循证医学的认识论探究  

Inquiry of Epistemology in Evidence-based Medicine

作　　者：李琰[1] 李幼平[2,3] 兰礼吉[1] 喻佳洁[3] 

机构地区：[1]四川大学政治学院,四川成都610041 [2]四川大学华西医院,四川成都610041 [3]中国循证医学中心,四川成都610041

出　　处：《医学与哲学（A）》2014年第4期1-4,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

摘　　要：循证医学的兴起被认为是医学界重要的现代化运动,其哲学基础却一直倍受质疑。回顾了循证医学概念的发展和基本假设,整理了从认识论视角质疑循证医学的若干观点,着重介绍循证医学倡导者对循证医学认识论的基本看法,包括证据和知识的关系,观察到的、可观察的和不可观察的事实间的关系,正确地进行观察,指出循证医学不是全新的医学证据产生与运用理论,而是对多种科学推理规则的综合运用。循证医学是应客观需要而产生,因争议而不断自我完善,实现其迅速发展。The rise of evidence-based medicine （EBM ） has been considered as a modernize movement of medical profession . However ,its philosophical foundation has always been questioned .This paper reviewed the evolutional process of the concept and background of the basic hypothesis on EBM ,cleared up ideas which queried EBM on epistemology ,also it emphasized on the main epistemological opinions of EBM advocators ,including the relationship between evidence and knowledge , the relationship among those can be observed ,observable and those in unobservable reality ,making correct observations .EBM is not a new theory of medical evidence ,but a comprehensive application of many existing scientific reasoning rules .Overall ,this paper pointed out that because EBM was formed by the needs and perfected itself by disputing ,it has been improving rapidly .

关 键 词：循证医学 认识论 临床研究 

分 类 号：R-02[医药卫生]