学的新阶段。The notions of Evidence-based medicine developed through two phases, which successively looked into the doctor-patient relationship and decision-making background. One of the new trends in evidence-based medicine deals with how to make theory into practice. Applying the practical model from post-SSK to interpret how the notions of evidence-based medicine changed, it is found that evidence-based medicine is an indivisible practical network integrating many natural and social factors as well as material and cultural factors which interconnect through ＂translation＂. Therefore, the involvement of various factors such as natural matter, social relations, regional factors, resources of traditional culture and scientific instruments leads up to the ultimate theory becoming the result of multiple factors in a continuous process of seeking the best way in scientific practice. In this motile process, the borderline between nature and society, material and human, natural science and social science vanishes and a new stage called humanistic medicine appears.

关 键 词：循证医学 后SSK 实践模式 医学模式 

分 类 号：R[医药卫生]