The need for a rationalist turn in evidence-based medicine

被引:16
作者
Kelly, Michael P. [1 ]
机构
[1] Univ Cambridge, Dept Publ Hlth & Primary Care, Inst Publ Hlth, Forvie Site, Cambridge CB2 0SR, England
基金
英国艺术与人文研究理事会;
关键词
clinical guidelines; Cochrane; epistemology; evidence-based medicine; NICE; practical reasoning; CLINICAL EXCELLENCE; COGNITIVE-MEDICINE; NATIONAL INSTITUTE; PUBLIC-HEALTH; COCHRANE; ARCHIE; EPIDEMIOLOGY; DISCIPLINE; GUIDANCE; NICE;
D O I
10.1111/jep.12974
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
When evidence-based medicine (EBM) became established, its dominant rhetoric was empiricist, in spite of rationalist elements in its practice. Exploring some of the key statements about EBM down the years, the paper examines the tensions between empiricism and rationalism and argues for a rationalist turn in EBM to help to develop the next generation of scholarship in the field.
引用
收藏
页码:1158 / 1165
页数:8
相关论文
共 40 条
[1]  
[Anonymous], 2001, SYSTEMATIC REV HLTH, DOI DOI 10.1002/9780470693926
[2]  
[Anonymous], 2008, TESTIMONIO EVIDENCE
[3]  
[Anonymous], 2015, DOING SUPP US PUBL H
[4]  
[Anonymous], Public Health, DOI DOI 10.1016/S0033-3506(02)00027-6
[5]  
[Anonymous], DELIVERING QUALITY N
[6]   Clinical research - Climbing a medical Everest [J].
Ault, A .
SCIENCE, 2003, 300 (5628) :2024-2025
[7]  
Bluhm R, 2011, HBK PHILOS SCI, V16, P203
[8]   Evidence-Based Public Health: A Fundamental Concept for Public Health Practice [J].
Brownson, Ross C. ;
Fielding, Jonathan E. ;
Maylahn, Christopher A. .
ANNUAL REVIEW OF PUBLIC HEALTH, 2009, 30 :175-201
[9]   GETTING TO GRIPS WITH COCHRANE,ARCHIE AGENDA [J].
CHALMERS, I ;
DICKERSIN, K ;
CHALMERS, TC .
BMJ-BRITISH MEDICAL JOURNAL, 1992, 305 (6857) :786-788
[10]   Unbiased, relevant, and reliable assessments in health care - Important progress during the past century, but plenty of scope for doing better [J].
Chalmers, I .
BMJ-BRITISH MEDICAL JOURNAL, 1998, 317 (7167) :1167-1168