Physiological mechanisms and epidemiological research

被引:10
作者
Bluhm, Robyn [1 ]
机构
[1] Old Dominion Univ, Dept Philosophy & Religious Studies, Norfolk, VA 23529 USA
关键词
evidence-based medicine; mechanisms; philosophy of science; randomized controlled trials; EVIDENCE-BASED MEDICINE;
D O I
10.1111/jep.12035
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In evidence-based medicine's hierarchy of evidence, physiological research ranks very low. Recent work in philosophy of science has suggested that there may be a role for knowledge of physiological mechanisms in clinical decision making, either (in some rare circumstances) by providing sufficient evidence that a therapy is effective or by bridging the gap between the results of clinical research and the care of individual patients. I argue that both suggestions are problematic and suggest an alternative role for physiological research. Specifically, I suggest that knowledge of physiological mechanisms should be better incorporated into the kind of epidemiological research that is central to evidence-based medicine.
引用
收藏
页码:422 / 426
页数:5
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